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Comparing the characteristics of people living with and without HIV in long-term care and home care in Ontario, Canada

机译:比较加拿大安大略省长期护理和家庭护理中艾滋病毒携带者和没有艾滋病毒携带者的特征

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Population aging and successful drug therapy in human immunodeficiency virus (HIV) management mean that more people are living longer with HIV. As these individuals age, they become more at risk of developing other chronic health conditions which will have many implications for disease management and choice of care setting. As people living with HIV turn to home care and long-term care (LTC) settings for care, understanding the particular needs of this population is becoming increasingly important. This study sought to describe the sociodemographic, clinical, and social attributes of people living with HIV in the home care and institutional environments. This work involved secondary analysis of data collected from both the international Resident Assessment Instruments (interRAI) home care and minimum data set instruments in the Canadian province of Ontario. Descriptive analysis was used to describe key attributes of people living with and without HIV in LTC, complex continuing care, and home care settings. A comparison of differences between people living with HIV across the three environments was also done using Chi-square analysis. People living with HIV were often younger, male and unmarried than other populations in the care settings studied. Together with specific health needs associated with issues like mental health and social isolation, people living with HIV represent a population with complex and distinctive health needs. Finding ways to better understand the needs of this vulnerable population will help to develop strategies to provide better formal and informal care and improve the quality of life of this group. interRAI standardized assessment instruments may be important tools for meeting this challenge.
机译:人口老龄化和成功的人类免疫缺陷病毒(HIV)管理药物治疗意味着更多的人感染艾滋病毒的时间更长。随着这些人的年龄增长,他们变得更有可能发展其他慢性健康状况,这将对疾病管理和护理环境的选择产生许多影响。随着艾滋病毒携带者转向家庭护理和长期护理(LTC)场所进行护理,了解这一人群的特殊需求变得越来越重要。这项研究试图描述在家庭护理和机构环境中艾滋病毒感染者的社会人口统计学,临床和社会特征。这项工作包括对从国际居民评估工具(interRAI)家庭护理和加拿大安大略省的最低数据集工具收集的数据进行二次分析。描述性分析用于描述LTC中有无HIV感染者,复杂的持续护理和家庭护理环境的关键属性。还使用卡方分析对三种环境中的艾滋病毒感染者之间的差异进行了比较。在研究的医疗机构中,艾滋病毒感染者通常比其他人群年轻,男性且未婚。加上与诸如心理健康和社会隔离等问题相关的特定健康需求,艾滋病毒携带者代表了具有复杂而独特的健康需求的人群。寻找更好地了解这一弱势人群需求的方法将有助于制定策略,以提供更好的正式和非正式护理,并改善该群体的生活质量。 interRAI标准化评估工具可能是应对这一挑战的重要工具。

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