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首页> 外文期刊>AIDS care. >Association of unmet needs for support services with medication use and adherence among HIV-infected individuals in the southeastern United States.
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Association of unmet needs for support services with medication use and adherence among HIV-infected individuals in the southeastern United States.

机译：在美国东南部，未满足的支持服务需求与药物使用和依从性之间的关联（与艾滋病毒感染者的关联）。

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Unmet needs for services, such as housing and psychiatric treatment, are relatively common among HIV-infected individuals; however, the effects of different types of unmet needs on health-care outcomes are not well understood. This study describes unmet psychosocial needs and their relationship with health-care outcomes among individuals receiving HIV care in the southeastern US (n=526). We used multivariate logistic regression to examine the association of seven categories of unmet needs with HIV medication use and adherence. Most participants (84.5%) reported at least one service need in the past year. Nearly half (47%) of participants with service needs reported that at least one need was not met. Participants with one or more unmet needs were less likely to be taking any HIV medications (p = 0.007) and reported poorer medication adherence (p=0.013). The specific unmet needs for benefits (including Social Security, health insurance and prescription coverage) (p = 0.006) and a support group (p=0.040)were associated with being less likely to be taking any HIV medications. Unmet need for mental health-related counseling was associated with poorer medication adherence (p=0.003). Study findings regarding the high level of unmet need and the association of unmet need with poorer outcomes illustrate the importance of interventions to address these needs.
机译：在艾滋病毒感染者中，住房和精神病治疗等服务需求未得到满足的情况相对普遍。但是，人们尚未充分了解不同类型的未满足需求对卫生保健结果的影响。这项研究描述了美国东南部（n = 526）接受艾滋病毒治疗的个体中未满足的社会心理需求及其与医疗保健结果的关系。我们使用多元逻辑回归分析了未满足需求的七类与HIV药物使用和依从性之间的关系。大多数参与者（84.5％）在过去的一年中报告了至少一项服务需求。有服务需求的参与者中将近一半（47％）表示至少一项需求没有得到满足。有一个或多个需求未得到满足的参与者服用任何HIV药物的可能性较小（p = 0.007），据报道药物依从性较差（p = 0.013）。福利（包括社会保障，健康保险和处方保险）的具体未满足需求（p = 0.006）和支持小组（p = 0.040）与较少服用任何HIV药物有关。与心理健康相关的咨询需求未得到满足与药物依从性较差有关（p = 0.003）。有关未满足需求的高水平以及未满足需求与较差结果的关联的研究结果表明，应对这些需求的干预措施的重要性。

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