感染艾滋病毒的老年女性的健康老龄化：心理社会因素的系统评价
Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors.
作者信息
Rubtsova Anna A, Kempf Mirjam-Colette, Taylor Tonya N, Konkle-Parker Deborah, Wingood Gina M, Holstad Marcia McDonnell
机构信息
Department of Behavioral Sciences and Health Education, Rollins School of Public Health at Emory University, 1518 Clifton Road NE, Atlanta, GA, USA.
School of Nursing at University of Alabama at Birmingham, 1701 University Boulevard, Birmingham, AL, 35294, USA.
出版信息
Curr HIV/AIDS Rep. 2017 Feb;14(1):17-30. doi: 10.1007/s11904-017-0347-y.
Due to life-enhancing effects of antiretroviral therapy, HIV-positive persons have the potential for long life comparable to their uninfected peers. Older women (age 50+) living with HIV (OWLH) are often an under-recognized aging group. We conducted a systematic review to examine psychosocial factors that impact how OWLH live, cope, and age with HIV. Initial key word search yielded 1527 records, and 21 studies met our inclusion criteria of original quantitative or qualitative research published between 2013 and 2016 with results specific to OWLH. These focused on health care and self-management, sexual health and risk, stigma, loneliness, mental health (depression, substance use), and protective factors (coping, social support, well-being). Due to the scarcity of studies on each topic and inconclusive findings, no clear patterns of results emerged. As the number of OWLH continues to grow, more research, including longitudinal studies, is needed to fully characterize the psychosocial factors that impact aging with HIV.
由于抗逆转录病毒疗法对生活质量的提升作用，HIV 阳性者有可能拥有与未感染同龄人相当的长寿潜力。感染 HIV 的老年女性（50 岁及以上）往往是一个未得到充分认识的老龄群体。我们进行了一项系统综述，以研究影响感染 HIV 的老年女性的生活、应对方式及衰老过程的心理社会因素。最初的关键词搜索产生了 1527 条记录，21 项研究符合我们的纳入标准，即 2013 年至 2016 年间发表的针对感染 HIV 的老年女性的原创性定量或定性研究。这些研究聚焦于医疗保健与自我管理、性健康与风险、耻辱感、孤独感、心理健康（抑郁、药物使用）以及保护因素（应对方式、社会支持、幸福感）。由于每个主题的研究稀缺且结果尚无定论，未出现明确的结果模式。随着感染 HIV 的老年女性数量持续增加，需要更多研究，包括纵向研究，来全面描述影响感染 HIV 后衰老过程的心理社会因素。
Zotero 插件