Nicholas S Riano, Paul Wesson, Eric Vittinghoff, Francine Cournos, James Dilley, Christina Mangurian
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引用次数: 0
摘要
与普通人群相比,精神分裂症患者感染 HIV 的风险更高,死亡率也更高。病毒抑制是 HIV 护理的关键,但人们对 HIV 感染者和精神分裂症患者的这一指标知之甚少。我们对居住在旧金山、在 2010 年至 2016 年期间接受过住院精神健康服务的艾滋病病毒感染者/艾滋病患者和精神分裂症患者进行了病历回顾。我们收集了人口统计学、实验室、用药、就诊和出院数据,并与旧金山的所有艾滋病病毒感染者(PLWH-SF)进行了比较。在 153 名艾滋病病毒感染者和合并精神分裂症患者中,77% 的人病毒得到了抑制,而旧金山所有艾滋病病毒感染者和合并精神分裂症患者的这一比例为 67%。居住在旧金山的合并有艾滋病毒和精神分裂症的患者的病毒抑制率似乎高于 PLWH-SF。还需要进一步的研究来证实艾滋病病毒感染者和合并精神分裂症患者获得更好治疗效果背后的关联和机制。
HIV Viral Suppression Among Psychiatric Inpatients with Schizophrenia in San Francisco: A Retrospective Cohort Study.
People with schizophrenia are at increased risk for contracting HIV and face higher mortality rates compared with the general population. Viral suppression is key to HIV care, yet little is known about this metric among people with HIV and schizophrenia. A chart review was conducted among people with HIV/AIDS and schizophrenia living in San Francisco who had received inpatient mental health services between 2010 and 2016. Demographic, laboratory, medication, encounter, and discharge data were collected, and were compared with all people living with HIV in San Francisco (PLWH-SF). Among 153 people living with HIV and comorbid schizophrenia, 77% were virally suppressed, compared to 67% for all PLWH-SF. Viral suppression for people with comorbid HIV and schizophrenia living in San Francisco appears higher than PLWH-SF. Further research is needed to confirm the association and mechanisms behind better treatment outcomes for people living with HIV and comorbid schizophrenia.
期刊介绍:
The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.