College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
School of Nursing, Pontificia Universidad Católica de Chile, Macul, Santiago, Chile.
Hisp Health Care Int. 2024 Jun;22(2):99-108. doi: 10.1177/15404153231208130. Epub 2023 Oct 19.
Frailty is a geriatric syndrome of increased vulnerability to stressors marked by a higher risk for poor health outcomes. HIV-related stigma is a stressor for Latino people with HIV (PWH) and an important barrier to HIV care. This study examines the association between HIV-related stigma and multidimensional frailty among older Latino PWH. A cross-sectional design with 120 Latino PWH aged 50 and older was used. Self-reported questionnaires were administered to assess multidimensional frailty (Tilburg Frailty Indicator) and HIV-related stigma (HIV stigma scale). Participants were 59.1 ± 7.0 years old, primarily White-Hispanic (85.00%, = 102), single (48.33%, = 58), and male (73.30%, = 88). Nearly half of the participants were frail (45.85%, = 55). Compared to non-frail, frail individuals had significantly higher scores in the total HIV-related stigma (= 98.5 ± 24.7 vs. = 85.3 ± 25.6, = .020) and all subscales. The odds of multidimensional frailty were 1.021 times higher for people with higher HIV-related stigma scores (= .007). This association remained significant after adjustment for income and comorbidities (= .049). HIV-related stigma among older Latino PWH was significantly associated with their odds of being frail. Efforts to prevent multidimensional frailty should consider addressing HIV-related stigma through age-appropriate and culturally tailored resources for this group.
衰弱是一种易受压力影响的老年综合征，其特征是健康状况不佳的风险较高。与艾滋病相关的耻辱感是艾滋病毒感染者（PLWH）的压力源，也是艾滋病毒护理的重要障碍。本研究调查了与艾滋病相关的耻辱感与老年拉丁裔 PLWH 多维衰弱之间的关联。 采用横断面设计，纳入了 120 名年龄在 50 岁及以上的拉丁裔 PLWH。通过自我报告问卷评估多维衰弱（蒂尔堡衰弱指标）和与艾滋病相关的耻辱感（艾滋病耻辱量表）。 参与者的年龄为 59.1±7.0 岁，主要为白种拉丁裔（85.00%，=102），单身（48.33%，=58），男性（73.30%，=88）。近一半的参与者衰弱（45.85%，=55）。与非衰弱者相比，衰弱者的总与艾滋病相关的耻辱感评分明显更高（=98.5±24.7 与=85.3±25.6，=0.020）和所有子量表。与艾滋病相关的耻辱感较高的人发生多维衰弱的几率高 1.021 倍（=0.007）。在调整收入和合并症后，这种关联仍然显著（=0.049）。 与艾滋病相关的耻辱感与老年拉丁裔 PLWH 衰弱的几率显著相关。预防多维衰弱的努力应考虑通过针对该群体的适龄和文化适宜资源来解决与艾滋病相关的耻辱感。
