Support, Stigma, Health, Coping, and Quality of Life in Older Gay Men With HIV
Support, Stigma, Health, Coping, and Quality of Life in Older Gay Men With HIV
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DOI：
10.1016/j.jana.2012.02.006
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发表时间：
2013-01-01
影响因子：
2
通讯作者：
Childs, Gwendolyn
中科院分区：
文献类型：
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作者：
Slater, Larry Z.;Moneyham, Linda;Childs, Gwendolyn
由于抗逆转录病毒治疗，艾滋病毒感染者的预期寿命有所增加，生活质量（QOL）已成为老年男同性恋艾滋病毒感染者的一个新问题，他们占美国老年艾滋病毒感染者的50%以上。本研究的目的是确定老年男同性恋HIV感染者生活质量的预测因素。60名年龄在50-65岁之间的男同性恋参与了这项研究。年龄、社会支持、问题关注型应对与生活质量呈显著正相关，医疗合并症、社会污名、情绪关注型应对与生活质量呈显著负相关（p < 0.01）。在逐步线性回归分析中，情绪/信息支持仍然是显著的正向预测因子，而医疗合并症、艾滋病毒污名和以情绪为中心的应对仍然是显著的负向预测因子，占生活质量方差的64%。研究结果可能有助于研究人员开发旨在提高这一人群生活质量的干预措施。版权所有2013年艾滋病护理护士协会
As life expectancy for persons living with HIV has increased due to antiretroviral therapy, quality of life (QOL) has become an emerging issue for older gay men with HIV, who comprise more than 50% of older adults living with HIV in the United States. The purpose of this study was to determine predictors of QOL in older gay men with HIV. Sixty gay men ages 50-65 participated. Age, social support, and problem-focused coping were significantly and positively correlated with QOL, while medical comorbidities, social stigma, and emotion-focused coping were all significantly and negatively associated with QOL (p < .01). In stepwise linear regression analysis, emotional/informational support remained as a significant positive predictor, and medical comorbidities, HIV stigma, and emotion-focused coping remained as significant negative predictors, accounting for 64% of the variance in QOL. Study findings may help researchers develop interventions aimed at increasing QOL in this population. Copyright (C) 2013 Association of Nurses in AIDS Care