Rosenfeld Dana, Catalan Jose, Ridge Damien
a School of Social Sciences and Public Policy , Keele University , Keele , UK.
b CNWL NHS Foundation Trust , London , UK.
AIDS Care. 2018 Jun;30(sup2):102-107. doi: 10.1080/09540121.2018.1468016. Epub 2018 May 30.
Recent research into "successful ageing" and "resilience" in the context of ageing with HIV highlights older people living with HIV's (OPLWH) adaptations and coping strategies hitherto neglected by early research's emphasis on difficulties and challenges. Yet "resilience" and "successful ageing" are limited by their inconsistent definition, conflation of personal traits and coping strategies, normative dimension, and inattention to cultural variation and the distinctive nature of older age. This article thus adopts an interpretivist approach to how OPLWH manage the challenges to their mental health and wellbeing of ageing with HIV. Drawing on interviews with 76 OPLWH (aged 50+) living in the United Kingdom, we document both the strategies these participants use (for example, "accentuating the positive" and accessing external support) and the challenges to these strategies' success posed by the need to manage their HIV's social and clinical dimensions and prevent their HIV from dominating their lives. This points to (a) the complex overlaps between challenges to and strategies for improving or maintaining mental health and wellbeing in the context of ageing with HIV, and (b) the limitations of the "resilience" and "successful ageing" approaches to ageing with HIV.
近期关于艾滋病毒感染者老龄化背景下“成功老龄化”和“复原力”的研究强调，早期研究侧重于困难和挑战，从而忽视了老年艾滋病毒感染者（OPLWH）的适应和应对策略。然而，“复原力”和“成功老龄化”存在局限性，其定义不一致、个人特质与应对策略相互混淆、具有规范性维度，且未关注文化差异以及老年的独特性。因此，本文采用诠释主义方法来探讨老年艾滋病毒感染者如何应对与艾滋病毒相关的老龄化对其心理健康和幸福构成的挑战。通过对76名居住在英国的50岁及以上老年艾滋病毒感染者进行访谈，我们记录了这些参与者所采用的策略（例如“强调积极方面”和寻求外部支持），以及由于需要应对艾滋病毒的社会和临床层面问题并防止艾滋病毒主导其生活而给这些策略的成功实施带来的挑战。这表明（a）在艾滋病毒感染者老龄化背景下，改善或维持心理健康和幸福所面临的挑战与策略之间存在复杂的重叠，以及（b）“复原力”和“成功老龄化”方法在艾滋病毒感染者老龄化研究中的局限性。
