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首页> 外文期刊>AIDS care. >The effect of post-traumatic stress disorder on HIV disease progression following hurricane Katrina.
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The effect of post-traumatic stress disorder on HIV disease progression following hurricane Katrina.

机译：卡特里娜飓风后创伤后应激障碍对HIV疾病进展的影响。

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摘要

Post-traumatic stress disorder (PTSD) is a common psychological outcome of any disaster. The purpose of this study was to examine the effects of PTSD on disease progression among HIV-infected persons in metropolitan New Orleans post-hurricane Katrina. One-year post-storm, a convenience sample of 145 HIV-infected patients who returned to care at the HIV Outpatient Program clinic in New Orleans were interviewed. Clinical factors pre and one and two years post-disaster were abstracted from medical records and compared by PTSD status. Of the 145 participants, 37.2% had PTSD. Those with PTSD were more likely than those without PTSD to have detectable plasma viral loads at both follow-up time points post-disaster and more likely to have CD4 cell counts <200/mm(3) two years post-disaster. They were also more likely to have had medication interruptions immediately post-disaster. Our findings corroborate the findings of others that PTSD accelerates HIV disease progression. Disaster planners should consider the special counseling and medication safeguards needs of HIV-infected persons.
机译：创伤后应激障碍（PTSD）是任何灾难的常见心理后果。这项研究的目的是检验大都会新奥尔良飓风后卡特里娜飓风中PTSD对HIV感染者疾病进展的影响。暴风雨发生后的一年，我们对145名返回新奥尔良HIV门诊计划门诊就医的HIV感染患者的便利性样本进行了采访。从病历中提取灾难前，灾后一年和两年后的临床因素，并通过PTSD状况进行比较。在145名参与者中，有37.2％患有PTSD。那些患有PTSD的患者比那些没有PTSD的患者更有可能在灾后两个随访时间点检测到血浆病毒载量，并且更有可能在灾后两年内CD4细胞计数<200 / mm（3）。他们也更有可能在灾后立即中断药物治疗。我们的发现证实了PTSD会加速HIV疾病进展的其他发现。灾难规划人员应考虑艾滋病毒感染者的特殊咨询和药物保障需求。

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