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Barriers to health-care and psychological distress among mothers living with HIV in Quebec (Canada)

机译：魁北克（加拿大）艾滋病毒携带者的母亲在医疗保健和心理困扰方面的障碍

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摘要

Health-care providers play a major role in providing good quality care and in preventing psychological distress among mothers living with HIV (MLHIV). The objectives of this study are to explore the impact of health-care services and satisfaction with care providers on psychological distress in MLHIV. One hundred MLHIV were recruited from community and clinical settings in the province of Quebec (Canada). Prevalence estimation of clinical psychological distress and univariate and multivariable logistic regression models were performed to predict clinical psychological distress. Forty-five percent of the participants reported clinical psychological distress. In the multivariable regression, the following variables were significantly associated with psychological distress while controlling for sociodemographic variables: resilience, quality of communication with the care providers, resources, and HIV disclosure concerns. The multivariate results support the key role of personal, structural, and medical resources in understanding psychological distress among MLHIV. Interventions that can support the psychological health of MLHIV are discussed.
机译：卫生保健提供者在提供高质量护理和预防艾滋病毒携带者母亲的心理困扰方面发挥着重要作用。这项研究的目的是探讨保健服务和对护理提供者的满意度对MLHIV患者心理困扰的影响。从魁北克省（加拿大）的社区和临床机构招募了100名MLHIV。临床心理困扰的患病率估计和单因素和多变量logistic回归模型用于预测临床心理困扰。百分之四十五的参与者报告了临床心理困扰。在多变量回归中，在控制社会人口统计学变量时，以下变量与心理困扰显着相关：复原力，与护理提供者的沟通质量，资源以及对HIV的关注。多元结果支持个人，结构和医疗资源在理解MLHIV患者心理困扰中的关键作用。讨论可以支持MLHIV的心理健康的干预措施。

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