随着艾滋病病毒/艾滋病变老：新的公共卫生挑战。
Growing older with HIV/AIDS: new public health challenges.
机构信息
Fenway Institute, Boston, MA 02215, USA.
出版信息
Am J Public Health. 2013 Mar;103(3):e7-e15. doi: 10.2105/AJPH.2012.301161. Epub 2013 Jan 17.
Abstract
At present, the health care infrastructure is ill-equipped to handle the unique treatment and care needs of HIV-positive older adults. The long-term effects of antiretroviral use are still being discovered and have been associated with a number of comorbidities. Stigma presents challenges for those in need of services and health care, and can significantly affect mental health and treatment adherence. The training of elder service providers and health care providers in meeting the needs of HIV-positive older adults, including gay and transgender people, is needed as the population ages. HIV-related and antigay stigma should be challenged by social marketing campaigns. Continued research and key policy changes could greatly improve health outcomes for HIV-positive elderly persons by increasing access to treatment and support.
摘要
目前，医疗保健基础设施还无法满足艾滋病毒阳性的老年群体独特的治疗和护理需求。抗逆转录病毒药物的长期使用效果仍在被发现，并且与许多合并症有关。污名化给那些需要服务和医疗保健的人带来了挑战，并且会对心理健康和治疗依从性产生重大影响。随着人口老龄化，需要对老年服务提供者和医疗保健提供者进行培训，以满足包括男同性恋、双性恋和跨性别者在内的艾滋病毒阳性老年群体的需求。社会营销活动应挑战与艾滋病毒相关的和针对男同性恋者的污名化。持续的研究和关键政策的改变，可以通过增加治疗和支持的机会，极大地改善艾滋病毒阳性老年人的健康结果。
相似文献
1
Growing older with HIV/AIDS: new public health challenges.随着艾滋病病毒/艾滋病变老：新的公共卫生挑战。
Am J Public Health. 2013 Mar;103(3):e7-e15. doi: 10.2105/AJPH.2012.301161. Epub 2013 Jan 17.
2
The association of stigma with self-reported access to medical care and antiretroviral therapy adherence in persons living with HIV/AIDS.艾滋病病毒/艾滋病感染者的耻辱感与自我报告的医疗保健获取和抗逆转录病毒治疗依从性的关联。
J Gen Intern Med. 2009 Oct;24(10):1101-8. doi: 10.1007/s11606-009-1068-8. Epub 2009 Aug 4.
3
Ageism, Aging and HIV: Community Responses to Prevention, Treatment, Care and Support.年龄歧视、老龄化与艾滋病毒：社区对预防、治疗、护理及支持的应对措施
Interdiscip Top Gerontol Geriatr. 2017;42:234-239. doi: 10.1159/000448567. Epub 2016 Nov 22.
4
Changes in Internalized Stigma and HIV Health Outcomes in Individuals New to HIV Care: The Mediating Roles of Depression and Treatment Self-Efficacy.HIV 新感染者的内化污名与 HIV 健康结局的变化：抑郁和治疗自我效能的中介作用。
AIDS Patient Care STDS. 2020 Nov;34(11):491-497. doi: 10.1089/apc.2020.0114.
5
An in-depth mixed-methods approach to Ryan White HIV/AIDS care program comprehensive needs assessment from the Northeast Georgia Public Health District: the significance of patient privacy, psychological health, and social stigma to care.来自佐治亚州东北部公共卫生区的对瑞安·怀特艾滋病毒/艾滋病护理项目综合需求评估的深入混合方法研究：患者隐私、心理健康和社会耻辱感对护理的重要性。
Eval Program Plann. 2015 Apr;49:137-48. doi: 10.1016/j.evalprogplan.2015.01.003. Epub 2015 Jan 29.
6
The health-care needs of the older gay man living with HIV.感染艾滋病毒的老年男同性恋者的医疗保健需求。
Br J Community Nurs. 2013 Oct;18(10):492-5. doi: 10.12968/bjcn.2013.18.10.492.
7
Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS.社会关系、耻辱感与艾滋病病毒/艾滋病抗逆转录病毒治疗的依从性
AIDS Care. 2006 Nov;18(8):904-10. doi: 10.1080/09540120500330554.
8
The changing epidemiology of HIV infection: new challenges for HIV palliative care.HIV感染流行病学的变化：HIV姑息治疗面临的新挑战。
J R Soc Med. 2001 Sep;94(9):442-8. doi: 10.1177/014107680109400907.
9
Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam.在越南大规模药物注射驱动的 HIV 流行中，抗逆转录病毒治疗的快速扩张导致对 HIV/AIDS 患者的污名化。
Harm Reduct J. 2019 Jan 17;16(1):6. doi: 10.1186/s12954-019-0277-7.
10
Experiences of stigma and access to HAART in children and adolescents living with HIV/AIDS in Brazil.巴西感染艾滋病毒/艾滋病的儿童和青少年所面临的污名化经历及获得高效抗逆转录病毒治疗的情况。
Soc Sci Med. 2006 Mar;62(5):1219-28. doi: 10.1016/j.socscimed.2005.07.006. Epub 2005 Aug 15.
引用本文的文献
1
Stigma measurement in health: a systematic review.健康领域的耻辱感测量：一项系统综述。
EClinicalMedicine. 2025 Jul 24;86:103360. doi: 10.1016/j.eclinm.2025.103360. eCollection 2025 Aug.
2
"A cure might help, but it won't erase it all": a qualitative study of policy challenges and priorities for long-term survivors of HIV in the United States.“治愈或许会有帮助，但无法消除一切”：对美国HIV长期存活者面临的政策挑战与优先事项的定性研究
J Int AIDS Soc. 2025 Jul;28(7):e70006. doi: 10.1002/jia2.70006.
3
Comparison of perceived versus actual care complexity in HIV-positive patients receiving antiretroviral treatment: The STRATPATIENT study.接受抗逆转录病毒治疗的HIV阳性患者中感知到的与实际护理复杂性的比较：STRATPATIENT研究。
Rev Esp Quimioter. 2025 May 27;38(4):278-286. doi: 10.37201/req/014.2025.
4
Factors Associated with Adequate Quality of Life Levels in HIV Patients During a Five-Year Longitudinal Study.一项为期五年的纵向研究中与HIV患者生活质量水平充足相关的因素
Rev Esp Quimioter. 2025 Apr 16;38(4). doi: 10.37201/req/032.2025.
5
Location Preferences for Accessing Long-Acting Injectable Pre-Exposure Prophylaxis (LA-PrEP) Among Men Who Have Sex With Men (MSM) Currently on Daily Oral PrEP.目前正在每日口服暴露前预防药物（PrEP）的男男性行为者（MSM）中，获取长效注射用暴露前预防药物（LA-PrEP）的地点偏好。
J Int Assoc Provid AIDS Care. 2024 Jan-Dec;23:23259582241293336. doi: 10.1177/23259582241293336.
6
Evaluation of a Cohort-Based Healthy Aging With HIV Wellness Pilot Intervention: "People Aging and Thriving With HIV" in Colorado.一项基于队列的HIV健康老龄化试点干预评估：科罗拉多州的“与HIV共同衰老并蓬勃发展的人们”。
J Assoc Nurses AIDS Care. 2025;36(2):167-176. doi: 10.1097/JNC.0000000000000509. Epub 2024 Dec 4.
7
Acceptability determinants of a proposal to reduce antiretroviral treatment to an oral two-drug regimen among patients living with HIV and physicians in France.在法国，针对 HIV 感染者和医生提出的将抗逆转录病毒治疗方案简化为口服两药方案的可接受性决定因素。
PLoS One. 2024 Sep 30;19(9):e0308784. doi: 10.1371/journal.pone.0308784. eCollection 2024.
8
Health-Related Quality of Life in People with Advanced HIV Disease, from 1996 to 2021: Systematic Review and Meta-analysis.2021 年以来，针对晚期 HIV 疾病患者的健康相关生活质量的研究：系统回顾和荟萃分析。
AIDS Behav. 2024 Jun;28(6):1978-1998. doi: 10.1007/s10461-024-04298-y. Epub 2024 May 14.
9
Pulmonary symptoms associated with heavy alcohol consumption among people living with HIV: an analysis of the NHANES 1999-2010.与艾滋病毒感染者大量饮酒相关的肺部症状：对 1999-2010 年 NHANES 的分析。
Alcohol Alcohol. 2024 Mar 16;59(3). doi: 10.1093/alcalc/agae021.
10
Efficacy and safety of switching to dolutegravir/lamivudine in virologically suppressed people with HIV-1 aged ≥ 50 years: week 48 pooled results from the TANGO and SALSA studies.在病毒学抑制的 HIV-1 年龄≥50 岁的人群中，转换为多替拉韦/拉米夫定的疗效和安全性：来自 TANGO 和 SALSA 研究的第 48 周汇总结果。
AIDS Res Ther. 2024 Mar 21;21(1):17. doi: 10.1186/s12981-024-00604-9.
本文引用的文献
1
Stress and mental health among midlife and older gay-identified men.中年和老年男同性恋者的压力和心理健康。
Am J Public Health. 2012 Mar;102(3):503-10. doi: 10.2105/AJPH.2011.300384. Epub 2012 Jan 19.
2
The potential influence of Internet-based social networking on the conduct of clinical research studies.基于互联网的社交网络对临床研究开展的潜在影响。
J Empir Res Hum Res Ethics. 2012 Feb;7(1):71-80. doi: 10.1525/jer.2012.7.1.71.
3
Technology use and reasons to participate in social networking health websites among people living with HIV in the US.美国 HIV 感染者使用科技手段的情况及参与社交网络健康网站的原因。
AIDS Behav. 2012 May;16(4):900-10. doi: 10.1007/s10461-012-0164-7.
4
Risk of anal cancer in HIV-infected and HIV-uninfected individuals in North America.北美 HIV 感染者和未感染者的肛门癌风险。
Clin Infect Dis. 2012 Apr;54(7):1026-34. doi: 10.1093/cid/cir1012. Epub 2012 Jan 30.
5
Cardiovascular disease and therapeutic drug-related cardiovascular consequences in HIV-infected patients.HIV 感染者的心血管疾病及治疗药物相关心血管后果。
Am J Cardiovasc Drugs. 2011 Dec 1;11(6):383-94. doi: 10.2165/11594590-000000000-00000.
6
Age cohort differences in the effects of gay-related stigma, anxiety and identification with the gay community on sexual risk and substance use.同性恋相关耻辱感、焦虑感以及对同性恋群体的认同感对性风险和物质使用的影响在不同年龄群体中的差异。
AIDS Behav. 2013 Jan;17(1):340-9. doi: 10.1007/s10461-011-0070-4.
7
Estimated HIV incidence in the United States, 2006-2009.2006-2009 年美国估计的艾滋病毒发病率。
PLoS One. 2011;6(8):e17502. doi: 10.1371/journal.pone.0017502. Epub 2011 Aug 3.
8
Emotional bonds and social support exchange between men living with HIV infection and their mothers.HIV 感染者男性与其母亲之间的情感纽带和社会支持交换。
Am J Mens Health. 2012 Mar;6(2):97-107. doi: 10.1177/1557988311413118. Epub 2011 Aug 3.
9
HIV surveillance--United States, 1981-2008.艾滋病监测——美国，1981-2008 年。
MMWR Morb Mortal Wkly Rep. 2011 Jun 3;60(21):689-93.
10
Gender and age differences in quality of life and the impact of psychopathological symptoms among HIV-infected patients.HIV 感染者生活质量的性别和年龄差异及精神病理症状的影响。
AIDS Behav. 2011 Nov;15(8):1857-69. doi: 10.1007/s10461-011-9928-8.
Zotero 插件