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首页> 外文期刊>The Journal of the Association of Nurses in AIDS Care: JANAC >Housing Instability, Depression, and HIV Viral Load Among Young Black Gay, Bisexual, and Other Men Who Have Sex With Men in Atlanta, Georgia
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Housing Instability, Depression, and HIV Viral Load Among Young Black Gay, Bisexual, and Other Men Who Have Sex With Men in Atlanta, Georgia

机译：年轻的黑色同性恋，双性恋和其他与亚特兰大，格鲁吉亚发生性关系

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摘要

Housing instability is common among sexual minority youth. Research suggests that psychological distress, such as depression, may mediate the association between housing instability and poor HIV-related outcomes, but this hypothesis remains underexplored. Housing instability was assessed using two variables (residential moves in 6 months, and self-reported homelessness at any time since age 15 years). We examined cross-sectional relationships between the housing instability variables and detectable HIV-1 viral load (VL) in a sample of young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) living with HIV (N= 81) in Atlanta, GA, in 2015-2016. Additionally, we explored whether depressive symptoms mediated this relationship. Our exploratory study suggests that psychological distress may partially mediate the association between housing instability and detectable VL. In addition to structural interventions that ensure housing stability, increasing use of mental health services by unstably housed YB-GBMSM may improve VL suppression in this high-risk population.
机译：住房不稳定是性少数青年之间的常见。研究表明，抑郁症等心理困扰可能会使住房不稳定与贫困艾滋病毒相关结果之间的关联介导，但这种假设仍然是缺乏影响的。使用两个变量评估住房不稳定（6个月内的住宅举措，自15年以来的任何时候自我报告的无家可归者）。我们在幼小黑色同性恋，双性恋和与艾滋病毒患者发生性发生性发生性发生性发生性发生性发生性关系的样本中，检查了壳体不稳定变量和可检测的HIV-1病毒载量（VL）之间的横截面关系（n = 81）在2015 - 2016年亚特兰大，2016年。此外，我们探讨了抑郁症状是否介导这种关系。我们的探索性研究表明，心理窘迫可能部分地调解住房不稳定和可检测的VL之间的关联。除了确保住房稳定性的结构干预外，由于不稳定的YB-GBMSM增加了心理健康服务的使用可能会在这种高风险群体中提高VL抑制。

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