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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Co-occurrence of treatment nonadherence and continued HIV transmission risk behaviors: implications for positive prevention interventions.
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Co-occurrence of treatment nonadherence and continued HIV transmission risk behaviors: implications for positive prevention interventions.

机译：并存的治疗不依从和持续的HIV传播风险行为：对积极预防干预的影响。

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摘要

Effective treatment regimens for HIV infection demand very high levels of adherence and people infected with HIV are expected to adhere to safer sex and drug use practices throughout their lives. Treatment nonadherence overlaps with continued unsafe sexual practices for some people living with HIV/AIDS. The co-occurrence of nonadherence and HIV transmission risk behavior poses particular risk for the spread of drug-resistant variants of HIV. There are common correlates of both nonadherence and risk behavior, particularly substance use and depression. Interventions designed to address treatment nonadherence and those designed to reduce risk behavior also share common elements, particularly self-efficacy enhancement and behavioral skills training. The common correlates and shared intervention elements suggest that integrated intervention approaches that simultaneously address adherence and risk reduction may be feasible. Research is currently testing interventions that simultaneously increase HIV treatment adherence and reduce behaviors that risk HIV transmission.
机译：有效的HIV感染治疗方案需要很高的依从性，并且感染HIV的人们一生都将遵循更安全的性行为和毒品使用习惯。对于某些艾滋病毒/艾滋病患者，不坚持治疗与持续不安全的性行为重叠。非依从性和HIV传播风险行为的共同出现给HIV耐药变异株的传播带来特别的风险。非依从性和风险行为，尤其是药物使用和抑郁症，有共同的关联。旨在解决治疗不依从问题的干预措施和旨在降低风险行为的干预措施也具有共同的要素，尤其是提高自我效能和行为技能培训。共同的相关因素和共享的干预要素表明，同时解决依从性和降低风险的综合干预方法可能是可行的。目前，研究正在测试干预措施，这些干预措施可同时增加对HIV治疗的依从性并减少可能导致HIV传播的行为。

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