The Lived Experience of a Newly Diagnosed Older Person With HIV in Ukraine.
The Lived Experience of a Newly Diagnosed Older Person With HIV in Ukraine.
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DOI：
10.1177/10497323211026914
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发表时间：
2021-10
影响因子：
3.2
通讯作者：
Rozanova J
中科院分区：
文献类型：
--
作者：
Allen A;Zaviryukha I;Kiriazova T;Shenoi S;Rozanova J
80%的老年艾滋病毒携带者(OPWH)来自低收入和中等收入国家。与年轻患者相比，乌克兰OPWH患者的死亡率更高，抗逆转录病毒治疗(ART)的启动次数更少，但很少有数据检验OPWH对新诊断和对护理的影响。在这项研究中，我们检查了乌克兰30例新诊断的OPWH的账户，探索在诊断期间面临的挑战。出现了代表纵向应对过程的主题：OPWH(I)在确诊前将自己视为低风险；(2)经历艾滋病毒诊断为挑战自我形象的创伤性事件；(3)利用披露在家人、朋友或医疗保健提供者的小圈子中寻求支持；(4)避免向包括初级保健提供者在内的外部人员披露，以免受到耻辱和违反保密规定；(5)将年龄视为一项资产；以及(6)将艾滋病毒诊断作为成长的起点。这些发现突出表明，需要制定针对年龄的方案，以增加艾滋病毒知识和应对措施，增加筛查，并改进长期规划。
Low- and middle-income countries are home to 80% of older people with HIV (OPWH). Ukrainian OPWH experience higher mortality and decreased antiretroviral therapy (ART) initiation than younger patients, but there is little data examining OPWH’s perspectives around new diagnosis and impact on care. In this study, we examined accounts of 30 newly diagnosed OPWH in Ukraine, exploring challenges faced in the peri-diagnosis period. Themes emerged representing the longitudinal coping process: OPWH (I) viewed themselves as low risk before diagnosis; (2) experienced HIV diagnosis as a traumatic event challenging their self-image; (3) used disclosure to seek support among a small circle of family, friends, or health care providers; (4) avoided disclosure to outsiders including primary care providers for fears of stigma and breaches in confidentiality; (5) viewed age as an asset; and (6) used HIV diagnosis as starting point for growth. These findings highlight the need for age-specific programming to increase HIV knowledge and coping, increase screening, and improve long-term planning.
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