ty -jour a2 -kassaye,塞布尔·澳 -Kaperak,克里斯托弗·盟 - 埃尔伍德,莎拉·盟 - 圣苏林,塔玛拉·澳大利亚 - 温斯特德 - 德莱尔加,克里斯托弗·澳,布伦南,罗伯特·奥。。PY - 2020 DA - 2020/12/09 TI - A Cross-Sectional Study on the Affordable Care Act from the Perspective of People Living with HIV: The Interplay between Knowledge, Stigma, Trust, and Attitudes SP - 6081721 VL - 2020 AB -
背景。许多AIDS药物援助计划(ADAPS)购买了艾滋病毒(PLWH)的低收入人士(PLWH),购买了合格的健康计划(ACA)合格的健康计划(QHP)。迄今为止,关于PLWH对ACA的观点的发表很少。我们探索了ACA知识,艾滋病毒污名,对医疗保健系统的信任以及弗吉尼亚州ADAP资助的QHP的PLWH中的ACA态度。
方法。对参与者进行了有关人口特征,ACA知识,HIV污名,对各种医疗保健和政府实体的信任以及对ACA的态度的调查。使用了描述性统计。我们评估了基线特征和正确的ACA知识,与HIV相关的污名,信任和ACA态度之间的关联(1),以及(2)在正确的ACA知识和以下数据之间:ACA知识,HIV污名和信任的来源。
结果。参与者(
n = 53) were a vulnerable population based on the assessment of social determinants of health, and 30% had correct ACA knowledge. Almost three-fourths of participants used HIV clinic case managers for ACA information. Participants who used websites for ACA information had correct ACA knowledge more often compared to those that did not (71% vs. 15%;
p
= 0.001). Those with correct ACA knowledge had lower stigma scores compared to those without correct ACA knowledge (93.8; SD: 15.4 vs. 108; SD: 20.3;
p
= 0.01). Participants trusted HIV clinicians more than general clinicians and insurance companies. No association was found between having correct ACA knowledge and endorsing having enough information about the ACA to understand how it will impact their HIV care.
结论。网站提供了准确的ACA信息。艾滋病毒诊所病例经理是最常用的来源,艾滋病毒临床医生是可信赖的信息来源。艾滋病毒临床医生和病例经理应考虑传播有关ACA的信息及其对互联网视频的影响。缺乏互联网和污名是对获得可行的医疗保健信息的威胁。SN -2090-1240 UR -https://doi.org/10.1155/2020/6081721 do -10.1155/2020/6081721 JF-艾滋病研究和治疗