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老年 HIV 阳性男同性恋者的支持、污名、健康、应对和生活质量。

Support, stigma, health, coping, and quality of life in older gay men with HIV.

机构信息

University of Alabama School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.

出版信息

J Assoc Nurses AIDS Care. 2013 Jan-Feb;24(1):38-49. doi: 10.1016/j.jana.2012.02.006. Epub 2012 Jun 9.

Abstract

As life expectancy for persons living with HIV has increased due to antiretroviral therapy, quality of life (QOL) has become an emerging issue for older gay men with HIV, who comprise more than 50% of older adults living with HIV in the United States. The purpose of this study was to determine predictors of QOL in older gay men with HIV. Sixty gay men ages 50-65 participated. Age, social support, and problem-focused coping were significantly and positively correlated with QOL, while medical comorbidities, social stigma, and emotion-focused coping were all significantly and negatively associated with QOL (p < .01). In stepwise linear regression analysis, emotional/informational support remained as a significant positive predictor, and medical comorbidities, HIV stigma, and emotion-focused coping remained as significant negative predictors, accounting for 64% of the variance in QOL. Study findings may help researchers develop interventions aimed at increasing QOL in this population.

摘要

随着抗逆转录病毒疗法的应用,艾滋病毒感染者的预期寿命有所延长,生活质量(QOL)已成为美国超过 50%的老年艾滋病毒感染者中年龄较大的男同性恋者面临的一个新问题。本研究旨在确定影响老年男同性恋艾滋病毒感染者生活质量的预测因素。共有 60 名年龄在 50-65 岁的男同性恋者参与了这项研究。研究结果表明,年龄、社会支持和问题焦点应对与生活质量呈显著正相关,而合并症、社会污名和情绪焦点应对与生活质量呈显著负相关(p<0.01)。在逐步线性回归分析中,情感/信息支持仍然是一个显著的积极预测因素,而合并症、艾滋病毒污名和情绪焦点应对仍然是显著的消极预测因素,占生活质量变化的 64%。研究结果可能有助于研究人员针对这一人群开发提高生活质量的干预措施。

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