Growing Older With HIV/AIDS: New Public Health Challenges
Growing Older With HIV/AIDS: New Public Health Challenges
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DOI：
10.2105/ajph.2012.301161
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发表时间：
2013-03-01
影响因子：
12.7
通讯作者：
Valadez, Robert
中科院分区：
文献类型：
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作者：
Cahill, Sean;Valadez, Robert
目前，医疗保健基础设施不足以满足艾滋病毒阳性老年人的独特治疗和护理需求。抗逆转录病毒药物使用的长期影响仍在被发现，并且与许多合并症有关。耻辱给那些需要服务和医疗保健的人带来了挑战，并且会严重影响心理健康和治疗依从性。随着人口老龄化，需要对老年服务提供者和医疗保健提供者进行培训，以满足艾滋病毒呈阳性的老年人（包括同性恋和变性人）的需求。与艾滋病毒相关的和反同性恋的耻辱应该通过社会营销活动来挑战。持续的研究和关键的政策变化可以通过增加获得治疗和支持的机会，极大地改善艾滋病毒呈阳性的老年人的健康状况。
At present, the health care infrastructure is ill-equipped to handle the unique treatment and care needs of HIV-positive older adults.The long-term effects of antiretroviral use are still being discovered and have been associated with a number of comorbidities. Stigma presents challenges for those in need of services and health care, and can significantly affect mental health and treatment adherence.The training of elder service providers and health care providers in meeting the needs of HIV-positive older adults, including gay and transgender people, is needed as the population ages. HIV-related and anti-gay stigma should be challenged by social marketing campaigns. Continued research and key policy changes could greatly improve health outcomes for HIV-positive elderly persons by increasing access to treatment and support.