Mazonson & Santas, Inc., Larkspur, CA, USA.
ViiV Healthcare, Raleigh, NC, USA.
AIDS Care. 2021 Mar;33(3):375-382. doi: 10.1080/09540121.2020.1722311. Epub 2020 Feb 12.
Loneliness is common among older (age 50+) people living with HIV (PLWH). However, little is known about the prevalence of loneliness across subgroups of older PLWH, and the factors that impact loneliness. An online questionnaire was used to collect data from 998 older PLWH. Of those, 61% were 50-59 years old and 39% were 60 or older. The majority were male (89%), gay (77%), and white (69%). Fifty-one percent of participants were classified as lonely. The prevalence of loneliness was lower in the older age group, 46.2% vs. 53.8% ( = 5.53, = 0.02). Covariates associated with loneliness included being younger, being single, having at least a four-year college degree, living alone, screening positive for depression, using recreational drugs, smoking tobacco, having a lower quality of life, and not feeling close to friends. Logistic regression analysis showed that the "younger old" were at 26% greater risk of loneliness, after controlling for the effects of these covariates (RR 1.26, 95% CI: 1.06-1.45). Reasons why the "older old" were less lonely may include lower rates of depression and lower likelihood of feeling distant from friends. Understanding factors that protect the "older old" against loneliness may provide guidance for future interventions.
孤独感在老年（50 岁以上）艾滋病毒感染者（PLWH）中很常见。然而，对于老年 PLWH 亚组中孤独感的普遍程度以及影响孤独感的因素知之甚少。一项在线问卷收集了 998 名老年 PLWH 的数据。其中，61%的人年龄在 50-59 岁，39%的人年龄在 60 岁或以上。大多数是男性（89%）、同性恋者（77%）和白人（69%）。51%的参与者被归类为孤独。年龄较大的组孤独感发生率较低，为 46.2%比 53.8%（ = 5.53，= 0.02）。与孤独感相关的协变量包括年龄较小、单身、至少有四年制大学学位、独居、抑郁筛查阳性、使用娱乐性药物、吸烟、生活质量较低以及与朋友不亲近。逻辑回归分析显示，在控制这些协变量的影响后，“年轻的老年人”孤独感的风险增加了 26%（RR 1.26，95%CI：1.06-1.45）。“年老的老年人”孤独感较低的原因可能包括抑郁率较低和与朋友疏远的可能性较低。了解保护“年老的老年人”免受孤独感的因素可能为未来的干预措施提供指导。
