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Resilience and Beliefs in the Effectiveness of Current Antiretroviral Therapies Among Recently Disengaged Low-Income People of Color Living with HIV.
Behavioral Medicine ( IF 2.0 ) Pub Date : 2019-03-25 , DOI: 10.1080/08964289.2019.1570070
J Jaiswal 1, 2, 3 , S N Singer 1, 4 , H-M Lekas 5, 6
Affiliation  

Consistent antiretroviral adherence is key to viral suppression, but many low-income people of color living with HIV are not optimally adherent due to a wide variety of interrelated social and structural factors. Previous studies have found that HIV medication beliefs are an important facet of adherence. In contrast to the AZT era , currently available antiretroviral therapies are significantly safer and more effective, but research suggests that negative beliefs may persist among racial and ethnic minority people. Twenty-seven semi-structured interviews were conducted with low-income Black and Latinx people living with HIV in New York City that were currently, or had been recently, disengaged from outpatient HIV medical care. This research suggests that socially and economically marginalized people living with HIV, many long-term survivors who lived through the AZT era, recognized that current treatments are very effective in making HIV a chronic, manageable illness and a significant improvement compared to the therapies early in the epidemic. Most importantly, the data suggests that people demonstrate great resilience despite their experiences of social and economic exclusion. Both clinical practice and public health interventions can benefit from these findings. HIV care providers should speak with patients about their beliefs related to HIV medication, and public health interventions should specifically address HIV medication-related beliefs in order to enhance adherence. In order to avoid reifying people's marginalization, public health should endeavor to recognize and support people's resilience.

中文翻译:

在最近脱离接触的有色人种感染艾滋病毒的低收入人群中,当前抗逆转录病毒疗法的有效性具有复原力和信念。

始终如一的抗逆转录病毒依从性是抑制病毒的关键,但是由于各种各样相互关联的社会和结构因素,许多艾滋病毒感染的低收入人群并没有达到最佳的依从性。先前的研究发现,HIV药物治疗信念是依从性的重要方面。与AZT时代相反,目前可用的抗逆转录病毒疗法明显更安全,更有效,但研究表明,种族和少数民族中可能存在负面信念。对目前或最近已经脱离门诊艾滋病医疗服务的纽约市低收入黑人和拉丁裔艾滋病毒感染者进行了27次半结构化访谈。这项研究表明,艾滋病毒感染者在社会和经济上处于边缘地位,许多经历了AZT时代的长期幸存者都认识到,与艾滋病流行初期的疗法相比,当前的疗法非常有效地使HIV成为一种慢性,可控制的疾病,并且取得了显着改善。最重要的是,这些数据表明,尽管人们经历了社会和经济排斥,但他们仍表现出了强大的应变能力。这些发现有助于临床实践和公共卫生干预。HIV护理提供者应与患者谈论其与HIV药物相关的信念,公共卫生干预措施应特别针对与HIV药物相关的信念,以增强依从性。为了避免使人们的边缘化成为现实,公共卫生应努力承认并支持人们的复原力。认识到与流行早期的疗法相比,当前的疗法在使HIV成为慢性,可控制的疾病方面非常有效,并且取得了显着改善。最重要的是,这些数据表明,尽管人们经历了社会和经济排斥,但他们仍表现出了强大的应变能力。这些发现有助于临床实践和公共卫生干预。HIV护理提供者应与患者谈论其与HIV药物相关的信念,公共卫生干预措施应特别针对与HIV药物相关的信念,以增强依从性。为了避免使人们的边缘化成为现实,公共卫生应努力承认和支持人们的复原力。认识到与流行早期的疗法相比,当前的疗法在使HIV成为慢性,可控制的疾病方面非常有效,并且取得了显着改善。最重要的是,这些数据表明,尽管人们经历了社会和经济排斥,但他们仍表现出极大的应变能力。这些发现有助于临床实践和公共卫生干预。HIV护理提供者应与患者谈论其与HIV药物相关的信念,公共卫生干预措施应特别针对与HIV药物相关的信念,以增强依从性。为了避免使人们的边缘化成为现实,公共卫生应努力承认和支持人们的复原力。与流行初期的疗法相比,可控的疾病和明显的改善。最重要的是,这些数据表明,尽管人们经历了社会和经济排斥,但他们仍表现出极大的应变能力。这些发现有助于临床实践和公共卫生干预。HIV护理提供者应与患者谈论其与HIV药物相关的信念,公共卫生干预措施应特别针对与HIV药物相关的信念,以增强依从性。为了避免使人们的边缘化成为现实,公共卫生应努力承认和支持人们的复原力。与流行初期的疗法相比,可控的疾病和明显的改善。最重要的是,这些数据表明,尽管人们经历了社会和经济排斥,但他们仍表现出了强大的应变能力。这些发现有助于临床实践和公共卫生干预。HIV护理提供者应与患者谈论其与HIV药物相关的信念,公共卫生干预措施应特别针对与HIV药物相关的信念,以增强依从性。为了避免使人们的边缘化成为现实,公共卫生应努力承认和支持人们的复原力。这些发现有助于临床实践和公共卫生干预。HIV护理提供者应与患者谈论其与HIV药物相关的信念,公共卫生干预措施应特别针对与HIV药物相关的信念,以增强依从性。为了避免使人们的边缘化成为现实,公共卫生应努力承认和支持人们的复原力。这些发现有助于临床实践和公共卫生干预。HIV护理提供者应与患者谈论其与HIV药物相关的信念,公共卫生干预措施应特别针对与HIV药物相关的信念,以增强依从性。为了避免使人们的边缘化成为现实,公共卫生应努力承认和支持人们的复原力。
更新日期:2020-04-20
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