在 COVID-19 大流行期间,美国南部女性艾滋病毒/艾滋病感染者的压力、支持和诊断时间。

IF 1.5 Q4 INFECTIOUS DISEASES
HIV AIDS-Research and Palliative Care Pub Date : 2023-03-09 eCollection Date: 2023-01-01 DOI:10.2147/HIV.S388307
Emily K Montgomerie, Cassandra Michel, Alex P Sanchez-Covarrubias, Lunthita M Duthely
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引用次数: 0

摘要

背景:事实证明,全球 COVID-19 大流行所造成和加剧的健康相关挑战是广泛和多方面的,尤其是对于感染艾滋病毒的少数民族妇女(WLWH)而言。2020 年的大流行影响了佛罗里达州东南部 WLWH 的福祉和获得护理的机会,该地区同时经历了 COVID-19 和艾滋病毒的高感染率。在短期或长期内,WLWH 在面对这些挑战时可能会采用不同的应对机制:本分析比较了 2021 年 1 月至 5 月在南佛罗里达州一家城市诊所就诊的参与者所认可的与大流行相关的压力和支持。参与者填写了改编版的大流行压力指数(PSI)。大流行压力指数中的项目评估情绪困扰、耻辱感和支持,并将其二分为 "压力 "或 "支持"。Mann-Whitney U 检验评估了长期幸存者(确诊艾滋病毒≥10 年)与近期确诊者在 PSI 分值(压力和支持)分布上的差异:研究对象包括 63 名 WLWH,年龄在 21-71 岁之间(平均年龄为 42 岁±12.95)。WLWH群体几乎各占一半,其中50.8%是在过去10年内确诊的(短期存活者)。与低压力组相比,高压力组认可的支持水平较低。与长期幸存者相比,短期幸存者的压力得分更高;与短期幸存者相比,长期幸存者的支持得分更高:结论:研究结果表明,长期幸存者WLWH认可较低压力和较高支持的趋势;而短期幸存者则相反。与 COVID-19 相关的压力源和适应不良行为的模式需要进一步探讨,以便制定合适的干预措施,解决妇女和儿童健康群体中的差异问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Stress, Support, and Length of Diagnosis Among Women Living with HIV/AIDS in the Southern USA, During the COVID-19 Pandemic.

Stress, Support, and Length of Diagnosis Among Women Living with HIV/AIDS in the Southern USA, During the COVID-19 Pandemic.

Background: Health-related challenges caused and worsened by the global COVID-19 pandemic have proven broad and multifaceted, particularly for racial/ethnic minority women living with HIV (WLWH). The 2020 pandemic has affected the wellbeing and access to care for WLWH in Southeastern Florida, a region that experienced simultaneous high rates of COVID-19 and HIV. WLWH, over a short- or long-term period, likely utilize different coping mechanisms as they face these challenges.

Methods: This analysis compared pandemic-related stress and support endorsed by participants attending an urban clinic in South Florida, from January through May 2021. Participants completed an adapted version of the Pandemic Stress Index (PSI). The items in the PSI assessed emotional distress, stigma, and support, and were dichotomized, as either "stress" or "support". Mann-Whitney U-test assessed differences in distributions of PSI scores (stress and support) comparing long-term survivors (≥10 years with an HIV diagnosis) to those more recently diagnosed (<10 years).

Results: The cohort consisted of 63 WLWH, aged 21-71 (Mean = 42 years±12.95). The group of WLWH were almost evenly split, with 50.8% having been diagnosed in the last 10 years (short-term survivors). The high-stress group endorsed lower levels of support, compared to the low-stress group. There was a non-significant trend of higher stress scores for short-term survivors, compared to long-term survivors; and, higher support scores for long-term survivors, compared to short-term survivors.

Conclusion: Results suggest a trend in long-term survivor WLWH endorsing lower stress and higher support; the contrary was found for their short-term survivor counterparts. Patterns in COVID-19 related stressors and maladaptive behaviors need further exploration to establish suitable interventions that address disparities within groups of WLWH.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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