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首页> 外文期刊>Western journal of nursing research >The Relationships Among Social Capital, HIV Self-Management, and Substance Use in Women
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The Relationships Among Social Capital, HIV Self-Management, and Substance Use in Women

机译：社会资本，艾滋病毒自我管理和妇女物质的关系

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摘要

Women living with HIV (WLHIV) face unique challenges to successfully self-manage HIV including substance use and limited social capital. We conducted a 6-month mixed-methods study to describe how social capital influences HIV self-management and substance use among WLHIV. Participants completed a self-report survey and in-depth interview at baseline, and 3 and 6 months. Descriptive statistics, t-tests, and generalized estimating equations (GEEs) were used to examine quantitative relationships. Qualitative data were analyzed using qualitative description. Current substance users reported lower social capital compared with past substance users (2.63 vs. 2.80; p = .34). Over time, substance use and social capital were associated with HIV self-management (Wald chi(2) = 28.43; p < .001). Qualitative data suggest that HIV self-management is influenced by overlapping experiences with social capital, including influential trust, community, and value of self can be complicated by ongoing substance use. Social capital can facilitate improved HIV self-management; however, substance use and trauma can weaken this relationship.
机译：艾滋病毒（WLHIV）患有艾滋病毒（WLHIV）的妇女面临着独特的挑战，以成功自我管理艾滋病毒，包括物质使用和有限的社会资本。我们进行了一项6个月的混合方法研究，以描述社会资本如何影响WLHIV之间的艾滋病毒自我管理和物质使用。参与者在基线完成了自我报告的调查和深入访谈，3个月和6个月。描述性统计，T检验和广义估计方程（GEE）用于检查定量关系。使用定性描述分析定性数据。与过去的物质用户相比，当前物质用户报告社会资本较低（2.63对2.80; P = .34）。随着时间的推移，物质使用和社会资本与艾滋病毒自我管理有关（Wald Chi（2）= 28.43; p <.001）。定性数据表明，艾滋病毒自我管理受到社会资本的重叠经验的影响，包括有影响力的信任，社区，自我价值可以通过持续的物质使用来复杂。社会资本可以促进改善艾滋病毒自我管理;然而，物质使用和创伤可以削弱这种关系。

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