Brown Monique J, Adeagbo Oluwafemi
Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208 USA.
South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC USA.
Curr Epidemiol Rep. 2021;8(2):72-78. doi: 10.1007/s40471-021-00265-6. Epub 2021 Mar 12.
HIV and ageism continue to be key public health challenges in the USA and globally. Older people living with HIV may experience intersectional stigma resulting from HIV and ageism. The current review summarizes the scientific literature and focuses on social isolation and lack of social support as key factors in experiencing HIV-related and aging-related stigma.
Social isolation and social support are key social determinants of health, which may have a bidirectional relationship with HIV-related stigma and ageism. Stigmatization may also result in health care providers not paying enough attention to the mental health and sexual health needs of older adults.
Current research suggests that the intersection of HIV-related stigma and ageism is a complex issue. Future research should focus on the design and feasibility of implementing stigma reduction interventions addressing HIV-related stigma and ageism.
在美国及全球范围内，艾滋病毒和年龄歧视仍然是关键的公共卫生挑战。感染艾滋病毒的老年人可能会经历因艾滋病毒和年龄歧视而产生的交叉污名化。本综述总结了科学文献，并将重点放在社会孤立和缺乏社会支持这两个在经历与艾滋病毒相关及与衰老相关污名化过程中的关键因素上。
社会孤立和社会支持是健康的关键社会决定因素，它们可能与与艾滋病毒相关的污名化和年龄歧视存在双向关系。污名化还可能导致医疗保健提供者对老年人的心理健康和性健康需求关注不足。
当前研究表明，与艾滋病毒相关的污名化和年龄歧视的交叉是一个复杂问题。未来研究应聚焦于实施减少针对与艾滋病毒相关污名化和年龄歧视的干预措施的设计及可行性。
