佐治亚州亚特兰大市艾滋病毒感染者近期仇恨相关暴力经历及其与身心健康的关系

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES
Madelyn Carlson, Melvin Livingston, Ameeta S Kalokhe, Jessica M Sales
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引用次数: 0

摘要

背景:艾滋病毒感染者(PWH)不成比例地受到暴力的影响。大多数暴力研究的重点是亲密伴侣暴力、儿童虐待、基于性别的暴力和更普遍的性暴力。很少有研究调查残疾人家庭中的社区暴力。在本分析中,我们测试了仇恨犯罪经历与精神和艾滋病毒结果之间的关系,其中大多数是居住在佐治亚州亚特兰大的黑人/非洲裔美国人。环境:从艾滋病毒服务机构招募PWH (N = 285)参加横断面研究。方法:采用logistic回归模型对以下结果进行主要关联检验:焦虑、抑郁、创伤后应激障碍、曾经病毒抑制、持续病毒抑制和参与艾滋病毒护理。一个双向互动术语检验了性别作为仇恨犯罪经历与健康结果之间关联的潜在影响测量修饰因子。结果:大约一半的样本(N = 125)在过去的12个月里经历过仇恨犯罪。在协变量调整的多变量模型中,与没有遭受仇恨暴力的人相比,仇恨犯罪幸存者在过去四周内经历PTSD症状的几率高出4.02 (95% CI 2.06, 7.85)。结论:对有仇恨暴力经历的PWH患者采取HIV治疗干预和护理措施,可有效缓解PTSD症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experiences of recent hate-related violence and their association with mental and physical health among people living with HIV in Atlanta, Georgia.

Background: People with HIV (PWH) are disproportionately affected by violence. The majority of violence research has focused on intimate partner violence, childhood abuse, gender-based violence, and sexual violence more generally. Less research has examined community violence among PWH. In this analysis, we test the association between hate crime experience and mental and HIV outcomes in a sample of adults with HIV, majority of whom are Black/African American, living in Atlanta, Georgia.

Setting: PWH were recruited from HIV service settings (N = 285) to participate in a cross-sectional study.

Methods: Primary association was tested using logistic regression models with the following outcomes: anxiety, depression, PTSD, ever virally suppressed, continuous viral suppression, and engagement in HIV care. A two-way interaction term examined gender as potential effect measure modifier of the association between hate crime experience and health outcomes.

Results: Roughly half the sample (N = 125) experienced a hate crime in the past 12 months. In the multivariate model adjusted for covariates, hate crime survivors had 4.02 higher odds of experiencing PTSD symptoms over the last four weeks compared to persons who did not suffer hate violence (95% CI 2.06, 7.85).

Conclusion: HIV treatment interventions and care practices treating PWH with hate violence experience should respond to PTSD symptoms.

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