HIV-related shame and health-related quality of life among older, HIV-positive adults

被引：27

作者：

Vincent, Wilson ^{[1
]}

Fang, Xindi ^{[2
]}

Calabrese, Sarah K. ^{[3
]}

Heckman, Timothy G. ^{[4
]}

Sikkema, Kathleen J. ^{[5
,6
]}

Hansen, Nathan B. ^{[4
]}

机构：

[1] Univ Calif San Francisco, Dept Med, Ctr AIDS Prevent Studies, San Francisco, CA 94143 USA

[2] Yale Univ, Sch Publ Hlth, New Haven, CT USA

[3] George Washington Univ, Dept Psychol, Washington, DC 20052 USA

[4] Univ Georgia, Coll Publ Hlth, Athens, GA 30602 USA

[5] Duke Univ, Dept Psychol & Neurosci, Durham, NC USA

[6] Duke Univ, Duke Global Hlth Inst, Durham, NC USA

来源：

JOURNAL OF BEHAVIORAL MEDICINE | 2017年 / 40卷 / 03期

关键词：

HIV/AIDS; Aging; Quality of life; Shame; Depression; Loneliness; HUMAN-IMMUNODEFICIENCY-VIRUS; PHYSICAL SYMPTOMS; SOCIAL SELF; LONELINESS; DEPRESSION; STIGMA; MEN; PEOPLE; RISK; INTERVENTION;

D O I：

10.1007/s10865-016-9812-0

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study investigated how HIV-related shame is associated with health-related quality of life (HRQoL) in older people living with HIV (PLHIV). Structural equation modeling tested whether HIV-related shame was associated with three dimensions of HRQoL (physical, emotional, and social well-being) and whether there were significant indirect associations of HIV-related shame with the three HRQoL dimensions via depression and loneliness in a sample of 299 PLHIV >= 50 years old. Results showed that depression and loneliness were key mechanisms, with depression at least partially accounting for the association between HIV-related shame and both emotional and physical well-being, respectively, and loneliness accounting for the association between HIV-related shame and social well-being. HIV-related shame appears to be an important correlate of HRQoL in older PLHIV and may provide a promising leveraging point by which to improve HRQoL in older PLHIV.

引用

页码：434 / 444

页数：11

共 62 条

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