艾滋病毒,社交网络和乌干达老年人的孤独
Lien T Quach1,2,3,4,5,6, Christine S Ritchie7,8,9, Zahra Reynolds10
1Medical Practice Evaluation Center, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA. lquach@mgh.harvard.edu.
AIDS and behavior
|January 28, 2024
概括
乌干达艾滋病毒感染的老年人报告的孤独程度与没有艾滋病毒的人相似,尽管他们的社交网络较小. 恢复力和获得艾滋病毒卫生服务可能起到作用.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 对老年人来说,孤独是一个重要的公共卫生问题.
- 关于撒哈拉以南非洲艾滋病毒感染的老年人 (PWH) 孤独感的理解有限.
- 撒哈拉以南非洲占全球PWH人口的70%.
研究的目的:
- 在乌干达农村地区,与没有艾滋病毒的人相比,研究艾滋病毒感染的老年人的孤独程度.
- 探索社交网络在解释老年PWH中孤独的作用.
- 为了确定与这一群体中孤独相关的因素.
主要方法:
- 分析了来自599名参与者在乌干达农村地区与艾滋病毒感染的生命质量和老龄化研究中的数据.
- 包括艾滋病毒感染的老年人和没有艾滋病毒的老年人的比较组.
- 使用3项UCLA孤独量表来测量孤独感.
主要成果:
- 在艾滋病毒感染和没有艾滋病毒感染的老年人之间,没有发现孤独感的统计学上显著差异.
- 艾滋病毒感染者报告家庭规模较小,身体/财务支持较少,社会融入程度较低.
- 孤独与独自生活有关,与结婚和更高的社会融合相反.
结论:
- 乌干达农村艾滋病毒感染的老年人表现出与艾滋病毒阴性同龄人相似的弹性和孤独程度,可能是由于与艾滋病毒相关的卫生服务.
- 尽管社交网络存在差异,但艾滋病病毒状态并不是这个群体中孤独的直接预测因素.
- 需要进一步的研究来阐明导致老年PWH孤独的复杂机制.
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