School of Nursing, Columbia University, 560 West 168th Street, New York, NY, 10032, USA.
Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA, USA.
AIDS Behav. 2021 Jan;25(1):171-181. doi: 10.1007/s10461-020-02957-4.
Retention in care is important in managing HIV among older persons living with HIV (PLWH). We used Theory of Loneliness-loneliness affects emotion-regulatory processes which lead to dysfunctional health behaviors-to test whether social isolation is related to retention in care either directly or indirectly through emotion dysregulation in older PLWH (≥ 50 years of age; N = 144). Retention in care was defined as the proportion of attended scheduled medical visits; visit data were collected prospectively over 12 months from electronic medical records. Self-reported social isolation, emotion dysregulation, and covariates were assessed cross-sectionally at baseline. Most participants were male (60%), African American/Black (86%), and single (59%); 56% were optimally retained in care. Retention was related to monthly income, CD4 + T cell count, and drug use with no direct or indirect effects of social isolation on retention in care. Socioeconomic and behavioral vulnerabilities are closely related to retention in care among older PLWH.
在管理老年 HIV 感染者（PLWH）的 HIV 中，保持治疗依从性很重要。我们使用孤独理论（孤独会影响情绪调节过程，从而导致不健康的行为）来测试社会隔离是否与老年 PLWH（≥50 岁；N=144）的治疗依从性直接相关，或者是否通过情绪失调间接相关。治疗依从性的定义为按时就诊的比例；就诊数据是从电子病历中前瞻性地收集了 12 个月。在基线时，通过自我报告评估社会隔离、情绪失调和协变量。大多数参与者为男性（60%）、非裔美国人/黑人（86%）和单身（59%）；56%的人得到了最佳的治疗依从性。治疗依从性与月收入、CD4+T 细胞计数和药物使用有关，社会隔离对治疗依从性没有直接或间接的影响。社会经济和行为上的脆弱性与老年 PLWH 的治疗依从性密切相关。
