Health-related quality of life in persons younger and older than 50 who are living with HIV/AIDS

被引:48
作者
Nokes, KM [1 ]
Holzemer, WL
Corless, IB
Bakken, S
Brown, MA
Powell-Cope, GM
Inouye, J
Turner, J
机构
[1] CUNY Hunter Coll, Hunter Bellevue Sch Nursing, Community Hlth Nursing Program, New York, NY 10021 USA
[2] Univ Calif San Francisco, Sch Nursing, Dept Community Hlth Syst, San Francisco, CA 94143 USA
[3] Massachusetts Gen Hosp, Inst Hlth Profess, Boston, MA 02114 USA
[4] Univ Washington, Womens Primary Care Clin, Seattle, WA 98195 USA
[5] James A Haley Vet Hosp, Tampa, FL 33612 USA
[6] Univ Hawaii Manoa, Sch Nursing, Grad Program, Honolulu, HI 96822 USA
[7] Univ Alabama, Sch Nursing, Birmingham, AL USA
关键词
D O I
10.1177/0164027500223004
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Mortality rates are higher in older persons with AIDS. The Wilson and Cleary health-related quality-of-life model was used to explore whether there were differences on health-related quality-of-life variables between persons aged 50 or older (n = 73) and younger persons (n = 640) in a national sample. Depending on the level of the data, either independent t tests or chi-squares were calculated. Older participants reported significantly more medical conditions such as diabetes or hypertension (p = .000), more limitations in physical functioning (p = .006), and self-disclosure of HIV infection to fewer people (p = .000). There were no significant differences on any of the other variables. There are relatively few differences in older as compared to younger persons living with HIV/AIDS, yet mortality rates are higher in older samples. The relationship between the areas where there are differences and whether they affect morbidity and mortality need further exploration.
引用
收藏
页码:290 / 310
页数:21
相关论文
共 39 条
[1]   HIV infection and aging: Mechanisms to explain the accelerated rate of progression in the older patient [J].
Adler, WH ;
Baskar, PV ;
Chrest, FJ ;
DorseyCooper, B ;
Winchurch, RA ;
Nagel, JE .
MECHANISMS OF AGEING AND DEVELOPMENT, 1997, 96 (1-3) :137-155
[2]  
AIDALA A, 1999, FINAL REPORT SENIOR
[3]   Quality of life in older adults with HIV disease [J].
Avis, NE ;
Smith, KW .
RESEARCH ON AGING, 1998, 20 (06) :822-845
[4]  
BASTIAN L, 1993, J ACQ IMMUN DEF SYND, V6, P617
[5]   Antiretroviral therapy for HIV infection in 1996 - Recommendations of an international panel [J].
Carpenter, CCJ ;
Fischl, MA ;
Hammer, SM ;
Hirsch, MS ;
Jacobsen, DM ;
Katzenstein, DA ;
Montaner, JSG ;
Richman, DD ;
Saag, MS ;
Schooley, RT ;
Thompson, MA ;
Vella, S ;
Yeni, PG ;
Volberding, PA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 276 (02) :146-154
[6]  
*CDCP, 1998, JAMA-J AM MED ASSOC, V279, P575
[7]   Ten years later: What have we learned about human aging from studies of cell cultures? [J].
Cristofalo, VJ .
GERONTOLOGIST, 1996, 36 (06) :737-741
[8]   Health care needs and services delivery for older persons with HIV/AIDS - Issues and research challenges [J].
Crystal, S ;
Sambamoorthi, U .
RESEARCH ON AGING, 1998, 20 (06) :739-759
[9]  
HAUSMAN PB, 1985, HDB BIOL AGING, P414
[10]   Validation of the quality of life scale: living with HIV [J].
Holzemer, WL ;
Spicer, JG ;
Wilson, HS ;
Kemppainen, JK ;
Coleman, C .
JOURNAL OF ADVANCED NURSING, 1998, 28 (03) :622-630