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老年人中人类免疫缺陷病毒(HIV)风险行为的地理模式:一种将空间识别为风险暴露的策略

Geographic Patterns of Human Immunodeficiency Virus (HIV) Risk Behaviors Among Older Adults: A Strategy for Identifying Space as a Risk Exposure.

作者信息

Conner Laneshia R, Adatorwovor Reuben, Robbins Sarah Jane K, Machinga-Asaolu Rujeko O, Showalter Kathryn, Oser Carrie

机构信息

University of Kentucky, Lexington, KY, USA.

出版信息

J Appl Gerontol. 2025 Feb;44(2):210-221. doi: 10.1177/07334648241273351. Epub 2024 Aug 27.

Abstract

OBJECTIVES

This study examined geographical patterns of HIV risk among adults aged 60 and older.

METHODS

The 2019 Behavioral Risk Factor Surveillance System (BRFSS) weighted data was used to analyze self-reported participation in HIV risk behaviors among older adults ( = 62,852). Logistic regression models were used on a dichotomous HIV risk variable to map the distribution of HIV risk behaviors across both census regions and divisions.

RESULTS

The weighted model revealed significance across regions. Across all regions, identifying as female, identifying as Hispanic, and reporting not having depression were protective from participating in HIV risk behaviors.

DISCUSSION

The geographic heterogeneity in patterns of high-risk behaviors among older adults are discussed, along with the implications of partner access (marital status) and emotional health (depression) that need further examination. Recommendations for additional geographic analysis are made.

摘要

目的

本研究调查了60岁及以上成年人中艾滋病病毒(HIV)风险的地理分布模式。

方法

使用2019年行为风险因素监测系统(BRFSS)加权数据,分析老年人(n = 62,852)自我报告的参与HIV风险行为情况。对一个二分的HIV风险变量使用逻辑回归模型,以绘制HIV风险行为在各人口普查区域和分区的分布情况。

结果

加权模型显示各区域存在显著差异。在所有区域中,女性、西班牙裔身份认同以及报告无抑郁症与参与HIV风险行为呈负相关。

讨论

讨论了老年人中高风险行为模式的地理异质性,以及伴侣关系(婚姻状况)和情绪健康(抑郁症)的影响,这些都需要进一步研究。提出了进行更多地理分析的建议。

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