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首页> 外文期刊>AIDS care. >Loneliness and substance use: the influence of gender among HIV+ Black/African American adults 50+
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Loneliness and substance use: the influence of gender among HIV+ Black/African American adults 50+

机译：孤独和药物滥用：性别对HIV +黑人/非裔美国成年人的影响50+

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摘要

Estimates suggest 30% of adults report the highest levels of loneliness. Though men are more likely than women to use illicit substances and engage in heavy drinking, the prevalence of substance use in women is growing and their escalation toward dependence occurs more rapidly. Loneliness and substance use have greater relevance within the HIV+ population, with higher rates of substance misuse than the general population. However, the association between loneliness and substance use within HIV+ individuals remains understudied. The purpose of the present study was to test the hypothesis that there would be an association between loneliness and substance moderated by gender in HIV+ older adults. A cross-sectional study was conducted between October 2013 and January 2014. Study participants included 96 HIV-positive Black/African American men and women recruited through the University of Florida Center for HIV/AIDS Research, Education and Service (UF CARES) in Jacksonville, Florida. Participants completed an interviewer-administered assessment examining mental and behavioral health. Pearson correlations examined associations between loneliness and substance use. Binary logistic regression analyses stratified by gender examined the association between loneliness and substance use while controlling for covariates. Among women, loneliness was associated with illicit drug use, AOR = 3.37, 95% CI: 1.23-9.21, p = .018 and heavy drinking, AOR = 2.47, 95% CI: 1.07-5.71, p = .033. No significant associations were found between loneliness and illicit drug use, and heavy drinking in men. Substance use among women in this population may be linked to loneliness. Interventions should be gender specific. Further research into this association is necessary as it will likely have important clinical implications for this population.
机译：据估计，有30％的成年人报告孤独感最高。尽管男人比女人更容易使用违禁药物并大量饮酒，但妇女使用毒品的流行程度正在增加，她们向依赖的升级越来越快。艾滋病毒+人群中的孤独感和药物滥用具有更大的相关性，药物滥用的比率高于普通人群。但是，HIV +个体内的孤独感与物质使用之间的关联仍未得到充分研究。本研究的目的是检验以下假设：在HIV +老年人中，孤独与由性别控制的物质之间存在关联。在2013年10月至2014年1月之间进行了横断面研究。研究参与者包括通过佛罗里达大学杰克逊维尔分校的艾滋病毒/艾滋病研究，教育和服务中心（UF CARES）招募的96名艾滋病毒阳性的黑人/非裔美国人。 ，佛罗里达。参与者完成了由访调员管理的评估，以检查心理和行为健康状况。皮尔森相关性研究了孤独感与物质使用之间的关联。按性别分层的二元逻辑回归分析在控制协变量的同时检查了孤独感与物质使用之间的关联。在女性中，孤独与非法药物使用相关，AOR = 3.37，95％CI：1.23-9.21，p = .018和大量饮酒，AOR = 2.47，95％CI：1.07-5.71，p = .033。没有发现孤独和非法使用毒品以及男性大量饮酒之间有明显的联系。妇女在这一人群中的物质使用可能与孤独感有关。干预措施应针对性别。有必要对该关联进行进一步研究，因为这可能对该人群具有重要的临床意义。

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