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Qualitative study of the quality of sleep in marginalized individuals living with HIV

机译：对艾滋病毒边缘化人群睡眠质量的定性研究

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Abstract: Sleep disturbances have been reported to be higher in human immunodeficiency virus (HIV)-infected individuals compared to the general population. Despite the consequences of poor quality of sleep (QOS), research regarding sleep disturbances in HIV infection is lacking and many questions regarding correlates of poor QOS, especially in marginalized populations, remain unanswered. We conducted one-on-one qualitative interviews with 14 marginalized HIV-infected individuals who reported poor QOS to examine self-reported correlates of sleep quality and explore the relationship between QOS and antiretroviral adherence. Findings suggest a complex and multidimensional impact of mental health issues, structural factors, and physical conditions on QOS of these individuals. Those reporting poor QOS as a barrier to antiretroviral adherence reported lower adherence due to falling asleep or feeling too tired to take medications in comparison to those who did not express this adherence barrier. These interviews underscore the importance of inquiries into a patient's QOS as an opportunity to discuss topics such as adherence, depression, suicidal ideation and substance use.
机译：摘要：据报道，与一般人群相比，感染人类免疫缺陷病毒（HIV）的个体的睡眠障碍更高。尽管存在不良的睡眠质量（QOS）的后果，但仍缺乏有关HIV感染的睡眠障碍的研究，许多有关不良QOS相关性的问题（尤其是在边缘化人群中）仍未得到解答。我们对QOS较差的14位边缘化HIV感染者进行了一对一的定性访谈，以检查自我报告的睡眠质量相关性，并探讨QOS与抗逆转录病毒依从性之间的关系。研究结果表明，心理健康问题，结构因素和身体状况对这些人的QOS具有复杂而多方面的影响。与未表现出这种依从性障碍的人相比，那些报告QOS差作为抗逆转录病毒依从性障碍的人报告说，由于入睡或感到疲倦而无法服药，其依从性较低。这些访谈强调了对患者的QOS进行调查的重要性，这是讨论诸如依从性，抑郁，自杀意念和药物使用等话题的机会。

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