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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
Factors Related to Multidimensional Frailty Among Hispanic People Living With HIV Aged 50 Years and Above: A
Evelyn Iriarte1, Rosina Cianelli, Joseph P De Santis
1Evelyn Iriarte, PhD, MSN, RN, is an Adjunct Instructor at the Pontificia Universidad Catolica de Chile School of Nursing, Santiago, Chile, and is a Postdoctoral Researcher at the University of Colorado College of Nursing, Aurora, Colorado, USA. Rosina Cianelli, PhD, MPH, RN, IBCLC, FAAN, is a Professor of Nursing at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Joseph P. De Santis, PhD, ARNP, ACRN, FAAN, is an Associate Professor of Nursing at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Arsham Alamian, PhD, MSc, FACE, FRSPH, is an Associate Professor of Nursing at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Jose Guillermo Castro, MD, is a physician from the Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, Florida, USA. Yui Matsuda, PhD, PHNA-BC, MPH, RN, is an Assistant Professor at the University of Miami School of Nursing and Health Studies, Coral Gables, Florida, USA. Alejandra-Ximena Araya, PhD, RN, is a Professor of Nursing at the Universidad Andres Bello, Santiago, Chile.
Abstract:
Among Hispanics, frailty has been extensively studied as a physical syndrome associated with an increased risk for adverse outcomes. Because of additional barriers to accessing care, the impact of frailty may be even more significant for people living with HIV (PLWH). Multidimensional frailty among Hispanic PLWH has not been studied. This study aimed to examine the factors related to multidimensional frailty among Hispanic PLWH aged 50 years and above. A cross-sectional design with 120 participants was used. Hypothesized factors related to multidimensional frailty were sociodemographic and psychosocial variables. Multidimensional frailty was measured with the Tilburg Frailty Indicator. We found that 45.83% of the participants were frail ( n = 55), and multidimensional frailty was significantly associated with higher depressive symptoms ( b = .26, p < .001) and a higher number of comorbidities ( b = .71, p < .001). This study identified factors that clinicians should be aware of when caring for Hispanic PLWH to prevent or manage frailty-related complications.
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