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首页> 外文期刊>AIDS care. >The impact of social support and partner relationship dynamics on engagement in HIV care and antiretroviral treatment adherence among MSM in Latin America
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The impact of social support and partner relationship dynamics on engagement in HIV care and antiretroviral treatment adherence among MSM in Latin America

机译：社会支持与合作伙伴关系动态对拉丁美洲MSM艾滋病毒护理和抗逆转录病毒治疗依赖的影响

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摘要

In Latin America (LA), HIV prevalence among MSM is estimated at thirty times greater than in the general male population. Little is known about the role of social support or disclosure status in relation to the HIV care continuum among LA MSM. Using multivariable logistic generalized estimation equations, we assessed the impact of social support satisfaction and disclosure status on engagement in HIV care, ART initiation, and ART adherence with data from an online, multinational sample of HIV infected MSM in Latin America (N = 2,350). 80.0% were engaged in HIV care, 71% initiated ART, and among those, 37% reported missing at least one dose in the past month. In multivariable models, compared to being very satisfied with social support, being somewhat satisfied (aOR = 0.73, 95% CI 0.56, 0.95) or somewhat dissatisfied (aOR = 0.83, 95% CI 0.70, 0.98) were associated with reduced odds of reporting 100% ART adherence. Disclosure of status was associated with a greater odds of HIV care engagement (OR = 1.63, 95% CI 1.28, 2.07) and ART initiation (OR = 1.55, 95% CI 1.30, 1.84). Greater satisfaction with social support and comfort disclosing HIV status to these sources were associated with improved engagement in HIV care and greater initiation of ART among MSM in LA.
机译：在拉丁美洲（LA）中，MSM之间的艾滋病毒患病率估计比一般男性人口在三十三十三十次。关于社会支持或披露状况与La MSM中的艾滋病毒护理连续性有关的作用。利用多变量物流广义估计方程，我们评估了社会支持满意度和披露地位对艾滋病毒护理，艺术启动和艺术遵守的披露地位与拉丁美洲（N = 2,350）的艾滋病毒感染MSM的数据进行婚姻。 80.0％从事艾滋病毒护理，71％发起的艺术，其中37％，过去一个月报告缺少至少一剂。在多变量的型号中，与社会支持非常满意相比，稍微满意（AOR = 0.73,95％CI 0.56,0.95）或稍微不满（AOR = 0.83,95％CI 0.70,0.98）与报告的几率降低有关100％艺术遵守。披露状态与艾滋病毒护理接合的几乎没有几率（或= 1.63,95％CI 1.28,2.07）和艺术引发（或= 1.55,95％CI 1.30,1.84）。对这些来源的社会支持和舒适性揭示艾滋病毒状态的更大满意与La中MSM中的艾滋病毒护理和更大的艺术发起的改善相关。

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