Alcantara Kenya, O'Conor Rachel, Masters Mary Clare, Svoboda Sophia, Smith Reneaki, Yeh Fangyu, Wallia Amisha, Bailey Stacy C, Pack Allison P
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
AIDS Care. 2025 Jul;37(7):1160-1166. doi: 10.1080/09540121.2025.2474667. Epub 2025 Mar 11.
Older people with HIV (OPWH) have an increased risk of type 2 diabetes mellitus (T2DM). Understanding this is important to screen and initiate treatments. This study explored awareness of T2DM, perceived risk, and willingness to receive T2DM preventive education. OPWH were recruited from an academic health center in Chicago, Illinois between November 2022 and January 2023. Staff used interview guides for qualitative data collection and administered a sociodemographic survey. Qualitative data was analyzed using the Framework Method; survey data was analyzed descriptively. A total of 19 participants were enrolled; the mean age was 59 years, and 37% were female. Thematic analysis revealed: (1) although participants were familiar with T2DM, they were largely unaware of the increased risk among individuals with HIV; (2) participants had divergent views regarding their own T2DM risk perception; (3) health maintenance was a motivator for T2DM prevention, yet participants noted lifestyle improvements may be difficult to implement; (4) participants were open to receiving diabetes prevention materials via the patient portal. Despite a general lack of awareness of T2DM risk among older adults with HIV, participants were willing to receive T2DM prevention information. Future research should develop plain language materials for OPWH and determine appropriate delivery procedures.
感染艾滋病毒的老年人（OPWH）患2型糖尿病（T2DM）的风险增加。了解这一点对于筛查和启动治疗很重要。本研究探讨了对T2DM的认知、感知风险以及接受T2DM预防教育的意愿。2022年11月至2023年1月期间，从伊利诺伊州芝加哥的一家学术健康中心招募了OPWH。工作人员使用访谈指南收集定性数据，并进行了社会人口学调查。定性数据采用框架法进行分析；调查数据进行描述性分析。共招募了19名参与者；平均年龄为59岁，37%为女性。主题分析显示：（1）尽管参与者熟悉T2DM，但他们大多没有意识到艾滋病毒感染者的患病风险增加；（2）参与者对自己患T2DM的风险认知存在不同观点；（3）健康维护是预防T2DM的一个动机，但参与者指出生活方式的改善可能难以实施；（4）参与者愿意通过患者门户网站接收糖尿病预防材料。尽管艾滋病毒感染的老年人普遍缺乏对T2DM风险的认识，但参与者愿意接受T2DM预防信息。未来的研究应该为OPWH开发通俗易懂的材料，并确定合适的传递程序。
