Exploring Experiences and Perceptions of Older African American Males Aging With HIV in the Rural Southern United States
Exploring Experiences and Perceptions of Older African American Males Aging With HIV in the Rural Southern United States
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DOI：
10.1177/1557988316662875
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发表时间：
2017-03-01
影响因子：
2.3
通讯作者：
Sowell, Richard L.
中科院分区：
文献类型：
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作者：
Blake, Barbara J.;Taylor, Gloria A. Jones;Sowell, Richard L.
艾滋病毒（人类免疫缺陷病毒）在美国的流行仍然是一个严重的公共卫生问题。尽管作出了治疗和预防努力，但每年仍有大约50 000个新的艾滋病毒病例被传播。据估计，44%的艾滋病毒感染者生活在美国南部地区。非洲裔美国人占美国人口的13.2%;然而，2014年报告的新艾滋病毒病例中有44%（19，540）是在该种族群体中诊断出来的。大多数病例为男性（73%，14，305）。在美国，据估计，21%的成年艾滋病毒感染者年龄在50岁或以上。关于非洲裔美国人患艾滋病的年龄有多好的数据有限。本研究的目的是探讨的看法和经验的老年非洲裔美国男子艾滋病毒感染者在农村格鲁吉亚。数据收集从35岁的非洲裔美国男性艾滋病毒感染者使用焦点小组和面对面的个人访谈。定性内容分析揭示了六个重叠的主题：（1）耻辱;（2）做得好，大多数时候;（3）应对与艾滋病有关的疾病和艾滋病毒;（4）自我保健;（5）家庭支持;和（6）获得资源。这项研究的结果为农村感染艾滋病毒的非洲裔美国人的生活提供了新的见解，扩大了我们对他们如何管理疾病的理解，以及为什么许多人返回或留在农村社区。
The HIV (human immunodeficiency virus) epidemic in the United States remains a serious public health concern. Despite treatment and prevention efforts, approximately 50,000 new HIV cases are transmitted each year. Estimates indicate that 44% of all people diagnosed with HIV are living in the southern region of the United States. African Americans represent 13.2% of the United States population; however, 44% (19,540) of reported new HIV cases in 2014 were diagnosed within this ethnic group. The majority of cases were diagnosed in men (73%, 14,305). In the United States, it is estimated that 21% of adults living with HIV are 50 years or older. There exists limited data regarding how well African American men are aging with HIV disease. The purpose of this study was to explore the perceptions and experiences of older African American men living with HIV in rural Georgia. Data were collected from 35 older African American men living with HIV using focus groups and face-to-face personal interviews. Qualitative content analysis revealed six overlapping themes: (1) Stigma; (2) Doing Fine, Most of the Time; (3) Coping With Age-Related Diseases and HIV; (4) Self-Care; (5) Family Support; and (6) Access to Resources. The findings from this study provide new insights into the lives of rural HIV-infected African American men, expands our understanding of how they manage the disease, and why many return to or remain in rural communities.