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首页> 外文期刊>AIDS care. >Skevington, S.M.Is quality of life poorer for older adults with HIV/AIDS? International evidence using the WHOQOL-HIV
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Skevington, S.M.Is quality of life poorer for older adults with HIV/AIDS? International evidence using the WHOQOL-HIV

机译：Skevington，S.M.患有艾滋病毒/艾滋病的老年人的生活质量是否较差？使用WHOQOL-HIV的国际证据

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Increasingly older adults are being diagnosed with HIV/AIDS. In 2002, UNAIDS indicated that 13 aspects of quality of life (QoL) were poorer for older adults, but only sparse, inconsistent cross-cultural evidence is available. This statement was investigated using a reliable, valid measure (the WHOQOL-HIV) distributed in nine cultures (eight countries). HIV positive and well adults (n = 2089) were assessed across 30 QoL facets; 403 were 40+ years. It was confirmed that sleep, fatigue and sex-life were poorer areas of QoL for older HIV adults than younger. Furthermore, they could be misinterpreted as normal ageing signs. Moreover, older people reported greater dependency on medication. However, older HIV adults had better QoL than expected on 11 dimensions; negative feelings, social inclusion, and several environmental and spiritual facets. This highlights the extent of poor QoL in younger adults. After accounting for culture and gender, overall QoL and health in older HIV adults was explained by eight facets comprising 61.3% of the variance. Social relationships were paramount, especially personal relationships (41%), but support and sex-life also. Energy, negative feelings, cognitions, financial resources and HIV symptoms also contributed. Social interventions for ageing communities would improve well-being. This evidence could support global ageing and HIV policy.
机译：越来越多的成年人被诊断出患有艾滋病。联合国艾滋病规划署在2002年指出，老年人的生活质量（QoL）的13个方面较差，但仅有稀疏，不一致的跨文化证据。使用分布在九种文化（八个国家）中的可靠，有效的量度（WHOQOL-HIV）对该声明进行了调查。在30个QoL方面对HIV阳性和健康的成年人（n = 2089）进行了评估; 403个代表40岁以上。事实证明，与艾滋病毒相比，年龄较大的艾滋病毒成年人的睡眠，疲劳和性生活质量较差。此外，它们可能被误解为正常的衰老迹象。此外，老年人报告对药物的依赖性更大。但是，在11个维度上，较早的HIV成年人的QoL比预期的要好。负面情绪，社会包容以及一些环境和精神层面。这突显了年轻人的生活质量较差。在考虑了文化和性别之后，老年艾滋病毒成年人的总体生活质量和健康状况由八个方面解释，占差异的61.3％。社会关系至关重要，尤其是人际关系（41％），但支持和性生活也同样重要。精力，消极情绪，认知，财务资源和艾滋病毒症状也有所贡献。对老龄化社区的社会干预将改善人们的福祉。这些证据可以支持全球老龄化和艾滋病毒政策。

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