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首页> 外文期刊>AIDS care. >Syndemic effect of mental illness and substance use on viral suppression among recently-incarcerated, HIV-infected individuals in the CARE plus Corrections study
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Syndemic effect of mental illness and substance use on viral suppression among recently-incarcerated, HIV-infected individuals in the CARE plus Corrections study

机译：精神疾病和物质对病毒抑制的对象效应最近监察，艾滋病毒感染者在护理加上矫正研究中

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摘要

Few studies on HIV-related syndemics of co-occurring and mutually reinforcing psychosocial conditions have assessed clinical outcomes in criminal justice (CJ)-involved populations. Baseline data from the CARE+ Corrections study were used to quantify co-occurring mental illness and substance use and examine syndemic effects on viral suppression among 106 CJ-involved HIV-infected individuals. Ninety-one (86%) reported a mental illness diagnosis, 30 (28%) reported hazardous alcohol use, and 61 (58%) were drug dependent. Eighteen (17%) experienced all three conditions. Drug dependence was clustered with mental illness (prevalence odds ratio [POR] 3.20, 95% CI 1.01-10.14) and hazardous alcohol use (POR 2.61, 95% CI 1.03-6.56). The association between syndemic score, representing the number of conditions reported by each individual, and viral suppression was not statistically significant, although 86% of participants with none of these conditions were virally suppressed, compared to 56% of those with all three (p=0.56). Mental illness and substance use were concentrated in this sample, indicating a need for integrated care services.
机译：少数关于共同发生和相互增强的心理社会病症的艾滋病毒相关合作的研究已经评估了刑事司法（CJ） - 境内的临床结果。来自护理+矫正研究的基线数据用于量化共同发生的精神疾病和物质使用，并研究106cJ涉及的艾滋病毒感染个体的病毒抑制对病毒抑制的影响。 91％（86％）报告了精神疾病诊断，30（28％）报告危险的酒精使用，61（58％）依赖于药物。十八（17％）经历过所有三种条件。药物依赖性被精神疾病聚集（患病率偏移比[POR] 3.20,95％CI 1.01-10.14）和危险酒精使用（POR 2.61,95％CI 1.03-6.56）。对象分数之间的关联，代表每个人报告的病症数量，病毒抑制没有统计学意义，尽管86％的参与者在任何这些条件下都是公然抑制的，而所有三个的56％（P = 0.56）。精神疾病和物质用途集中在该样品中，表明需要综合护理服务。

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  • 来源
    《AIDS care.》 |2018年第10期|共5页
  • 作者

    Yellin Hannah; Beckwith Curt; Kurth Ann; Liu Tao; Castonguay Breana; Patrick Rudy; Trezza Claudia; Bazerman Lauri; Kuo Irene;

  • 作者单位

    George Washington Univ Milken Inst Sch Publ Hlth Dept Epidemiol &

    Biostat 950 New Hampshire Ave;

    Miriam Hosp Div Infect Dis Providence RI 02906 USA;

    Yale Univ Sch Nursing New Haven CT 06536 USA;

    Brown Univ Sch Publ Hlth Dept Biostat Providence RI 02912 USA;

    George Washington Univ Milken Inst Sch Publ Hlth Dept Epidemiol &

    Biostat 950 New Hampshire Ave;

    George Washington Univ Milken Inst Sch Publ Hlth Dept Epidemiol &

    Biostat 950 New Hampshire Ave;

    George Washington Univ Milken Inst Sch Publ Hlth Dept Epidemiol &

    Biostat 950 New Hampshire Ave;

    Miriam Hosp Div Infect Dis Providence RI 02906 USA;

    George Washington Univ Milken Inst Sch Publ Hlth Dept Epidemiol &

    Biostat 950 New Hampshire Ave;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    Criminal justice system; HIV; syndemics; mental illness; substance use;

    机译：刑事司法系统;艾滋病毒;合作;精神疾病;物质使用;

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