School of Nursing, University of Alabama at Birmingham (UAB), USA.
Clin Interv Aging. 2011;6:101-9. doi: 10.2147/CIA.S16349. Epub 2011 May 9.
By 2015, approximately half of adults with HIV in the United States will be 50 and older. The demographic changes in this population due to successful treatment represent a unique challenge, not only in assisting these individuals to cope with their illness, but also in helping them to age successfully with this disease. Religious involvement and spirituality have been observed to promote successful aging in the general population and help those with HIV cope with their disease, yet little is known about how these resources may affect aging with HIV. Also, inherent barriers such as HIV stigma and ageism may prevent people from benefitting from religious and spiritual sources of solace as they age with HIV. In this paper, we present a model of barriers to successful aging with HIV, along with a discussion of how spirituality and religiousness may help people overcome these barriers. From this synthesis, implications for practice and research to improve the quality of life of this aging population are provided.
到 2015 年，美国大约有一半的 HIV 感染者将年满 50 岁。由于治疗取得成功，这一人群的人口结构变化带来了独特的挑战，不仅要帮助这些人应对疾病，还要帮助他们成功应对疾病带来的老龄化问题。宗教参与和精神信仰已被观察到能促进普通人群的成功老龄化，并帮助 HIV 感染者应对他们的疾病，但人们对这些资源如何影响 HIV 感染者的老龄化知之甚少。此外，HIV 污名化和年龄歧视等固有障碍可能会阻碍人们在 HIV 老龄化过程中从宗教和精神慰藉中受益。在本文中，我们提出了一个 HIV 感染者成功老龄化的障碍模型，并讨论了精神信仰如何帮助人们克服这些障碍。从这个综合模型出发，提出了改善这一老龄化人群生活质量的实践和研究意义。
