Grov Christian, Golub Sarit A, Parsons Jeffrey T, Brennan Mark, Karpiak Stephen E
Department of Health & Nutrition Sciences, Brooklyn College of City University of New York, NY, USA.
AIDS Care. 2010 May;22(5):630-9. doi: 10.1080/09540120903280901.
Advances in the treatment of HIV have resulted in a large growing population of older adults with HIV. These aging adults face added social, psychological, and physical challenges associated with the aging process. Correlations between depression, loneliness, health, and HIV/AIDS-related stigma have been studied, but there is little evaluation of these associations among HIV-positive adults over the age of 50. Data for these analyses were taken from the Research on Older Adults with HIV study of 914 New York City-based HIV-positive men and women over the age of 50. In total, 39.1% of participants exhibited symptoms of major depression (CES-D > 23). Multivariate modeling successfully explained 42% of the variance in depression which was significantly related to increased HIV-associated stigma, increased loneliness, decreased cognitive functioning, reduced levels of energy, and being younger. These data underscore the need for service providers and researchers to assert more aggressive and innovative efforts to resolve both psychosocial and physical health issues that characterize the graying of the AIDS epidemic in the USA. Data suggest that focusing efforts to reduce HIV-related stigma and loneliness may have lasting effects in reducing major depressive symptoms and improving perceived health.
艾滋病治疗方面的进展使得感染艾滋病毒的老年人口大量增加。这些老年人面临着与衰老过程相关的更多社会、心理和身体挑战。人们已经对抑郁症、孤独感、健康状况以及与艾滋病毒/艾滋病相关的耻辱感之间的相关性进行了研究，但对于50岁以上的艾滋病毒呈阳性成年人之间的这些关联，几乎没有评估。这些分析的数据取自对914名纽约市50岁以上艾滋病毒呈阳性的男性和女性进行的艾滋病毒老年患者研究。总体而言，39.1%的参与者表现出重度抑郁症症状（流调中心抑郁量表得分>23）。多变量模型成功解释了抑郁症方差的42%，这与艾滋病毒相关耻辱感增加、孤独感增加、认知功能下降、精力水平降低以及年龄较小显著相关。这些数据强调，服务提供者和研究人员需要做出更积极、更具创新性的努力，以解决美国艾滋病流行老龄化所特有的心理社会和身体健康问题。数据表明，集中精力减少与艾滋病毒相关的耻辱感和孤独感，可能会对减轻重度抑郁症状和改善健康认知产生持久影响。
