How is Aging Perceived to Affect Well-being in Women Older than 50 Years Living With HIV? A Qualitative Systematic Review.

IF 1.6 4区 医学 Q2 NURSING Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 Epub Date: 2023-08-03 DOI:10.1097/JNC.0000000000000419
Rebecca Conway, Michael Evangeli
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Abstract

Abstract: Advances in HIV treatment have led to more people with HIV living to 50 years and older. No reviews have qualitatively analyzed and synthesized the literature relevant to theory and practice for well-being specifically in Women living with HIV (WLWH) aged 50 years and older. Sixteen eligible qualitative studies were critically appraised and thematically synthesized to investigate how aging was perceived to affect well-being in WLWH aged 50 years and older. Six themes demonstrated how HIV-related stigmas negatively affected social well-being, and how adjusting to living and aging with HIV negatively affected psychological and physical well-being of older WLWH. Holding caring roles also negatively affected physical well-being of WLWH. Globally, majority women aging with HIV were found to experience additional stigmas. Further research could elucidate how HIV-related stigma affects the well-being of global majority women living and aging with HIV. Recommendations are made for future HIV-related clinical practice and theory development.

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年龄增长如何影响50岁以上艾滋病患者的幸福感?定性系统评价。
摘要:艾滋病毒治疗的进展使更多的艾滋病毒感染者活到50岁及以上。没有任何综述对与50岁及以上艾滋病毒感染者(WLWH)幸福感理论和实践相关的文献进行定性分析和综合。对16项符合条件的定性研究进行了批判性评估和主题综合,以调查衰老如何影响50岁及以上WLWH的幸福感。六个主题展示了与艾滋病毒相关的污名如何对社会福祉产生负面影响,以及适应艾滋病毒感染者的生活和衰老如何对老年WLWH的心理和身体健康产生负面影响。担任照顾角色也会对WLWH的身体健康产生负面影响。在全球范围内,大多数感染艾滋病毒的老年妇女被发现有额外的污名。进一步的研究可以阐明与艾滋病毒相关的污名如何影响全球大多数感染艾滋病毒的妇女的福祉。对未来HIV相关临床实践和理论发展提出了建议。
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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
120
期刊介绍: The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.
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