Storholm Erik David, Halkitis Perry N, Kupprat Sandra A, Hampton Melvin C, Palamar Joseph J, Brennan-Ing Mark, Karpiak Stephen
Center for Health, Identity, Behavior & Prevention Studies, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York, USA.
AIDS Community Research Initiative of America, New York, New York, USA, and New York University College of Nursing, New York, New York, USA.
J HIV AIDS Soc Serv. 2013;12(1):9-25. doi: 10.1080/15381501.2013.767557. Epub 2013 Mar 13.
Cross-sectional analyses of 904 diverse men and women aged 50 years and older living with HIV in New York City were conducted to examine the unique experiences and needs of aging HIV-positive individuals. Using Minority Stress Theory and Syndemic Theory as guiding paradigms, the authors documented the mental health burdens of the sample with regard to depression, loneliness, and diminished psychological well-being and examined how multiple-minority status and HIV-related stigma explained these burdens. Mediation modeling demonstrated that the effects of minority stressors on mental health burden were mediated by HIV-related stigma. The mediation was significant for the overall sample and for the male subsample. Results suggest that to fully address the mental health burdens experienced by aging HIV-positive individuals, we must continue to address mental health burdens directly, and at the same time, look beyond the psychiatric symptoms to address the structural inequities faced by individuals based on their multiple-minority status.
对纽约市904名年龄在50岁及以上的不同性别感染艾滋病毒的男女进行了横断面分析，以研究老年艾滋病毒呈阳性个体的独特经历和需求。作者以少数群体压力理论和综合征理论为指导范式，记录了样本在抑郁、孤独和心理健康状况下降方面的心理健康负担，并研究了多重少数群体身份和与艾滋病毒相关的耻辱感如何解释这些负担。中介模型表明，少数群体压力源对心理健康负担的影响是由与艾滋病毒相关的耻辱感介导的。这种中介作用在总体样本和男性子样本中都很显著。结果表明，要全面解决老年艾滋病毒呈阳性个体所经历的心理健康负担，我们必须继续直接解决心理健康负担问题，同时，超越精神症状，解决个体因其多重少数群体身份所面临的结构性不平等问题。
