Social Isolation and Frailty Among Older People Living With HIV in China: Mediation Effects of Psychological Distress.

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Wenxiu Sun, Wei-Ti Chen, Yanyun Pan, Xueqian Lu, Lin Zhang, Rachel Arbing
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引用次数: 0

Abstract

Purpose: To determine whether psychological distress mediates the relationship between social isolation and frailty among older people living with HIV (PLWH) in China.

Method: A quantitative cross-sectional study was conducted. A convenience sample of 342 eligible older PLWH were identified between December 2022 and October 2023. Data were collected through in-person surveys and structured questionnaires designed to collect data on sociodemographic characteristics, social isolation, frailty, and psychological distress with standard measures, including the Tilburg Frailty Indicator, Lubben Social Network Scale-6, and Distress Thermometer.

Results: Overall prevalence of major variables among participants was reported as follows: social isolation (57.3%), frailty (39.5%), and psychological distress (25.8%). Mediation analysis showed that an association between social isolation and frailty was mediated by psychological distress. Psychological distress partially mediated the relationship between social isolation and frailty, accounting for 30.4% of the total effect.

Conclusion: Higher levels of social isolation and greater levels of psychological distress may be significant risk factors for frailty among older PLWH. Levels of social isolation influence frailty directly and indirectly through a psychological distress pathway.

中国老年艾滋病毒感染者的社会孤立与脆弱性:心理困扰的中介作用
目的:探讨心理困扰是否在中国老年HIV感染者社会孤立与脆弱之间起中介作用。方法:采用定量横断面研究。在2022年12月至2023年10月期间,确定了342名符合条件的老年PLWH的便利样本。数据通过面对面调查和结构化问卷收集,旨在收集社会人口特征、社会孤立、脆弱性和心理困扰方面的数据,并采用标准测量方法,包括蒂尔堡脆弱性指标、卢本社会网络量表-6和压力温度计。结果:参与者中主要变量的总体患病率为:社会孤立(57.3%)、虚弱(39.5%)和心理困扰(25.8%)。中介分析表明,社会孤立与脆弱之间的关系是由心理困扰介导的。心理困扰部分中介了社会孤立与脆弱之间的关系,占总效应的30.4%。结论:较高的社会孤立程度和较高的心理困扰程度可能是老年PLWH患者体弱的重要危险因素。社会孤立程度直接或间接地通过心理困扰途径影响脆弱。
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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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