十多年来,与耻辱相关的披露问题和负面的自我形象在艾滋病毒感染的老年人中没有得到改善
Kevin Moody1,2,3, Myrthe L Verburgh1,2,3, Sarah E Stutterheim4
1Amsterdam UMC, University of Amsterdam, Infectious Diseases, Amsterdam, Netherlands.
Journal of acquired immune deficiency syndromes (1999)
|July 28, 2025
概括
艾滋病毒污名,包括披露担忧和负面的自我形象,在艾滋病毒感染的老年人中没有在10年内改善. 女性的耻辱感恶化,在更大的家庭和抑郁症中较低.
科学领域:
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
- 精神病学是一个精神病学.
背景情况:
- 污名化严重影响艾滋病毒护理连续,心理健康,坚持和艾滋病毒感染者 (PWH) 的生活质量.
- 在老年PWH中对HIV污名的长度数据有限,阻碍了有针对性的干预.
研究的目的:
- 为了前性地分析艾滋病毒污名化措施的变化,在10年的时间内,在老年PWH.
- 识别与HIV污名的变化随着时间的推移相关的社会人口和临床因素.
主要方法:
- AGEhIV队列研究前性地跟踪PWH,在基线 (T0) 评估完整的伯格艾滋病毒污名度量 (HSS),并在10年后续 (T1) 评估两个子度量 (披露担忧,负面自我形象).
- 配对样本 t 测试分析了随时间变化的得分.
- 线性回归和线性混合模型确定了相关因素.
主要成果:
- 披露问题得分略有下降,而负面的自我形象得分在10年内保持稳定.
- 没有因素与披露担忧的变化有关.
- 女性的负面自我形象得分显著增加.
- 较高的负面自我形象与男性和女性的吸引力以及中度至重度的抑郁症状有关.
- 这两种耻辱域都与艾滋病毒诊断后的几年负面相关.
结论:
- 艾滋病毒的耻辱感,特别是披露的担忧和负面的自我形象,在十多年的老年PWH队列中没有得到改善.
- 在女性中,艾滋病毒的耻辱感恶化,与生活在更大的家庭和经历中度至重度抑郁症有关.
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