Leblanc A J, London A S, Aneshensel C S
Department of Sociology, University of Maryland, College Park 20742-1315, USA.
Soc Sci Med. 1997 Sep;45(6):915-23. doi: 10.1016/s0277-9536(97)00002-6.
Informal care has become an increasingly important element in the delivery of health and social services to people living with HIV disease or AIDS (PWAs), yet the provision of such care does not come without costs to the caregiver. Instead, caregiving imposes burdens that may compromise caregiver health. Common ailments among AIDS caregivers were examined with two waves of data from a diverse sample of informal care providers in Los Angeles and San Francisco (N = 642). Symptoms of poor physical health are markedly present among AIDS caregivers and are significantly associated with care-related demands and stressors. This stress and health relationship varies significantly between caregivers who are HIV seropositive and those who are seronegative. Care-related effects are more direct among seronegative caregivers who are perhaps less overwhelmed with the maintenance of their own health. For all caregivers studied, level of depression and prior physical health are strong correlates of these physical ailments. Implications of these results are discussed.
非正式护理已成为向感染艾滋病毒或患艾滋病的人（艾滋病患者）提供健康和社会服务中日益重要的一个因素，然而，提供这种护理对护理者来说并非没有代价。相反，护理会带来一些负担，可能损害护理者的健康。利用来自洛杉矶和旧金山不同样本的非正式护理提供者的两波数据（N = 642），对艾滋病护理者的常见疾病进行了研究。艾滋病护理者明显存在身体健康不佳的症状，且这些症状与护理相关的需求和压力源显著相关。在艾滋病毒血清反应呈阳性的护理者和血清反应呈阴性的护理者之间，这种压力与健康的关系差异很大。在血清反应呈阴性的护理者中，护理相关影响可能更直接，他们可能较少因自身健康维护问题而不堪重负。对于所有研究的护理者来说，抑郁程度和既往身体健康状况与这些身体疾病密切相关。本文讨论了这些结果的意义。
