Brennan-Ing Mark, Seidel Liz, London Andrew S, Cahill Sean, Karpiak Stephen E
a AIDS Community Research Initiative of America (ACRIA), ACRIA Center on HIV & Aging , New York , New York , USA.
J Homosex. 2014;61(1):166-96. doi: 10.1080/00918369.2013.835608.
This study examines the association of sexual identity and gender among older clients with HIV at an AIDS service organization using the Andersen Model. Data confirm those aging with HIV exhibit high rates of age-associated illnesses 10 to 20 years before expected. They have fragile social networks that cannot supply the informal supports needed. This aging population will need to increasingly access community-based services. Sexual identity and gender were weak covariates of service utilization. Although heterosexual men used more services, utilization was largely predicted by service needs and the use of case management. Implications for service delivery and policy are discussed.
本研究运用安德森模型，调查了一家艾滋病服务机构中感染艾滋病毒的老年客户的性取向与性别的关联。数据证实，感染艾滋病毒的老年人在预期年龄前10至20年就出现了与年龄相关疾病的高发病率。他们的社会网络脆弱，无法提供所需的非正式支持。这一老年人群将越来越需要获得社区服务。性取向和性别是服务利用的弱协变量。尽管异性恋男性使用的服务更多，但服务利用在很大程度上是由服务需求和个案管理的使用情况预测的。文中还讨论了对服务提供和政策的影响。
