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探索少数族裔老年女性 HIV 诊断前后的亲密伴侣关系。

Exploring Intimate Partner Relationships before and after HIV Diagnosis among Minority Older Women.

机构信息

School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA.

出版信息

Clin Gerontol. 2021 May-Jun;44(3):273-287. doi: 10.1080/07317115.2020.1838682. Epub 2020 Oct 30.

Abstract

OBJECTIVES

Literature shows that sexual activity remains important at older age and is a valued part of life. However, little is known about the intimate partner relationships (IPR) among minority older women living with Human Immunodeficiency Virus (HIV). The purpose of this study is to explore the effect HIV diagnosis had on the intimate partner relationships (IPR) among minority older women living with HIV (MOWH).

METHODS

Qualitative descriptive study. A total of 28 MOWH (Black and Latinas) aged 50 years and older participated in face to face semi-structured in-depth interviews. Interviews were analyzed using content analysis.

RESULTS

Three themes emerged from the analysis: (a)" that revealed sexual practices increasing the risk for HIV in their intimate relationships; (b)" explored the consequences of HIV disclosure, and how disclosure determined the future of their intimate relationships; and (c) described the quality of intimate partner relationships and changes after HIV diagnosis.

CONCLUSIONS

Results from this study contribute to understanding and increasing awareness of the effect of HIV on the intimacy of MOWH.

CLINICAL IMPLICATIONS

Education provided by health care workers and interventions targeting MOWH should address the effect of HIV in IPR, address MOWH's concerns about it, and help them to improve their overall health.

摘要

目的

文献表明,性行为在老年仍然很重要,是生活中有价值的一部分。然而,对于感染人类免疫缺陷病毒 (HIV) 的少数族裔老年女性的亲密伴侣关系 (IPR) 知之甚少。本研究旨在探讨 HIV 诊断对感染 HIV 的少数族裔老年女性 (MOWH) 的亲密伴侣关系 (IPR) 的影响。

方法

定性描述性研究。共有 28 名年龄在 50 岁及以上的 MOWH(黑人和拉丁裔)参与了面对面的半结构化深入访谈。使用内容分析法对访谈进行分析。

结果

分析得出三个主题:(a)“揭示了在亲密关系中增加 HIV 感染风险的性行为;(b)“探讨了 HIV 披露的后果,以及披露如何决定他们亲密关系的未来;以及 (c) 描述了亲密伴侣关系的质量以及 HIV 诊断后的变化。

结论

本研究的结果有助于理解和提高对 HIV 对 MOWH 亲密关系的影响的认识。

临床意义

医疗保健工作者提供的教育和针对 MOWH 的干预措施应解决 HIV 对 IPR 的影响,解决 MOWH 对此的担忧,并帮助他们改善整体健康状况。

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