成年人 HIV 感染者和非感染者的韧性与身心健康
Resilience and Physical and Mental Well-Being in Adults with and Without HIV.
机构信息
Department of Epidemiology & Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK.
Department of Respiratory Medicine, Royal Free London NHS Foundation Trust, London, UK.
出版信息
AIDS Behav. 2018 May;22(5):1688-1698. doi: 10.1007/s10461-017-1980-6.
Abstract
Resilience has been related to improved physical and mental health, and is thought to improve with age. No studies have explored the relationship between resilience, ageing with HIV, and well-being. A cross sectional observational study performed on UK HIV positive (N = 195) and HIV negative adults (N = 130). Associations of both age and 'time diagnosed with HIV' with resilience (RS-14) were assessed, and the association of resilience with depression, anxiety symptoms (PHQ-9 and GAD-7), and problems with activities of daily living (ADLs) (Euroqol 5D-3L). In a multivariable model, HIV status overall was not related to resilience. However, longer time diagnosed with HIV was related to lower resilience, and older age showed a non-significant trend towards higher resilience. In adults with HIV, high resilience was related to a lower prevalence of depression, anxiety, and problems with ADLs. It may be necessary to consider resilience when exploring the well-being of adults ageing with HIV.
摘要
韧性与身心健康的改善有关，并且随着年龄的增长而增强。目前尚无研究探讨韧性、HIV 老龄化与幸福感之间的关系。本研究在英国对 HIV 阳性（N=195）和 HIV 阴性成人（N=130）进行了一项横断面观察性研究。评估了年龄和“诊断 HIV 的时间”与韧性（RS-14）的关联，以及韧性与抑郁、焦虑症状（PHQ-9 和 GAD-7）和日常生活活动（ADL）问题（EuroQol 5D-3L）的关联。在多变量模型中，HIV 总体状况与韧性无关。然而，诊断 HIV 的时间越长，韧性越低，年龄越大，韧性呈非显著升高趋势。在 HIV 成人中，高韧性与抑郁、焦虑和 ADL 问题的发生率较低相关。在探讨 HIV 老龄化成人的幸福感时，可能需要考虑韧性。
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