当前位置: X-MOL 学术AIDS Behav. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
"Now We Are Told That We Can Mix": Messages and Beliefs Around Simultaneous Use of Alcohol and ART.
AIDS and Behavior ( IF 4.852 ) Pub Date : 2020-09-01 , DOI: 10.1007/s10461-020-02825-1
Emily N Satinsky 1 , Bronwyn Myers 2, 3 , Lena S Andersen 4 , Ashraf Kagee 5 , John Joska 4 , Jessica F Magidson 1
Affiliation  

South Africa (SA) has the most people living with HIV/AIDS (PLWH) globally and prevalent alcohol use. Beliefs that mixing alcohol and antiretroviral therapy (ART) can lead to adverse reactions may promote ART nonadherence. Healthcare providers (n = 11) and patients (n = 19) recruited from primary HIV and substance use care in SA described their messages, beliefs, and behaviors around simultaneous use of alcohol and ART. Transcripts were analyzed using thematic analysis: (1) most providers indicated a message shift to reflect harm reduction principles: PLWH should manage alcohol use but not let it interfere with taking ART; however, (2) patients recalled conflicting messages from their providers and some displayed interactive toxicity beliefs and behaviors. Despite progress demonstrated by 2016 national adherence guidelines and shifted provider messaging, interactive toxicity beliefs remain a barrier to ART adherence. Results have implications for the adaptation of adherence counseling to minimize the impact of alcohol use on HIV treatment.

中文翻译:

“现在我们被告知我们可以混合使用”:关于同时使用酒精和ART的信息和信念。

在全球范围内,南非(SA)的艾滋病毒/艾滋病(PLWH)感染人数最多,并且经常饮酒。认为将酒精与抗逆转录病毒疗法(ART)混合使用会导致不良反应,这可能会加剧ART的不依从性。从SA的主要HIV和毒品使用护理中招募的医疗保健提供者(n = 11)和患者(n = 19)描述了他们在同时使用酒精和抗逆转录病毒药物时的信息,信念和行为。使用主题分析对成绩单进行了分析:(1)大多数提供者都表示要转移信息以反映减少伤害的原则:艾滋病病毒感染者应管理饮酒,但不让其干扰服用抗逆转录病毒药物;然而,(2)患者回忆起他们的提供者提供的相互矛盾的信息,并表现出一些互动的毒性信念和行为。尽管2016年国家依从性指南显示了进展,并且提供者的信息传递发生了变化,但交互毒性信念仍然是ART依从性的障碍。结果对适应性咨询的适应具有影响,以最大程度地减少饮酒对HIV治疗的影响。
更新日期:2020-08-14
down
wechat
bug