Caregiving networks of older women living with HIV.

在美国，超过一半的艾滋病毒感染者年龄在50岁或以上。尽管长期以来， 艾滋病毒/艾滋病的管理，艾滋病毒感染者（PLWH）的老年人往往生活与多种年龄相关的合并症，4+ 非艾滋病病毒感染者的平均水平黑人和拉丁裔妇女，除了受到不成比例的影响， 艾滋病毒，通常有更高的多发病率。因此，许多感染艾滋病毒的妇女需要 非正式护理或能够预期未来需要护理，以支持复杂的护理需求。旧WLWH 是一个研究不足的群体，因为大多数艾滋病毒研究针对男性和年轻人。因为年龄较大的女性 有色人种艾滋病毒感染者具有交叉边缘化的身份，他们往往难以满足他们的需求。 需要支持和支持。老年WLWH的护理网络的配置，其有效性， 满足老年WLWH的护理需求，以及与精神和行为健康的联系是艾滋病毒/艾滋病领域的主要差距。 文学同样，人们对保健需求和非正规保健网络的演变了解有限， 随着时间的推移，以及在这个人群中形成两者的因素。 这项混合方法的研究试图利用调查和访谈数据来调查的充分性， WLWH的护理网络。目标1将确定黑人和拉丁美洲人之间的护理网络不足， 使用数据分析50岁及以上感染艾滋病毒的女性及其与心理和行为健康的关系 从一个心理社会和自我中心的网络调查。目标2将探讨参与者对自己护理的看法 需求和资源，包括非正式和正式的支助来源，以及这些来源如何发生变化 通过半结构化的生活史访谈。目标3将证实护理网络模式和 调查数据和定性访谈中与护理网络不足相关的因素。 这项研究得到了职业发展计划的补充，该计划将教学和 通过与经验丰富的导师委员会的互动进行体验式学习，这些导师是艾滋病毒领域的领导者， 老龄化研究，以实现四个培训目标：1）获得有关WLWH的主题专业知识; 2）扩大技能， 调查研究和混合方法分析; 3）获取有关公共卫生科学的内容性知识 方法，即因果推理;和4）理解翻译研究管道。拟议 研究和培训计划将为候选人提供主题专业知识，社区 伙伴关系和方法技能，在艾滋病毒和老龄化领域进行转化研究。这 研究还为长期研究议程奠定了基础，旨在更好地了解 非正式护理网络在不同的艾滋病毒携带者人群中运作的机制，以及如何更好地 支持这些人，减少健康差距，并通过发展 有针对性的干预措施。

Over half of the HIV-population in the United States is age 50 or older. Despite successful long-term management of HIV/AIDS, older people with HIV (PLWH) often live with multiple age-related comorbidities, 4+ non-HIV conditions on average. Black and Latina women, in addition to being disproportionately affected by HIV, typically have higher rates of multimorbidity. As a result, many women living with HIV (WLWH) require informal caregiving or can anticipate needing care in the future to support complex care needs. Older WLWH are an understudied group, as most HIV research targets men and younger people. Because older women of color living with HIV have intersectional marginalized identities, they often experience difficulty in meeting their needs for caregiving and support. The configuration of older WLWH's care networks, their effectiveness in meeting older WLWH's care needs, and links to mental and behavioral health are major gaps in the HIV/AIDS literature. Similarly, there is limited understanding of the evolution of care needs and informal care networks in tandem over time, as well as the factors that shaped both in this population. This mixed-methods research seeks to use survey and interview data to investigate the adequacy of older WLWH's care networks. Aim 1 will identify inadequate care networks among Black and Latina-identifying women age 50 and older living with HIV and their association with mental and behavioral health using data from a psychosocial and egocentric network survey. Aim 2 will probe participant perspectives on their own care needs and resources, including informal and formal sources of support, and how these have changed over time through a semi-structured life history interview. Aim 3 will corroborate care network patterns and the factors associated with inadequate care networks across survey data and qualitative interviews. This research study is complemented by the career development plan which combines didactic and experiential learning through interactions with a committee of experienced mentors who are leaders in HIV and aging research to achieve four training aims: 1) acquire subject-matter expertise on WLWH; 2) expand skills in survey research and mixed methods analysis; 3) obtain content knowledge about public health scientific methods, namely causal inference; and 4) understand the translational research pipeline. The proposed research and training plan will provide the candidate with the subject-matter expertise, community partnerships, and methodological skills to conduct translational research in the HIV and aging field. This research also lays the groundwork for a long-term research agenda aimed at better understanding of the mechanisms whereby informal care networks operate across different populations of PLWH, and how to better support these individuals, reduce health disparities, and promote healthy aging through the development of targeted interventions.