Skip to main content
Erschienen in: AIDS and Behavior 1/2007

01.01.2007 | Other Research Articles

Impact of Marriage on HIV/AIDS Risk Behaviors Among Impoverished, At-Risk Couples: A Multilevel Latent Variable Approach

verfasst von: Judith A. Stein, PhD, Adeline Nyamathi, Jodie B. Ullman, Peter M. Bentler

Erschienen in: AIDS and Behavior | Ausgabe 1/2007

Einloggen, um Zugang zu erhalten

Abstract

Studies among normative samples generally demonstrate a positive impact of marriage on health behaviors and other related attitudes. In this study, we examine the impact of marriage on HIV/AIDS risk behaviors and attitudes among impoverished, highly stressed, homeless couples, many with severe substance abuse problems. A multilevel analysis of 368 high-risk sexually intimate married and unmarried heterosexual couples assessed individual and couple-level effects on social support, substance use problems, HIV/AIDS knowledge, perceived HIV/AIDS risk, needle-sharing, condom use, multiple sex partners, and HIV/AIDS testing. More variance was explained in the protective and risk variables by couple-level latent variable predictors than by individual latent variable predictors, although some gender effects were found (e.g., more alcohol problems among men). The couple-level variable of marriage predicted lower perceived risk, less deviant social support, and fewer sex partners but predicted more needle-sharing.
Literatur
Zurück zum Zitat Anson, O. (1989). Marital status and women's health revisited: The importance of a proximate adult. Journal of Marriage and the Family, 51, 185–194.CrossRef Anson, O. (1989). Marital status and women's health revisited: The importance of a proximate adult. Journal of Marriage and the Family, 51, 185–194.CrossRef
Zurück zum Zitat Avants, S. K., Warburton, L. A., and Margolin, A. (2001). How injection drug users coped with testing HIV-seropositive: Implications for subsequent health-related behaviors. AIDS Education and Prevention, 13, 207–218.PubMedCrossRef Avants, S. K., Warburton, L. A., and Margolin, A. (2001). How injection drug users coped with testing HIV-seropositive: Implications for subsequent health-related behaviors. AIDS Education and Prevention, 13, 207–218.PubMedCrossRef
Zurück zum Zitat Bazargan, M., Kelly, E. M., Stein, J. A., Husaini, B. A., and Bazargan, S. H. (2000). Correlates of HIV-risk taking behaviors among African-American college students: The effect of HIV knowledge, motivation, and behavioral skills. Journal of the National Medical Association, 92, 391–404.PubMed Bazargan, M., Kelly, E. M., Stein, J. A., Husaini, B. A., and Bazargan, S. H. (2000). Correlates of HIV-risk taking behaviors among African-American college students: The effect of HIV knowledge, motivation, and behavioral skills. Journal of the National Medical Association, 92, 391–404.PubMed
Zurück zum Zitat Bentler, P. M. (2004). EQS 6 structural equations program manual. Encino, CA: Multivariate Software, Inc. Bentler, P. M. (2004). EQS 6 structural equations program manual. Encino, CA: Multivariate Software, Inc.
Zurück zum Zitat Bentler, P. M., and Liang, J. (2002). Two-level mean and covariance structures: Maximum likelihood via an EM algorithm. In N. Duan and S. Reise (Eds.), Multilevel modeling: Methodological advances, issues, and applications (pp. 49–66). Mahwah, NJ: Lawrence Erlbaum. Bentler, P. M., and Liang, J. (2002). Two-level mean and covariance structures: Maximum likelihood via an EM algorithm. In N. Duan and S. Reise (Eds.), Multilevel modeling: Methodological advances, issues, and applications (pp. 49–66). Mahwah, NJ: Lawrence Erlbaum.
Zurück zum Zitat Browne, M. W., and Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen and J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage. Browne, M. W., and Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen and J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage.
Zurück zum Zitat Bryk, A. S., and Raudenbush, S. W. (1992). Hierarchical linear models. Newbury Park, CA: Sage. Bryk, A. S., and Raudenbush, S. W. (1992). Hierarchical linear models. Newbury Park, CA: Sage.
Zurück zum Zitat Duncan, T. E., Alpert, A., Duncan, S. C., and Hops, H. (1996). Multilevel covariance structure analysis of sibling substance use and intrafamily conflict. Journal of Psychopathology and Behavioral Assessment, 18, 347–369.CrossRef Duncan, T. E., Alpert, A., Duncan, S. C., and Hops, H. (1996). Multilevel covariance structure analysis of sibling substance use and intrafamily conflict. Journal of Psychopathology and Behavioral Assessment, 18, 347–369.CrossRef
Zurück zum Zitat Duncan, T. E., Duncan, S. C., and Hops, H. (1998). Latent variable modeling of longitudinal and multilevel alcohol use data. Journal of Studies on Alcohol, 59, 399–408.PubMed Duncan, T. E., Duncan, S. C., and Hops, H. (1998). Latent variable modeling of longitudinal and multilevel alcohol use data. Journal of Studies on Alcohol, 59, 399–408.PubMed
Zurück zum Zitat Earl, W. L. (1990). Married men and same sex activity: A field study on HIV risk among men who do not identify as gay or bisexual. Journal of Sex and Marital Therapy, 16, 251–257.PubMed Earl, W. L. (1990). Married men and same sex activity: A field study on HIV risk among men who do not identify as gay or bisexual. Journal of Sex and Marital Therapy, 16, 251–257.PubMed
Zurück zum Zitat Erickson, J., Stevens, S., Estrada, A., and Glider, P. (1989, October). Grounding interventions aimed at AIDS risk reduction in models of prevention. Paper presented at the First Annual NADR National Meeting, Rockville, Maryland. Erickson, J., Stevens, S., Estrada, A., and Glider, P. (1989, October). Grounding interventions aimed at AIDS risk reduction in models of prevention. Paper presented at the First Annual NADR National Meeting, Rockville, Maryland.
Zurück zum Zitat Goldstein, H. (1995). Multilevel statistical models. London: Edward Arnold. Goldstein, H. (1995). Multilevel statistical models. London: Edward Arnold.
Zurück zum Zitat Halford, W. K., and Osgarby, S. M. (1993). Alcohol abuse in clients presenting with marital problems. Journal of Family Psychology, 6, 245–254.CrossRef Halford, W. K., and Osgarby, S. M. (1993). Alcohol abuse in clients presenting with marital problems. Journal of Family Psychology, 6, 245–254.CrossRef
Zurück zum Zitat Hayden, L. C., Schiller, M., Dickstein, S., Seifer, R., Sameroff, A. J., Miller, I., et al. (1998). Levels of family assessment: I. Family, marital, and parent–child interaction. Journal of Family Psychology, 12, 7–22.CrossRef Hayden, L. C., Schiller, M., Dickstein, S., Seifer, R., Sameroff, A. J., Miller, I., et al. (1998). Levels of family assessment: I. Family, marital, and parent–child interaction. Journal of Family Psychology, 12, 7–22.CrossRef
Zurück zum Zitat Heck, R. H., and Thomas, S. L. (1999). An introduction to multilevel modeling techniques. Mahwah, NJ: Lawrence Erlbaum. Heck, R. H., and Thomas, S. L. (1999). An introduction to multilevel modeling techniques. Mahwah, NJ: Lawrence Erlbaum.
Zurück zum Zitat Hirsch, J. S., Higgins, J., Bentley, M. E., and Nathanson, C. A. (2002). The social constructions of sexuality: Marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. American Journal of Public Health, 92, 1227–1237.PubMedCrossRef Hirsch, J. S., Higgins, J., Bentley, M. E., and Nathanson, C. A. (2002). The social constructions of sexuality: Marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. American Journal of Public Health, 92, 1227–1237.PubMedCrossRef
Zurück zum Zitat Kelly, J. A., and Kalichman, S. C. (2002). Behavioral research in HIV/AIDS primary and secondary infection. Journal of Consulting and Clinical Psychology, 70, 626–639.PubMedCrossRef Kelly, J. A., and Kalichman, S. C. (2002). Behavioral research in HIV/AIDS primary and secondary infection. Journal of Consulting and Clinical Psychology, 70, 626–639.PubMedCrossRef
Zurück zum Zitat Kenny, D. A. (1996). Models of nonindependence in dyadic research. Journal of Social and Personal Relationships, 13, 279–294.CrossRef Kenny, D. A. (1996). Models of nonindependence in dyadic research. Journal of Social and Personal Relationships, 13, 279–294.CrossRef
Zurück zum Zitat Kenny, D. A., Mannetti, L., Pierro, A., Livi, S., and Kashy, D. A. (2002). The statistical analysis of data from small groups. Journal of Personality and Social Psychology, 83, 126–137.PubMedCrossRef Kenny, D. A., Mannetti, L., Pierro, A., Livi, S., and Kashy, D. A. (2002). The statistical analysis of data from small groups. Journal of Personality and Social Psychology, 83, 126–137.PubMedCrossRef
Zurück zum Zitat Lanier, M. M., Pack, R. P., and DiClemente, R. J. (1999). Changes in incarcerated adolescents’ human immunodeficiency virus knowledge and selected behaviors from 1988 to 1996. Journal of Adolescent Health, 25, 182–186.PubMedCrossRef Lanier, M. M., Pack, R. P., and DiClemente, R. J. (1999). Changes in incarcerated adolescents’ human immunodeficiency virus knowledge and selected behaviors from 1988 to 1996. Journal of Adolescent Health, 25, 182–186.PubMedCrossRef
Zurück zum Zitat Lazarus, R., and Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. Lazarus, R., and Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Zurück zum Zitat Li, F., Duncan, T. E., Harmer, P., Acock, A., and Stoolmiller, M. (1998). Analyzing measurement models of latent variables through multilevel confirmatory factor analysis and hierarchical linear modeling approaches. Structural Equation Modeling, 5, 294–306.CrossRef Li, F., Duncan, T. E., Harmer, P., Acock, A., and Stoolmiller, M. (1998). Analyzing measurement models of latent variables through multilevel confirmatory factor analysis and hierarchical linear modeling approaches. Structural Equation Modeling, 5, 294–306.CrossRef
Zurück zum Zitat Mize, S. J. S., Robinson, B. E., Bockting, W. O., and Scheltema, K. E. (2002). Meta-analysis of the effectiveness of HIV prevention interventions for women. AIDS Care, 14, 163–180.PubMedCrossRef Mize, S. J. S., Robinson, B. E., Bockting, W. O., and Scheltema, K. E. (2002). Meta-analysis of the effectiveness of HIV prevention interventions for women. AIDS Care, 14, 163–180.PubMedCrossRef
Zurück zum Zitat Morisky, D. E., Stein, J. A., Sneed, C. D., Tiglao, T. V., Liu, K., Detels, R., et al. (2002). Modeling personal and situational influences on condom use among establishment-based commercial sex workers in the Philippines. AIDS and Behavior, 6, 163–172.CrossRef Morisky, D. E., Stein, J. A., Sneed, C. D., Tiglao, T. V., Liu, K., Detels, R., et al. (2002). Modeling personal and situational influences on condom use among establishment-based commercial sex workers in the Philippines. AIDS and Behavior, 6, 163–172.CrossRef
Zurück zum Zitat Nyamathi, A. (1989). Comprehensive health seeking and coping paradigm. Journal of Advanced Nursing, 14, 281–290.PubMedCrossRef Nyamathi, A. (1989). Comprehensive health seeking and coping paradigm. Journal of Advanced Nursing, 14, 281–290.PubMedCrossRef
Zurück zum Zitat Nyamathi, A., Leake, B., Keenan, C., and Gelberg, L. (2000a). Type of social support among homeless women: Its impact on psychosocial resources, health and health behaviors, and use of health services. Nursing Research, 49, 318–326.PubMedCrossRef Nyamathi, A., Leake, B., Keenan, C., and Gelberg, L. (2000a). Type of social support among homeless women: Its impact on psychosocial resources, health and health behaviors, and use of health services. Nursing Research, 49, 318–326.PubMedCrossRef
Zurück zum Zitat Nyamathi, A., and Lewis, C. (1991). Coping of African-American women at risk for AIDS. Women's Health Issues, 1, 53–62.PubMedCrossRef Nyamathi, A., and Lewis, C. (1991). Coping of African-American women at risk for AIDS. Women's Health Issues, 1, 53–62.PubMedCrossRef
Zurück zum Zitat Nyamathi, A., Stein, J. A., and Bayley, L. (2000b). Predictors of mental distress and poor physical health among homeless women. Psychology and Health, 15, 1–18. Nyamathi, A., Stein, J. A., and Bayley, L. (2000b). Predictors of mental distress and poor physical health among homeless women. Psychology and Health, 15, 1–18.
Zurück zum Zitat Nyamathi, A., Stein, J., and Brecht, M. L. (1995). Psychosocial predictors of AIDS risk behavior and drug use behavior and drug use behavior in homeless and drug addicted women of color. Health Psychology, 14, 265–273.PubMedCrossRef Nyamathi, A., Stein, J., and Brecht, M. L. (1995). Psychosocial predictors of AIDS risk behavior and drug use behavior and drug use behavior in homeless and drug addicted women of color. Health Psychology, 14, 265–273.PubMedCrossRef
Zurück zum Zitat Nyamathi, A. M., Stein, J. A., Dixon, E., Longshore, D., and Galaif, E. (2003). Predicting positive attitudes about quitting drug- and alcohol-use among homeless women. Psychology of Addictive Behaviors, 17, 32–41.PubMedCrossRef Nyamathi, A. M., Stein, J. A., Dixon, E., Longshore, D., and Galaif, E. (2003). Predicting positive attitudes about quitting drug- and alcohol-use among homeless women. Psychology of Addictive Behaviors, 17, 32–41.PubMedCrossRef
Zurück zum Zitat Nyamathi, A., Stein, J. A., and Swanson, J. M. (2000c). Psychosocial, cognitive, and behavioral predictors of HIV testing and return for test results and STDS in homeless women. Journal of Behavioral Medicine, 23, 123–147.PubMedCrossRef Nyamathi, A., Stein, J. A., and Swanson, J. M. (2000c). Psychosocial, cognitive, and behavioral predictors of HIV testing and return for test results and STDS in homeless women. Journal of Behavioral Medicine, 23, 123–147.PubMedCrossRef
Zurück zum Zitat O’Leary, A., Holtgrave, D., Wright-DeAguero, L., and Malow, R. M. (2003). Innovations in approaches to preventing HIV/AIDS: Applications to other health promotion activities. In R. Valdiserri (Ed.), Dawning answers: How the HIV/AIDS epidemic has helped to strengthen public health (pp. 76–95). London: Oxford University Press. O’Leary, A., Holtgrave, D., Wright-DeAguero, L., and Malow, R. M. (2003). Innovations in approaches to preventing HIV/AIDS: Applications to other health promotion activities. In R. Valdiserri (Ed.), Dawning answers: How the HIV/AIDS epidemic has helped to strengthen public health (pp. 76–95). London: Oxford University Press.
Zurück zum Zitat Padian, N. S., O’Brien, T. R., Chang, Y., Glass, S., and Francis, D. P. (1993). Prevention of heterosexual transmission of human immunodeficiency virus through couple counseling. Journal of Acquired Immune Deficiency Syndrome, 6, 1043–1048. Padian, N. S., O’Brien, T. R., Chang, Y., Glass, S., and Francis, D. P. (1993). Prevention of heterosexual transmission of human immunodeficiency virus through couple counseling. Journal of Acquired Immune Deficiency Syndrome, 6, 1043–1048.
Zurück zum Zitat Padian, N. S., Vittinghoff, E., and Shiboski, S. (1994). Re: A longitudinal study of human immunodeficiency virus transmission by heterosexual partners. New England Journal of Medicine, 331, 1718.PubMed Padian, N. S., Vittinghoff, E., and Shiboski, S. (1994). Re: A longitudinal study of human immunodeficiency virus transmission by heterosexual partners. New England Journal of Medicine, 331, 1718.PubMed
Zurück zum Zitat Ratliff-Crain, J., Donald, K. M., and Dalton, J. (1999). Knowledge, beliefs, peer norms, and past behaviors as correlates of risky sexual behaviors among college students. Psychology and Health, 14, 625–641. Ratliff-Crain, J., Donald, K. M., and Dalton, J. (1999). Knowledge, beliefs, peer norms, and past behaviors as correlates of risky sexual behaviors among college students. Psychology and Health, 14, 625–641.
Zurück zum Zitat Raudenbush, S. W., Brennan, R. T., and Barnett, R. C. (1995). A multivariate hierarchical model for studying psychological change within married couples. Journal of Family Psychology, 9, 161–174.CrossRef Raudenbush, S. W., Brennan, R. T., and Barnett, R. C. (1995). A multivariate hierarchical model for studying psychological change within married couples. Journal of Family Psychology, 9, 161–174.CrossRef
Zurück zum Zitat Robertson, A., and Levin, M. L. (1999). AIDS knowledge, condom attitudes, and risk-taking sexual behavior of substance-abusing juvenile offenders on probation or parole. AIDS Education and Prevention, 11, 450–461.PubMed Robertson, A., and Levin, M. L. (1999). AIDS knowledge, condom attitudes, and risk-taking sexual behavior of substance-abusing juvenile offenders on probation or parole. AIDS Education and Prevention, 11, 450–461.PubMed
Zurück zum Zitat Salt, H., Boyle, M., and Ives, J. (1990). HIV prevention: Current health promoting behaviour models for understanding psycho-social determinants of condom use. AIDS Care, 2, 69–75.PubMedCrossRef Salt, H., Boyle, M., and Ives, J. (1990). HIV prevention: Current health promoting behaviour models for understanding psycho-social determinants of condom use. AIDS Care, 2, 69–75.PubMedCrossRef
Zurück zum Zitat Sarkar, N. N. (2001). Adolescents’ and young adults’ sexual behaviour, STD and AIDS. International Medical Journal, 8, 167–173. Sarkar, N. N. (2001). Adolescents’ and young adults’ sexual behaviour, STD and AIDS. International Medical Journal, 8, 167–173.
Zurück zum Zitat Schlotfeldt, R. (1981). Nursing in the future. Nursing Outlook, 29, 295–301.PubMed Schlotfeldt, R. (1981). Nursing in the future. Nursing Outlook, 29, 295–301.PubMed
Zurück zum Zitat Schroder, K. E. E., Carey, M. P., and Vanable, P. A. (2003). Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Annals of Behavioral Medicine, 26, 104–123.PubMedCrossRef Schroder, K. E. E., Carey, M. P., and Vanable, P. A. (2003). Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Annals of Behavioral Medicine, 26, 104–123.PubMedCrossRef
Zurück zum Zitat Seidlin, M., Vogler, M., Lee, E., Lee, Y. S., and Dubin, N. (1993). Heterosexual transmission of HIV in a cohort of couples in New York City. AIDS, 7, 1247–1254.PubMedCrossRef Seidlin, M., Vogler, M., Lee, E., Lee, Y. S., and Dubin, N. (1993). Heterosexual transmission of HIV in a cohort of couples in New York City. AIDS, 7, 1247–1254.PubMedCrossRef
Zurück zum Zitat Sherman, S. G., and Latkin, C. A. (2001). Intimate relationship characteristics associated with condom use among drug users and their sex partners: A multilevel analysis. Drug and Alcohol Dependence, 64, 97–104.PubMedCrossRef Sherman, S. G., and Latkin, C. A. (2001). Intimate relationship characteristics associated with condom use among drug users and their sex partners: A multilevel analysis. Drug and Alcohol Dependence, 64, 97–104.PubMedCrossRef
Zurück zum Zitat Stein, J. A., and Nyamathi, A. (1999). Gender differences in relationships among stress, coping, and health risk behaviors in impoverished populations. Personality and Individual Differences, 26, 145–157. Stein, J. A., and Nyamathi, A. (1999). Gender differences in relationships among stress, coping, and health risk behaviors in impoverished populations. Personality and Individual Differences, 26, 145–157.
Zurück zum Zitat Stein, J. A., and Nyamathi, A. (2000). Gender differences in behavioural and psychosocial predictors of HIV-testing and return for test results in a high-risk population. AIDS Care, 12, 343–356.PubMedCrossRef Stein, J. A., and Nyamathi, A. (2000). Gender differences in behavioural and psychosocial predictors of HIV-testing and return for test results in a high-risk population. AIDS Care, 12, 343–356.PubMedCrossRef
Zurück zum Zitat Trobst, K. K., Herbst, J. H., Masters, H. L., and Costa, P. T., Jr. (2002). Personality pathways to unsafe sex: Personality, condom use, and HIV risk behaviors. Journal of Research in Personality, 36, 117–133.CrossRef Trobst, K. K., Herbst, J. H., Masters, H. L., and Costa, P. T., Jr. (2002). Personality pathways to unsafe sex: Personality, condom use, and HIV risk behaviors. Journal of Research in Personality, 36, 117–133.CrossRef
Zurück zum Zitat Umberson, D. (1987). Family status and health behaviors: Social control as a dimension of social integration. Journal of Health and Social Behavior, 28, 306–319.PubMedCrossRef Umberson, D. (1987). Family status and health behaviors: Social control as a dimension of social integration. Journal of Health and Social Behavior, 28, 306–319.PubMedCrossRef
Zurück zum Zitat Umberson, D. (1992). Gender, marital status, and the social control of health behavior. Social Science and Medicine, 34, 907–917.PubMedCrossRef Umberson, D. (1992). Gender, marital status, and the social control of health behavior. Social Science and Medicine, 34, 907–917.PubMedCrossRef
Zurück zum Zitat Waldron, I., Hughes, M. E., and Brooks, T. L. (1996). Marriage protection and marriage selection: Prospective evidence for reciprocal effects of marital status and health. Social Science and Medicine, 43, 113–123.PubMedCrossRef Waldron, I., Hughes, M. E., and Brooks, T. L. (1996). Marriage protection and marriage selection: Prospective evidence for reciprocal effects of marital status and health. Social Science and Medicine, 43, 113–123.PubMedCrossRef
Zurück zum Zitat Wells, E. A., Clark, L. L., Calsyn, D. A., Saxon, A. J., Jackson, T. R., and Wrede, A. F. (1994). Reporting of HIV risk behaviors by injection drug using heterosexual couples in methadone maintenance. Drug and Alcohol Dependence, 36, 33–38.PubMedCrossRef Wells, E. A., Clark, L. L., Calsyn, D. A., Saxon, A. J., Jackson, T. R., and Wrede, A. F. (1994). Reporting of HIV risk behaviors by injection drug using heterosexual couples in methadone maintenance. Drug and Alcohol Dependence, 36, 33–38.PubMedCrossRef
Zurück zum Zitat Wendorf, C. A. (2002). Comparisons of structural equation modeling and hierarchical linear modeling approaches to couples’ data. Structural Equation Modeling, 9, 126–140.CrossRef Wendorf, C. A. (2002). Comparisons of structural equation modeling and hierarchical linear modeling approaches to couples’ data. Structural Equation Modeling, 9, 126–140.CrossRef
Zurück zum Zitat Wermuth, L. (1996). Sexual partners of substance abuse clients: Strategies for HIV/AIDS prevention. Journal of Substance Abuse Treatment, 13, 505–509.PubMedCrossRef Wermuth, L. (1996). Sexual partners of substance abuse clients: Strategies for HIV/AIDS prevention. Journal of Substance Abuse Treatment, 13, 505–509.PubMedCrossRef
Metadaten
Titel
Impact of Marriage on HIV/AIDS Risk Behaviors Among Impoverished, At-Risk Couples: A Multilevel Latent Variable Approach
verfasst von
Judith A. Stein, PhD
Adeline Nyamathi
Jodie B. Ullman
Peter M. Bentler
Publikationsdatum
01.01.2007
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-005-9058-2

Weitere Artikel der Ausgabe 1/2007

AIDS and Behavior 1/2007 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.