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首页> 外文期刊>AIDS care. >Social support and delays seeking care after HIV diagnosis, North Carolina, 2000-2006.
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Social support and delays seeking care after HIV diagnosis, North Carolina, 2000-2006.

机译：艾滋病毒诊断后的社会支持和延误就医时间，北卡罗来纳州，2000-2006年。

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Many adults in the USA enter primary care late in the course of HIV infection, countering the clinical benefits of timely HIV services and missing opportunities for risk reduction. Our objective was to determine if perceived social support was associated with delay entering care after an HIV diagnosis. Two hundred and sixteen patients receiving primary care at a large, university-based HIV outpatient clinic in North Carolina were included in the study. Dimensions of functional social support (emotional/informational, tangible, affectionate, and positive social interaction) were quantified with a modified Medical Outcomes Study Social Support Scale and included in proportional hazards models to determine their effect on delays seeking care. The median delay between diagnosis and entry to primary care was 5.9 months. Levels of social support were high but only positive social interaction was moderately associated with delayed presentation in adjusted models. The effect of low perceived positive social interaction on the time to initiation of primary care differed by history of alcoholism (no history of alcoholism, hazard ratio (HR): 1.43, 95% confidence interval (CI): 0.88, 2.34; history of alcoholism, HR: 0.71, 95% CI: 0.40, 1.28). Ensuring timely access to HIV care remains a challenge in the southeastern USA. Affectionate, tangible, and emotional/informational social support were not associated with the time from diagnosis to care. The presence of positive social interaction may be an important factor influencing care-seeking behavior after diagnosis.
机译：在美国，许多成年人在艾滋病毒感染的后期才进入初级保健，这与及时提供艾滋病毒的临床益处以及降低风险的机会相抵触。我们的目标是确定在HIV诊断后，感知到的社会支持是否与延迟进入护理有关。该研究包括在北卡罗来纳州一家大学的大型艾滋病门诊中接受初级保健的116名患者。功能性社会支持的维度（情感/信息，有形，深情和积极的社会互动）通过修改后的《医学成果研究社会支持量表》进行量化，并纳入比例风险模型中，以确定其对延误就诊的影响。从诊断到进入初级保健之间的中位延迟时间为5.9个月。社会支持水平很高，但在调整后的模型中，只有积极的社会互动与中止陈述有关。低度的积极社交互动对开始初级保健的时间的影响因酗酒史而异（无酗酒史，危险比（HR）：1.43，95％置信区间（CI）：0.88，2.34;酗酒史） ，HR：0.71，95％CI：0.40，1.28）。在美国东南部，确保及时获得艾滋病毒护理仍然是一项挑战。富有感情的，有形的和情感/信息性的社会支持与从诊断到护理的时间无关。积极的社会互动的存在可能是影响诊断后就医行为的重要因素。

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