Loneliness and HIV-related stigma explain depression among older HIV-positive adults.
Loneliness and HIV-related stigma explain depression among older HIV-positive adults.
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DOI：
10.1080/09540120903280901
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发表时间：
2010-05
期刊：
影响因子：
1.7
通讯作者：
Karpiak SE
中科院分区：
文献类型：
--
作者：
Grov C;Golub SA;Parsons JT;Brennan M;Karpiak SE
艾滋病毒治疗的进步导致感染艾滋病毒的老年人口大量增加。这些老年人面临着与衰老过程相关的更多社会、心理和身体挑战。人们已经研究了抑郁、孤独、健康和 HIV/艾滋病相关耻辱之间的相关性，但对 50 岁以上 HIV 阳性成年人中这些关联的评估很少。这些分析的数据取自艾滋病毒老年人研究 (ROAH)，该研究对纽约市 914 名 50 岁以上 HIV 阳性男性和女性进行了研究。总共，39.1% 的参与者表现出重度抑郁症状 （CES-D ≥ 23）。多变量模型成功解释了 42% 的抑郁症变异，这与 HIV 相关耻辱感增加、孤独感增加、认知功能下降、精力水平下降和年轻化显着相关。这些数据强调，服务提供者和研究人员需要采取更加积极和创新的努力，解决美国艾滋病流行老龄化的社会心理和身体健康问题。数据表明，集中精力减少与艾滋病毒相关的耻辱和孤独可能会对减少严重抑郁症状和改善健康状况产生持久影响。
Advances in the treatment of HIV have resulted in a large growing population of older adults with HIV. These aging adults face added social, psychological, and physical challenges associated with the aging process. Correlations between depression, loneliness, health, and HIV/AIDS-related stigma have been studied, but there is little evaluation of these associations among HIV-positive adults over the age of 50. Data for these analyses were taken from the Research on Older Adults with HIV (ROAH) study of 914 New York City-based HIV-positive men and women over the age of 50. In total, 39.1% of participants exhibited symptoms of major depression (CES-D ≥ 23). Multivariate modeling successfully explained 42% of the variance in depression which was significantly related to increased HIV-associated stigma, increased loneliness, decreased cognitive functioning, reduced levels of energy, and being younger. These data underscore the need for service providers and researchers to assert more aggressive and innovative efforts to resolve both psychosocial and physical health issues that characterize the graying of the AIDS epidemic in the United States. Data suggest that focusing efforts to reduce HIV-related stigma and loneliness may have lasting effects in reducing major depressive symptoms and improving perceived health.
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DOI：
10.1097/01.qai.0000225730.79610.61
发表时间：
2006-08-01
影响因子：
3.6
作者：
Liu, Chenglong;Johnson, Lisette;Jacobson, Lisa P.
通讯作者：
Jacobson, Lisa P.
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
Bing, Eric G.
影响因子：
3.3
作者：
Luther, Vera P.;Wilkin, Aimee M.
通讯作者：
Wilkin, Aimee M.
影响因子：
3.3
作者：
Gore-Felton, Cheryl;Koopman, Cheryl
通讯作者：
Koopman, Cheryl