Mazonson & Santas, Inc., 15 Hillcrest Ave., Larkspur, CA, 94939, USA.
Stanford University, Palo Alto, CA, USA.
AIDS Behav. 2022 May;26(5):1448-1455. doi: 10.1007/s10461-021-03499-z. Epub 2021 Oct 26.
Resilience, a measure of stress coping ability, may be important in helping older people (age 50+) living with HIV (PLWH) age successfully, but limited data exist regarding factors that contribute to resilience for this group. This study uses the Connor-Davidson Resilience Scale 2 (CD-RISC2) to assess resilience, based on a cross-sectional analysis of 1047 older PLWH. Bivariate linear regression models were used to identify predictor variables that had a relationship with resilience. Those variables were then included in a multivariable linear regression model, which was pared using backward selection. In the multivariable model, higher income and greater interpersonal support were associated with greater resilience, whereas depression and anxiety were associated with lower resilience. Relevant interventions that address these issues, such as increasing opportunities for social support and increasing screening for and treatment of depression and anxiety, are identified as potential pathways to increase resilience among older PLWH.
韧性，一种压力应对能力的衡量标准，对于帮助老年艾滋病毒感染者（年龄在 50 岁以上）成功衰老可能很重要，但关于导致该群体韧性的因素的数据有限。本研究使用康纳-戴维森韧性量表 2 （CD-RISC2），根据对 1047 名老年艾滋病毒感染者的横断面分析，评估了韧性。使用双变量线性回归模型来确定与韧性相关的预测变量。然后，将这些变量纳入多变量线性回归模型，使用向后选择进行简化。在多变量模型中，较高的收入和更多的人际关系支持与较高的韧性相关，而抑郁和焦虑与较低的韧性相关。确定了一些相关的干预措施，例如增加社会支持的机会，以及增加抑郁和焦虑的筛查和治疗，这些措施可能是提高老年艾滋病毒感染者韧性的途径。
