Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors.

Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors.
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DOI:
10.1007/s11904-017-0347-y
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发表时间:
2017-03
影响因子:
4.6
通讯作者:
Holstad MM
Holstad MM
中科院分区:
医学2区
文献类型:
--
作者:
Rubtsova AA;Kempf MC;Taylor TN;Konkle-Parker D;Wingood GM;Holstad MM

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由于抗逆转录病毒疗法的生命增强效应,艾滋病毒抗体阳性者有可能比未感染者寿命更长。老年妇女(50岁以上)感染艾滋病毒(OWLH)往往是一个未得到充分认识的老龄化群体。我们进行了一项系统的回顾,以检查影响OWLH如何生活,科普和年龄与艾滋病毒的心理社会因素。初始关键词检索产生了1527条记录,21项研究符合我们的纳入标准,即2013年至2016年期间发表的原始定量或定性研究,其结果特定于OWLH。这些研究的重点是保健和自我管理、性健康和风险、耻辱感、孤独感、心理健康(抑郁、药物使用)和保护因素(应对、社会支持、福祉)。由于缺乏对每个主题的研究和不确定的结果,没有出现明确的结果模式。随着OWLH数量的持续增长,需要进行更多的研究,包括纵向研究,以充分描述影响艾滋病毒老化的心理社会因素。
Due to life-enhancing effects of antiretroviral therapy, HIV-positive persons have the potential for long life comparable to their uninfected peers. Older women (age 50+) living with HIV (OWLH) are often an under-recognized aging group. We conducted a systematic review to examine psychosocial factors that impact how OWLH live, cope, and age with HIV. Initial key word search yielded 1527 records, and 21 studies met our inclusion criteria of original quantitative or qualitative research published between 2013 and 2016 with results specific to OWLH. These focused on health care and self-management, sexual health and risk, stigma, loneliness, mental health (depression, substance use), and protective factors (coping, social support, well-being). Due to the scarcity of studies on each topic and inconclusive findings, no clear patterns of results emerged. As the number of OWLH continues to grow, more research, including longitudinal studies, is needed to fully characterize the psychosocial factors that impact aging with HIV.
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