Australian Research Centre in Sex, Health and Society, La Trobe University, 215 Franklin Street, Melbourne, VIC, 3000, Australia.
AIDS Behav. 2012 Nov;16(8):2340-9. doi: 10.1007/s10461-012-0252-8.
Little is known about the impact of HIV on the mental health of older gay men. In a nationwide online survey, 1,135 Australian gay men aged 40 years and older reported on their physical and mental health. Compared with HIV-negative men, those with HIV were more likely to report currently receiving treatment for a mental health condition (37 vs. 25 %, p = 0.001), but no more likely to report treatment for a major physical health condition other than HIV (39 % vs. 40 %). On a measure of psychological distress, more HIV-positive men were highly distressed (14 vs. 8 %, p = 0.01). There were no significant differences in mental health across age groups for either HIV-positive or HIV-negative men. Underlying factors for poorer mental health included lower income (p = 0.003), not working (p = 0.004), living alone (p = 0.03), treatment for a major physical health condition (p < 0.001), recent experiences of discrimination (p = 0.03), and regarding one's sexual orientation as an essential part of self-identity (p < 0.001). With disparities between older HIV-positive and HIV-negative gay men greater for mental than physical health, more attention may need to be given to the psychological well-being of those living with HIV, particularly by addressing underlying psychosocial factors.
关于艾滋病毒对老年男同性恋者心理健康的影响知之甚少。在一项全国性的在线调查中，1135 名年龄在 40 岁及以上的澳大利亚男同性恋者报告了他们的身心健康状况。与 HIV 阴性男性相比，HIV 阳性男性更有可能报告正在接受心理健康状况的治疗（37%比 25%，p=0.001），但不太可能报告除 HIV 以外的主要身体健康状况的治疗（39%比 40%）。在衡量心理困扰的一项指标上，更多的 HIV 阳性男性感到非常困扰（14%比 8%，p=0.01）。对于 HIV 阳性或 HIV 阴性男性，在任何年龄组中，心理健康状况都没有显著差异。心理健康状况较差的潜在因素包括收入较低（p=0.003）、不工作（p=0.004）、独居（p=0.03）、治疗主要身体健康状况（p<0.001）、最近经历歧视（p=0.03）以及将性取向视为自我认同的重要组成部分（p<0.001）。与 HIV 阳性和 HIV 阴性老年男同性恋者相比，前者在心理健康方面的差距大于身体健康方面，因此可能需要更加关注那些感染 HIV 的人的心理健康，特别是通过解决潜在的社会心理因素。
