Chronic illness burden and quality of life in an aging HIV population.
Chronic illness burden and quality of life in an aging HIV population.
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DOI：
10.1080/09540121.2012.712669
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发表时间：
2013
期刊：
影响因子：
1.7
通讯作者：
Catz S
中科院分区：
文献类型：
--
作者：
Balderson BH;Grothaus L;Harrison RG;McCoy K;Mahoney C;Catz S
艾滋病毒感染者的年龄越来越大，更容易患上其他慢性病。疾病进展已被证明与生活质量（QoL）相关。然而，慢性共病的描述和独特的生活质量的挑战，老年人感染艾滋病毒的人还没有得到很好的理解，并没有在多个地理位置进行检查。从9个州的艾滋病服务组织招募了大约452名50岁或50岁以上的艾滋病病毒携带者。参与者完成了一项电话调查，其中包括其他慢性健康状况，感知压力，抑郁和健康相关的生活质量的措施。多达94%的样本报告了除艾滋病毒外的慢性健康状况（众数= 2）。报告最多的疾病是高血压、慢性疼痛、肝炎和关节炎。尽管抑郁症的发病率相对较高，但样本的总体生活质量中等偏高。身体功能受到其他慢性健康问题的影响最大。社会功能、心理健康功能、压力和抑郁也与慢性疾病负担密切相关。其他慢性健康问题是50岁及以上艾滋病毒携带者的常态。生活质量与慢性健康问题的增加显著相关。随着越来越多的艾滋病毒携带者进入老年，这对向患有多种慢性病的老年艾滋病毒携带者提供全面医疗保健提出了挑战。
The population of persons living with HIV (PLWH) is growing older and more prone to developing other chronic health conditions. Disease progression has been shown to be related to quality of life (QoL). However, descriptions of chronic comorbid illnesses and the unique QoL challenges of older adults living with HIV are not well understood and have not been examined in multiple geographic locations. About 452 PLWH aged 50 years or older were recruited from AIDS Service Organizations in nine states. Participants completed a telephone survey that included measures of other chronic health conditions, perceived stress, depression, and health-related quality of life. As much as 94% of the sample reported a chronic health condition in addition to HIV (mode = 2). The highest reported conditions were hypertension, chronic pain, hepatitis, and arthritis. Despite relatively high rates of depression, overall QoL was moderately high for the sample. Physical functioning was most impacted by the addition of other chronic health problems. Social functioning, mental health functioning, stress, and depression were also strongly associated with chronic disease burden. Additional chronic health problems are the norm for PLWH aged 50 years and older. QoL is significantly related to the addition of chronic health problems. As increasing numbers of PLWH reach older age, this raises challenges for providing comprehensive healthcare to older PLWH with multiple chronic conditions.
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影响因子：
1.7
作者：
Grov C;Golub SA;Parsons JT;Brennan M;Karpiak SE
通讯作者：
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DOI：
10.1097/01.asn.0000138546.53152.a7
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