Altschuler Joanne, Rhee Siyon
a School of Social Work , California State University , Los Angeles , CA.
J Women Aging. 2015;27(4):290-308. doi: 10.1080/08952841.2014.954499. Epub 2015 Mar 31.
The number of midlife and older women with HIV/AIDS is high and increasing, especially among women of color. This article addresses these demographic realities by reporting on findings about self-esteem, relationship power, and HIV risk from a pilot study of midlife and older women. A purposive sample (N = 110) of ethnically, economically, and educationally diverse women 40 years and older from the Greater Los Angeles Area was surveyed to determine their levels of self-esteem, general relationship power, sexual decision-making power, safer sex behaviors, and HIV knowledge. Women with higher levels of self-esteem exercised greater power in their relationships with their partner. Women with higher levels of general relationship power and self-esteem tend to exercise greater power in sexual decision making, such as having sex and choosing sexual acts. Income and sexual decision-making power were statistically significant in predicting the use of condoms. Implications and recommendations for future HIV/AIDS research and intervention targeting midlife and older women are presented.
感染艾滋病毒/艾滋病的中年及老年女性数量众多且呈上升趋势，在有色人种女性中尤为如此。本文通过报告一项针对中年及老年女性的试点研究中有关自尊、关系权力和艾滋病毒风险的研究结果，来探讨这些人口统计学现实情况。对来自大洛杉矶地区40岁及以上、种族、经济和教育背景各异的110名女性进行了有目的抽样调查，以确定她们的自尊水平、一般关系权力、性决策权力、安全性行为以及艾滋病毒知识。自尊水平较高的女性在与伴侣的关系中行使更大的权力。一般关系权力和自尊水平较高的女性在性决策（如发生性行为和选择性行为）中往往行使更大的权力。收入和性决策权力在预测避孕套使用方面具有统计学意义。本文还提出了针对中年及老年女性未来艾滋病毒/艾滋病研究和干预的意义及建议。
