Nobre Nuno Ribeiro, Kylmä Jari, Kirsi Tapio, Pereira Marco
a Haartman Hospital's Emergency Department , Helsinki , Finland.
b School of Health Sciences, Public Health , University of Tampere , Tampere , Finland.
AIDS Care. 2016;28(2):186-90. doi: 10.1080/09540121.2015.1071774. Epub 2015 Aug 17.
The aim of this study was to explore the social networks of older adults living with HIV. Interviews were conducted with nine individuals aged 50 or older living with HIV in Helsinki, Finland. Analysis of transcripts was analysed by inductive qualitative content analysis. Results indicated that these participants' networks tended to be large, including those both aware and unaware of the participants' health status. Analysis identified three main themes: large multifaceted social networks, importance of a support group, and downsizing of social networks. Support received appeared to be of great importance in coping with their health condition, especially since the time of diagnosis. Friends and family were the primary source of informal support. The majority of participants relied mostly on friends, some of whom were HIV-positive. Formal support came primarily from the HIV organisation's support group. In this study group, non-disclosure did not impact participants' well-being. In years to come, social networks of older adults living with HIV may shrink due to personal reasons other than HIV-disclosure. What is of primary importance is that healthcare professionals become knowledgeable about psychosocial issues of older adults living with HIV, identifying latent problems and developing adequate interventions in the early stages of the disease; this would help prevent social isolation and foster successful ageing with HIV.
本研究的目的是探索感染艾滋病毒的老年人的社交网络。我们对芬兰赫尔辛基9名年龄在50岁及以上的感染艾滋病毒的个体进行了访谈。通过归纳定性内容分析法对访谈记录进行了分析。结果表明,这些参与者的社交网络往往较大,包括那些知晓和不知晓参与者健康状况的人。分析确定了三个主要主题:庞大的多层面社交网络、支持小组的重要性以及社交网络的缩小。所获得的支持在应对他们的健康状况方面似乎非常重要,尤其是自确诊以来。朋友和家人是非正式支持的主要来源。大多数参与者主要依赖朋友,其中一些朋友是艾滋病毒阳性。正式支持主要来自艾滋病毒组织的支持小组。在这个研究群体中,不透露病情并未影响参与者的幸福感。在未来几年,感染艾滋病毒的老年人的社交网络可能会因除透露艾滋病毒病情之外的个人原因而缩小。至关重要的是,医疗保健专业人员要了解感染艾滋病毒的老年人的心理社会问题,识别潜在问题并在疾病早期制定适当的干预措施;这将有助于预防社会孤立,并促进感染艾滋病毒的老年人成功老龄化。