factores relacionados con rehusar el tratamiento antirretroviral en prisión factors related to refuse antiretroviral therapy in prison
العوامل المرتبطة برفض العلاج المضاد للفيروسات القهقرية في السجن
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Abstract
Introduction: Despite the benefits of highly-active antiretroviral therapy (HAART) on morbidity and mortality, some seropositive patients refuse to accept this treatment. Prisons provide easier access to this population. Objective: To determine the psychosocial characteristics of prisoners who refuse HAART. Methods: We performed a cross-sectional study in 580 seropositive prisoners in 3 hospitals in Andalusia (Spain). The dependent variable was being under treatment or refusal to be so. The independent variables were sociodemographic and psychosocial factors related to the prison environment and clinical factors related to health status and drug addiction. A logistic regression analysis was performed to determine which factors were related with refusal to accept HAART. Results: HAART was recommended to 73.1% of seropositive prisoners. This treatment was refused by 23.1% of these prisoners and was accepted by 76.9%. The factors related to refusal to accept HAART were high viral load, worse self-perceived health status, a greater number of stays in prison, and being visited by persons other than relatives. Conclusions: There is a group of prisoners with specific characteristics that refuse HAART. Specific interventions should be performed in these prisoners to make them aware of the effects of their decision on the course of their disease.
المقدمة: على الرغم من فوائد العلاج المضاد للفيروسات القهقرية عالي الفعالية (HAART) في الحد من معدلات الاعتلال والوفيات، يرفض بعض المرضى إيجابيي المصل قبول هذا العلاج. وتتيح السجون وصولاً أيسر إلى هذه الفئة السكانية. الهدف: تحديد الخصائص النفسية والاجتماعية للسجناء الذين يرفضون العلاج المضاد للفيروسات القهقرية عالي الفعالية. طرائق البحث: أُجريت دراسة مقطعية شملت 580 سجيناً من إيجابيي المصل في 3 مستشفيات في إقليم الأندلس (إسبانيا). وكان المتغير التابع هو تلقي العلاج أو رفضه. وتمثلت المتغيرات المستقلة في العوامل الاجتماعية والديمغرافية والنفسية الاجتماعية المرتبطة بالبيئة السجنية، والعوامل السريرية المرتبطة بالحالة الصحية وإدمان المخدرات. أُجري تحليل انحدار لوجستي لتحديد العوامل المرتبطة
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castillo2008gacetafactores
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| Authors | ;Luis Sordo del Castillo;Isabel Ruiz Pérez;Antonio Olry Labry de Lima;José Manuel Soto Blanco;José Joaquín Antón Basanta;Eloy Girela López;José Manuel Castro Recio |
| Journal | cognition and emotion |
| Year | 2008 |
| DOI |
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