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首页> 外文期刊>AIDS care. >Main partner factors associated with worse adherence to HAART among women in Baltimore, Maryland: a preliminary study.
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Main partner factors associated with worse adherence to HAART among women in Baltimore, Maryland: a preliminary study.

机译：马里兰州巴尔的摩市妇女与HAART依从性差相关的主要伴侣因素：一项初步研究。

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Compared to US men, US women have worse HAART and HIV health outcomes. The study examined main partner factors associated with women's HAART adherence. The community sample comprised 85% African-Americans; 63% had a main partner and 32% relied on their partner for emotional support. Adherence was highest (92%) among those without a main partner and lowest (57%) among those with an HIV seropositive main partner. In adjusted analysis, adherence was 75% less likely among women with an HIV seropositive main partner and 78% less likely among those relying on their partner for emotional support. Furthermore, HIV seropositive versus other serostatus main partners were most likely to provide medication taking assistance and to be preferred in helping participants deal with HIV, yet were no more likely to be nominated as the most helpful to them. Findings reveal women's perceived unmet support needs from HIV seropositive main partners in this population and the need for interventions to promote their HAART adherence. Seroconcordant couples-focused intervention that enhances mutual support of HAART adherence may be an effective approach to improving women's HAART adherence and reducing US gender disparities in HIV health outcomes.
机译：与美国男性相比，美国女性的HAART和HIV健康状况更差。该研究检查了与女性遵守HAART相关的主要伴侣因素。社区样本包括85％的非洲裔美国人。 63％的人有主要伴侣，而32％的伴侣依靠他们的情感支持。在没有主要伴侣的患者中，依从性最高（92％），在具有艾滋病毒血清阳性的主要伴侣中，依从性最低（57％）。在调整后的分析中，艾滋病毒血清阳性主要伴侣的女性的依从性降低了75％，而依靠伴侣进行情感支持的女性的依从性降低了78％。此外，艾滋病毒血清阳性与其他血清状况主要合作伙伴最有可能提供药物治疗协助，并且在帮助参与者应对艾滋病毒方面更受欢迎，但不再被提名为对他们最有帮助。调查结果表明，该人群中艾滋病毒血清阳性的主要伴侣对妇女的支持需求未得到满足，并且需要采取干预措施来提高其对HAART的依从性。以血清调和夫妇为中心的干预措施可增强对HAART依从性的相互支持，这可能是提高妇女对HAART依从性并减少美国在HIV健康结果方面的性别差异的有效方法。

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