情绪状态对男男性行为HIV新诊断感染者睡眠紊乱及治疗行为影响

赵亚芳; 绳宇

doi:10.16462/j.cnki.zhjbkz.2019.04.022

情绪状态对男男性行为HIV新诊断感染者睡眠紊乱及治疗行为影响

doi: 10.16462/j.cnki.zhjbkz.2019.04.022

赵亚芳,
绳宇^,

100144 北京, 北京协和医学院护理学院

基金项目:

北京协和医学院研究生创新基金 2018-1002-01-20

详细信息

通讯作者:
绳宇, E-mail: shengyumm@126.com

中图分类号: R181
计量
- 文章访问数: 261
- HTML全文浏览量: 162
- PDF下载量: 25
- 被引次数: 0
出版历程
- 收稿日期: 2018-10-20
- 修回日期: 2019-01-13
- 刊出日期: 2019-04-10

The influence of emotional state on sleep disorder and treatment behavior among men who have sex with men with newly diagnosed HIV infection

ZHAO Ya-fang,
SHENG Yu^,

School of Nursing Peking Union Medical College

Funds:

Peking Union Medical College Postgraduate Innovation Fund 2018-1002-01-20

More Information

Corresponding author: SHENG Yu, E-mail: shengyumm@126.com

摘要

摘要: 基于国际大规模流行病学研究结果，联合国艾滋病规划署对艾滋病防治提出三个90%策略，全球主要国家均积极推动，但因对新诊断感染者接受和持续治疗行为研究不足，在推动新诊断感染者实现治疗90%目标上有较大差距。国内外研究报道新诊断感染者在压力作用下会产生情绪问题，男男性行为人群HIV感染者因性取向和感染双重影响所承受压力高于一般人群，70.7%人群存在抑郁、焦虑等情绪，情绪波动和心理状态不佳易影响该人群的睡眠状况和治疗行为等方面。情绪状态与睡眠紊乱之间的相互影响已被证明，但情绪状态对HIV感染者接受和持续治疗的相关研究开展有限且作用机制尚不清晰。本文重点回顾了该人群抗病毒治疗行为现状，以及情绪对睡眠和感染者治疗行为影响的相关研究，分析并一定程度上解释了情绪状态与睡眠紊乱的作用关系，以期为我国重点人群艾滋病防控工作和感染者的治疗关怀提供新思路而奠定基础。
- 情绪状态 /
- 睡眠紊乱 /
- 治疗行为 /
- 男男性行为人群 /
- 衔接关怀
Abstract: Based on the international large-scale epidemiological research results, the Joint United Nations Programme on HIV and AIDS (UNAIDS) has proposed three 90%-90%-90% strategies for AIDS prevention and control, and the major countries in the world are actively promoting it. However there is a big gap in the strategy to promote the treatment of newly diagnosed HIV-positive people because of insufficient research on the acceptance and continuum care and treatment behavior of newly diagnosed person. Domestic and foreign studies have reported that diagnose outcome may cause psychological problems under pressure. Men who have sex with men with HIV infection are more stressed than the general population for their sexual orientation and HIV infections. Depression and anxiety are common mental problems which were present in 70.7% of the population, especially among newly diagnosed MSM. Unstable emotional state and unhealthy psychological condition may effect on their sleep, seeking treatment behavior and other aspects. The bi-directional affect between sleep and emotion has been proved, while the function of emotional state impact on HIV infection MSM ignition and retention ART is still unclear yet. This paper reviews treatment behavior status of men who have sex with men with HIV diagnosis, and both the effects of emotional state and sleep disorder on their treatment behavior, also analyzes and interprets the relationship between sleep disorder and emotion. This paper may contribute to provide new ideas and basis for HIV prevention and treatment among risky population and also for the care of HIV positive people.
- Emotional state /
- Sleep disorder /
- Treatment behavior /
- Men who have sex with men /
- Care continuum

HTML全文

参考文献(58)

[1]	UNAIDS. 90-90-90: An ambitious treatment target to help end the AIDS epidemic[EB/OL]. (2014-10)[2018-4-12]. https://pancap.org/pc/pcc/media/pancap_document/90-90-90_Targets.pdf.
[2]	Prinapori R, Giannini B, Riccardi N, et al. Predictors of retention in care in HIV-infected patients in a large hospital cohort in Italy[J]. Epidemiol Infect, 2018: 1-6. DOI: 10.1017/S0950268817003107.
[3]	吴尊友. 我国实现艾滋病防治策略三个90%的进展与挑战[J]. 中华疾病控制杂志, 2016, 20(12): 1187-1189. DOI: 10.16462/j.cnki.zhjbkz.2016.12.001. Wu ZY. The progress and challenges of promoting HIV/AIDS 90-90-90 strategies in China[J]. Chin J Dis Control Prev, 2016, 20(12): 1187-1189. DOI: 10.16462/j.cnki.zhjbkz.2016.12.001.
[4]	杨国莉. 长沙市HIV/AIDS患者关怀依从性及影响因素的研究[D]. 长沙: 中南大学, 2014. Yang GL. Retention in care and its related factors of people living with HIV/AIDS in changsha[D]. Changsha: Central South University, 2014.
[5]	Brandt R. The mental health of people living with HIV/AIDS in Africa: a systematic review[J]. Afr J AIDS Res, 2009, 8(2): 123-133. DOI: 10.2989/AJAR.2009.8.2.1.853.
[6]	杜璇, 周凯, 顾菁, 等. 艾滋病扩大治疗策略下未治疗者的心理健康研究[J]. 中华疾病控制杂志, 2017, 21(12): 1214-1218. DOI: 10.16462/j.cnki.zhjbkz.2017.12.007. Du X, Zhou K, Gu J, et al. A cross-sectional study on the mental health among non-staring ART people living with HIV/AIDS under the ART expansion era[J]. Chin J Dis Control Prev, 2017, 21(12): 1214-1218. DOI: 10.16462/j.cnki.zhjbkz.2017.12.007.
[7]	Sheldon C, Gail M.W. Perceived stress in a probability sample of the United States[M]//The Social Psychology of Health: Claremont Symposium on Applied Social Psychology. 1988: 31-77.
[8]	刘艳, 杨国莉, 龚环宇, 等. MSM人群中HIV感染者歧视感与心理状况及性行为的相关性研究[J]. 中国现代医学杂志, 2014, 24(6): 51-55. DOI: 1005-8982(2014)06-0051-05. Liu Y, Yang GL, Gong HY, et al. Association of perceived stigma, psychological status and sexual behavior in the HIV-infected persons among men who have sex with men[J]. China Journal of Modern Medicine, 2014, 24(6): 51-55. DOI: 1005-8982(2014)06-0051-05.
[9]	彭碧华, 罗丹, 柳英, 等. 新近感染艾滋病病毒的男男性行为人群的压力、情绪问题及社会支持状况[J]. 中国现代医学杂志, 2016, 26(16): 131-136. DOI: 10.3969/j.issn.1005-8982.2016.16.028. Peng BH, Luo D, Liu Y, et al. HIV/AIDS stress, emotional problems and social support among newly HIV-infected men who have sex with men[J] China Journal of Modern Medicine, 2016, 26(16): 131-136. DOI: 10.3969/j.issn.1005-8982.2016.16.028.
[10]	Shacham E, Onen NF, Donovan MF, et al. Psychiatric diagnoses among an HIV-Infected outpatient clinic population[J]. J Int Assoc Provid AIDS Care, 2016, 15(2): 126-130. DOI: 10.1177/2325957414553846.
[11]	Huang X, Li H, Meyers K, et al. Burden of sleep disturbances and associated risk factors: a cross-sectional survey among HIV-infected persons on antiretroviral therapy across China[J]. Sci Rep, 2017, 7(1): 3657. DOI: 10.1038/s41598-017-03968-3.
[12]	Koirala S, Deuba K, Nampaisan O, et al. Facilitators and barriers for retention in HIV care between testing and treatment in Asia-A study in Bangladesh, Indonesia, Lao, Nepal, Pakistan, Philippines and Vietnam[J]. Plos One, 2017, 12(5): e176914. DOI: 10.1371/journal.pone.0176914.
[13]	Lee KA, Gay C, Portillo CJ, et al. Types of sleep problems in adults living with HIV/AIDS[J]. J Clin Sleep Med, 2012, 8(1): 67-75. DOI: 10.5664/jcsm.1666.
[14]	Vosvick M, Gore-Felton C, Ashton E, et al. Sleep disturbances among HIV-positive adults: the role of pain, stress, and social support[J]. J Psychosom Res, 2004, 57(5): 459-463. DOI: 10.1016/j.jpsychores.2004.03.003.
[15]	张如意, 游秋云, 张舜波, 等. 睡眠及睡眠剥夺与人体免疫系统的相关性探讨[J]. 中华中医药杂志, 2016, 31(10): 4169-4171. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201610091.htm Zhang RY, You QY, Zhang SB, et al. Correlation study between sleep and sleep deprivation and human immune system[J]. Chin J Tradit Chin Med Pharm, 2016, 31(10): 4169-4171. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201610091.htm
[16]	Sun W, Wu M, Qu P, et al. Psychological well-being of people living with HIV/AIDS under the new epidemic characteristics in China and the risk factors: a population-based study[J]. Int J Infect Dis, 2014, 28: 147-152. DOI: 10.1016/j.ijid.2014.07.010.
[17]	Gamaldo CE, Spira AP, Hock RS, et al. Sleep, function and HIV: a multi-method assessment[J]. AIDS Behav, 2013, 17(8): 2808-2815. DOI: 10.1007/s10461-012-0401-0.
[18]	Gardner EM, McLees MP, Steiner JF, et al. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection[J]. Clin Infect Dis, 2011, 52(6): 793-800. DOI: 10.1093/CId/CIq243.
[19]	Antinori A, Di Biagio A, Marcotullio S, et al. Italian guidelines for the use of antiretroviral agents and the diagnostic-clinical management of HIV-1 infected persons. Update 2016[J]. New Microbiol, 2017, 40(2): 86-98. DOI: 28513816.
[20]	World Health Organization Department Of HIV AIDS. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection[EB/OL]. (2013-06)[2018-3-4]. http://www.who.int/hiv/pub/guidelines/arv2013/download/en/.
[21]	BucCIardini R, Fragola V, Abegaz T, et al. Predictors of attrition from care at 2 years in a prospective cohort of HIV-infected adults in Tigray, Ethiopia[J]. BMJ Global Health, 2017, 2(3): e325. DOI: 10.1136/bmjgh-2017-000325.
[22]	Morales-Aleman MM, Opoku J, Murray A, et al. Disparities in retention in HIV care among HIV-infected young men who have sex with men in the district of Columbia, 2013[J]. Lgbt Health, 2017, 4(1): 34-41. DOI: 10.1089/lgbt.2016.0126.
[23]	Arnesen R, Moll AP, Shenoi SV. Predictors of loss to follow-up among patients on ART at a rural hospital in KwaZulu-Natal, South Africa[J]. Plos One, 2017, 12(5): e177168. DOI: 10.1371/journal.pone.0177168.
[24]	Nugroho A, Erasmus V, Coulter RWS, et al. Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: a cross-sectional study[J]. Plos One, 2018, 13(1): e191255. DOI: 10.1371/journal.pone.0191255.
[25]	Wong NS, Mao J, Cheng W, et al. HIV linkage to care and retention in care rate among MSM in guangzhou, China[J]. AIDS and Behavior, 2018, 22(3): 701-710. DOI: 10.1007/s10461-017-1893-4.
[26]	Fong R, Cheng AC, Vujovic O, et al. Factors associated with virological failure in a cohort of combination antiretroviral therapy-treated patients managed at a tertiary referral centre[J]. Sex Health, 2013, 10(5): 442. DOI: 10.1071/SH13043.
[27]	Mugavero MJ, Westfall AO, Cole SR, et al. Beyond core indicators of retention in HIV care: missed clinic visits are independently associated with all-cause mortality[J]. Clin Infect Dis, 2014, 59(10): 1471-1479. DOI: 10.1093/cid/ciu603.
[28]	Nachega JB, Uthman OA, Del RC, et al. Addressing the Achilles' heel in the HIV care continuum for the success of a test-and-treat strategy to achieve an AIDS-free generation[J]. Clin Infect Dis, 2014, 59(Suppl 1): S21-S27. DOI: 10.1093/cid/ciu299.
[29]	Salahuddin N, Barroso J, Leserman J, et al. Daytime sleepiness, nighttime sleep quality, stressful life events, and HIV-related fatigue[J]. J Assoc Nurses AIDS Care, 2009, 20(1): 6-13. DOI: 10.1016/j.jana.2008.05.007.
[30]	Cichowitz C, Maraba N, Hamilton R, et al. Depression and alcohol use disorder at antiretroviral therapy initiation led to disengagement from care in South Africa[J]. Plos One, 2017, 12(12): e189820. DOI: 10.1371/journal.pone.0189820.
[31]	Barrington C, Knudston K, Bailey O A P, et al. HIV diagnosis, linkage to care, and retention among men who have sex with men and transgender women in guatemala city[J]. J Health Care Poor U, 2016, 27(4): 1745-1760. DOI: 10.1353/hpu.2016.0160.
[32]	Garrido-Hernansaiz H, Alonso-Tapia J. Associations among resilience, posttraumatic growth, anxiety, and depression and their prediction from stress in newly diagnosed people living with HIV[J]. J Asso Nurses AIDS Care, 2017, 28(2): 289-294. DOI: 10.1016/j.jana.2016.12.005.
[33]	Chen Y, Bennett D, Clarke R, et al. Patterns and correlates of major depression in Chinese adults: a cross-sectional study of 0.5 million men and women[J]. Psychol Med, 2017, 47(5): 958-970. DOI: 10.1017/S0033291716002889.
[34]	Wu J, Wu H, Lu C, et al. Self-reported sleep disturbances in HIV-infected people: a meta-analysis of prevalence and moderators[J]. Sleep Med, 2015, 16(8): 901-907. DOI: 10.1016/j.sleep.2015.03.027.
[35]	Hand G A, Phillips K D, Dudgeon W D. Perceived stress in HIV-infected individuals: physiological and psychological correlates[J]. Aids Care, 2006, 18(8): 1011-1017. DOI: 10.1080/09540120600568376.
[36]	Chuah Y M, Venkatraman V, Dinges D F, et al. The neural basis of interindividual variability in inhibitory efficiency after sleep deprivation[J]. J Neurosci, 2006, 26(27): 7156-7162. DOI: 10.1523/JNEUROSCI.0906-06.2006.
[37]	Taibi D M. Sleep Disturbances in persons living with HIV. [J]. J Assoc Nurses AIDS Care, 2013, 24(1 Suppl): S72-S85. DOI: 10.1016/j.jana.2012.10.006.
[38]	Womack SD, Hook JN, Reyna SH, et al. Sleep loss and risk-taking behavior: a review of the literature[J]. Behav Sleep Med, 2013, 11(5): 343-359. DOI: 10.1080/15402002.2012.703628.
[39]	Mosiagin IG, Malinitskii AK. Psychophysiological and social-and-psychological aspects of adaptation to military service in the European North of Russia in the servicemen called from different regions. [J]. Voen Med Zh, 2007, 328(3): 39-42, 96. http://www.ncbi.nlm.nih.gov/pubmed/17580478
[40]	Crum-Cianflone NF, Roediger MP, Moore DJ, et al. Prevalence and factors associated with sleep disturbances among early-treated HIV-infected persons[J]. Clin Infect Dis, 2012, 54(10): 1485-1494. DOI: 10.1093/cid/cis192.
[41]	Slatcher RB, Chi P, Li X, et al. Associations between coping and diurnal cortisol among children affected by parental HIV/AIDS. [J]. Health Psychol, 2015, 34(8): 802-810. DOI: 10.1037/hea0000169.
[42]	Ian E, Gwen CL, Soo CT, et al. The burden of HIV-associated neurocognitive disorder (HAND) in the Asia-Pacific region and recommendations for screening[J]. Asian J Psychiatr, 2016, 22: 182-189. DOI: 10.1016/j.ajp.2015.10.009.
[43]	Heaton RK, Franklin DJ, Deutsch R, et al. Neurocognitive change in the era of HIV combination antiretroviral therapy: the longitudinal CHARTER study[J]. Clin Infect Dis, 2015, 60(3): 473-480. DOI: 10.1093/cid/ciu862.
[44]	Ramirez-Avila L, Regan S, Giddy J, et al. Depressive symptoms and their impact on health-seeking behaviors in newly-diagnosed HIV-infected patients in Durban, South Africa[J]. Aids Behav, 2012, 16(8): 2226-2235. DOI: 10.1007/s10461-012-0160-y.
[45]	Nanni MG, Caruso R, Mitchell A J, et al. Depression in HIV infected patients: a review[J]. Curr Psychiatry Rep, 2015, 17(1): 530. DOI: 10.1007/s11920-014-0530-4.
[46]	Mayston R, Kinyanda E, Chishinga N, et al. Mental disorder and the outcome of HIV/AIDS in low-income and middle-income countries: a systematic review[J]. Aids, 2012, 26 Suppl 2: S117-S135. DOI: 10.1097/QAD.0b013e32835bde0f.
[47]	Zuniga JA, Yoo-Jeong M, Dai T, et al. The role of depression in retention in care for persons living with HIV[J]. AIDS Patient Care STDS, 2016, 30(1): 34-38. DOI: 10.1089/apc.2015.0214.
[48]	Liu Y, Ruan Y, Vermund S H, et al. Predictors of antiretroviral therapy initiation: a cross-sectional study among Chinese HIV-infected men who have sex with men[J]. Bmc Infect Dis, 2015, 15: 570. DOI: 10.1186/s12879-015-1309-x.
[49]	Cook SH, Valera P, Wilson PA. HIV status disclosure, depressive symptoms, and sexual risk behavior among HIV-positive young men who have sex with men[J]. J Behav Med, 2015, 38(3): 507-517. DOI: 10.1007/s10865-015-9624-7.
[50]	Ostermann J, Pence B, Whetten K, et al. HIV serostatus disclosure in the treatment cascade: evidence from Northern Tanzania[J]. Aids Care, 2015, 27(Suppl 1): 59-64. DOI: 10.1080/09540121.2015.1090534.
[51]	Kiene SM, Dove M, Wanyenze RK. Depressive symptoms, disclosure, HIV-related stigma, and coping following HIV testing among outpatients in Uganda: a daily process analysis[J]. Aids Behav, 2018, 22(5): 1639-1651. DOI: 10.1007/s10461-017-1953-9.
[52]	Feng Y, Wu Z, Detels R. Evolution of men who have sex with men community and experienced stigma among men who have sex with men in chengdu, China[J]. J Acquir Immune Defic Syndr, 2010, 53(Suppl 1): S98-S103. DOI: 10.1097/QAI.0b013e3181c7df71.
[53]	Eaton LA, Driffin DD, Kegler C, et al. The role of stigma and medical mistrust in the routine health care engagement of black men who have sex with men[J]. Am J Public Health, 2015, 105(2): e75-e82. DOI: 10.2105/AJPH.2014.302322.
[54]	Hatzenbuehler ML, O'Cleirigh C, Mayer KH, et al. Prospective associations between HIV-related stigma, transmission risk behaviors, and adverse mental health outcomes in men who have sex with men[J]. Ann Behav Med, 2011, 42(2): 227-234. DOI: 10.1007/s12160-011-9275-z.
[55]	Pecoraro A, Royer-Malvestuto C, Rosenwasser B, et al. Factors contributing to dropping out from and returning to HIV treatment in an inner city primary care HIV clinic in the United States[J]. Aids Care, 2013, 25(11): 1399-1406. DOI: 10.1080/09540121.2013.772273.
[56]	Logie CH, Lacombe-Duncan A, Wang Y, et al. Pathways From HIV-related stigma to antiretroviral therapy measures in the HIV care cascade for women living with HIV in Canada[J]. J Acquir Immune Defic Syndr, 2018, 77(2): 144-153. DOI: 10.1097/QAI.0000000000001589.
[57]	Uthman OA, Magidson JF, Safren SA, et al. Depression and adherence to antiretroviral therapy in low-, middle-and high-income countries: a systematic review and meta-analysis[J]. Curr HIV/AIDS Rep, 2014, 11(3): 291-307. DOI: 10.1007/s11904-014-0220-1.
[58]	Tao J, Vermund S H, Lu H, et al. Impact of depression and anxiety on initiation of antiretroviral therapy among men who have sex with men with newly diagnosed HIV infections in China[J]. AIDS Patient Care STDS, 2017, 31(2): 96-104. DOI: 10.1089/apc.2016.0214.