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

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

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。

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.