The diverse older HIV-positive population: A national profile of economic circumstances, social support, and quality of life
The diverse older HIV-positive population: A national profile of economic circumstances, social support, and quality of life
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DOI：
10.1097/00126334-200306012-00004
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发表时间：
2003-06-01
影响因子：
3.6
通讯作者：
Shapiro, MF
中科院分区：
文献类型：
--
作者：
Crystal, S;Akincigil, A;Shapiro, MF
这项研究的目的是提供一个国家的社会经济状况的中年和老年人感染艾滋病毒的人口，并评估社会支持和生活质量（QOL）的变化，在年龄和社会经济亚组，控制疾病进展的指标。采用的设计是一个横断面分析的全国代表性的采访数据收集的艾滋病毒感染者的艾滋病毒成本和服务利用研究。采用多项社会支持和生活质量指标。对年龄和暴露类别之间的结局进行了双变量比较;进行了多变量分析，以隔离年龄较大对暴露类别内结局的影响，控制社会经济和临床协变量。研究结果表明，感染艾滋病毒/艾滋病的老年男同性恋者主要是白色人口，比年轻人更有可能拥有医疗保险; 38%的人有工作，48%的人报告收入超过25，000美元。感染艾滋病毒/艾滋病的老年注射吸毒者主要是黑人，处境特别不利;只有11%的人有工作，74%的人报告收入低于10 000美元。老年注射吸毒者报告说，与年轻人相比，身体功能和情感支持水平特别低，而老年男同性恋者在这些方面与年轻男同性恋者没有显着差异。作者得出结论，老年艾滋病毒阳性人群的特征和护理需求非常多样化，并且因暴露途径而变化很大。干预措施需要适应这些不同亚群的需要，重点是为老年注射吸毒者制定支助性护理干预措施。
The objectives of this study were to provide a national profile of socioeconomic circumstances of the middle-aged and older population living with HIV and to evaluate variations in social support and quality of life (QOL) across age and socioeconomic subgroups, controlling for indicators of disease progression. The design used was a cross-sectional analysis of nationally representative interview data on HIV-infected individuals collected in the HIV Cost and Services Utilization Study. Multiple measures of social support and QOL were used. Bivariate comparisons of outcomes across categories of age and exposure category were performed; multivariate analyses to isolate the effect of older age on outcomes within exposure categories were performed, controlling for socioeconomic and clinical co-variates. Study results indicate that older gay men with HIV/AIDS are a predominantly white population and more likely to have health insurance than their younger counterparts; 38% were employed and 48% reported incomes of more than $25,000. Older injection drug users (IDUs) with HIV/AIDS are a predominantly black population with a particularly high concentration of disadvantages; only 11% were employed and 74% reported incomes of less than $10,000. Older IDUs reported especially low levels of physical functioning and emotional support in comparison with their younger counterparts, whereas older gay men did not significantly differ from younger gay men in these respects. The authors conclude that characteristics and care needs of the older HIV-positive population are very diverse and vary sharply by exposure route. Interventions need to be tailored to the needs of these distinct subpopulations, with an emphasis on development of supportive care interventions for older IDUs.