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The Longitudinal Association between Social Support on HIV Medication Adherence and Healthcare Utilization in the Women's Interagency HIV Study

机译:社会支持与艾滋病毒药物依从性和医疗保健利用的纵向关联艾滋病毒研究

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摘要

Social support is associated with HIV-related health outcomes. However, few studies have explored this longitudinally. We assessed psychometric properties of the Medical Outcomes Study's Social Support Survey among women in the Women's Interagency HIV Study, and explored the longitudinal effects of social support on HIV medication adherence (HIV-positive women) and healthcare utilization (HIV-positive and negative women). The 15 questions loaded into two factors, with Cronbach's Alpha>0.95. Over 3years, perceived emotional support was associated with optimal medication adherence (OR 1.19, 95% CI 1.10-1.28) and healthcare utilization (OR 1.16, 95% CI 1.05-1.27), and tangible social support with adherence only (OR 1.18, 95% CI 1.08-1.27) when controlling for covariates, including core sociodemographic characteristics and depressive symptoms. Interventions to further understand the drivers of sub-types of social support as well as enhance sustained social support may assist with optimizing care of women with and at risk for HIV.
机译:社会支持与艾滋病毒相关的健康结果有关。然而,很少有研究纵向探索过这一点。我们评估了医疗成果研究的心理学性质,妇女间艾滋病毒研究中的女性社会支持调查,并探讨了社会支持对艾滋病毒药物申请(艾滋病毒阳性妇女)和医疗利用的纵向影响(艾滋病毒阳性和消极妇女) 。 15个问题加载到两个因素,Cronbach的alpha> 0.95。超过3年,感知情绪支持与最佳药物遵守(或1.19,95%CI 1.10-1.28)和医疗利用率(或1.16,95%CI 1.05-1.27)以及仅具有遵守的有形社会支持(或1.18,95 %CI 1.08-1.27)在控制协变量时,包括核心社会造成特征和抑郁症状。干预措施,进一步了解社会支持的子类型的驱动因素以及加强持续的社会支持,可以协助优化艾滋病毒危险的妇女的照顾。

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