*Address correspondence to Charles A. Emlet, MSW, Social Work Program, University of Washington Tacoma, 1900 Commerce St. Campus Box 358425, Tacoma, WA 98402. E-mail:
Gerontologist. 2013 Dec;53(6):963-72. doi: 10.1093/geront/gns191. Epub 2013 Jan 25.
To identify risk and protective factors associated with mental and physical health-related quality of life, after controlling for key background characteristics, in a population of older gay and bisexual men living with HIV disease. Previous research examining quality of life among persons living with HIV rarely includes older adults.
Survey responses from 226 gay and bisexual men aged 50 and older, and living with HIV disease, which were part of the Caring and Aging with Pride study, were analyzed using multivariate linear regression models.
Findings reveal that comorbidity, limitations in activities, and victimization are significant risk factors for decreased physical and mental health-related quality of life. Stigma and HIV progression did not contribute to the overall outcome variables in multivariate models. Social support and self-efficacy serve as protective factors although social support was only significant with mental health-related quality of life.
Comorbidity, functional limitations, and lifetime victimization are risks to quality of life among older gay and bisexual men with HIV disease. Self-efficacy and social support represent intrapersonal and interpersonal resources that can be enhanced through interventions to improve health-related quality of life.
在控制关键背景特征后，确定与心理健康和身体健康相关的生活质量相关的风险和保护因素，在患有 HIV 疾病的老年男同性恋和双性恋男性人群中。以前研究 HIV 感染者生活质量的研究很少包括老年人。
对参加“自豪关怀与衰老研究”的 226 名年龄在 50 岁及以上、患有 HIV 疾病的男同性恋和双性恋男性的调查回复进行了分析，采用多元线性回归模型。
研究结果表明，合并症、活动受限和受害是身体健康和心理健康相关生活质量下降的重要危险因素。耻辱感和 HIV 进展在多元模型中并没有导致总体结果变量。社会支持和自我效能感是保护因素，尽管社会支持仅与心理健康相关生活质量显著相关。
合并症、功能受限和终身受害是 HIV 疾病老年男同性恋和双性恋男性生活质量的风险因素。自我效能感和社会支持代表个人和人际资源，可以通过干预措施来增强，以改善与健康相关的生活质量。
