在艾滋病毒感染者中,脆弱性轨迹的预测因素
Evelyn Iriarte1, Heather L Smyth2, Sarah Schmiege3
1University of Colorado Anschutz Medical Campus, College of Nursing.
AIDS (London, England)
|December 4, 2024
概括
在艾滋病毒感染者 (PWH) 中确定了脆弱性轨迹,揭示了明显的衰老模式. 可修改的因素,如管理并发症和体力活动,可以帮助减缓虚弱的进展.
科学领域:
- 老年学是一门学科.
- 艾滋病毒 医学 艾滋病毒 医学
- 公共卫生 公共卫生
背景情况:
- 艾滋病毒感染者 (PWH) 的老龄化问题越来越令人担忧.
- 了解脆弱轨迹对于PWH健康至关重要.
- 在PWH中脆弱性进展的预测因素需要进一步调查.
研究的目的:
- 为了估计PWH队列中的潜在脆弱性轨迹.
- 确定这些轨迹的社会人口统计学,与艾滋病毒相关的,并发症和行为预测因素.
主要方法:
- 长度观测研究与潜在类增长建模.
- 包括976名40岁以上40岁以上的PWH,随着时间的推移测量了脆弱性.
- 使用多项逻辑回归来评估预测器关联.
主要成果:
- 确定了三个脆弱性轨迹:持续的强度 (83%),恶化的脆弱性 (8%) 和脆弱性的改善 (9%).
- 年龄,种族,性别,并发症 (心血管疾病,抑郁症,糖尿病) 和行为 (活动,吸烟,酒精) 预测的轨迹.
- 在预测因素和脆弱性轨迹类之间发现了显著的关联 (P < 0.05).
结论:
- 在PWH中的脆弱性表现出不同的轨迹.
- 可修改的因素,包括并发症管理和体力活动,是干预的关键目标.
- 干预可以潜在地预防或减缓PWH的脆弱性进展.
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