Physical and psychosocial aspects of healthy ageing and HIV status among older adults in South Africa

IF 0.8 4区心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Psychology in Africa Pub Date : 2023-03-04 DOI:10.1080/14330237.2023.2182018

K. Peltzer, R. Phaswana-Mafuya

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Abstract

The study aimed to assess the prevalence by type of psychosocial associations with healthy ageing among older adults by HIV status in South Africa. We analysed data from the 2017 South African National HIV Prevalence, Incidence, Behaviour, and Communication Survey. This was a national cross-sectional household survey, including 7 596 older adults (≥ 50 years, median age = 60 years). Results indicated that the prevalence of healthy ageing was 25.9%, 19.9% among HIV-positive and 26.8% among HIV-negative persons. Of the participants, 49.1% self-reported no major disease and 93.0% reported no disability. Furthermore, 63.9% of the participants reported to be in good mental health, and 65.9% reported good overall health. Male sex and higher education were positively associated. Further, an HIV-positive status, older age, widowed, African black population group, and urban residence were negatively associated with overall healthy ageing. The study found a lower prevalence of healthy ageing among older persons with HIV compared to persons without HIV, which was associated with poorer mental health self-perceptions among those living with HIV.

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南非老年人健康老龄化的身体和社会心理方面以及艾滋病毒状况

该研究旨在根据南非艾滋病毒状况，评估老年人健康老龄化的社会心理关联类型的患病率。我们分析了2017年南非全国艾滋病毒流行率、发病率、行为和沟通调查的数据。这是一项全国性的横断面家庭调查，包括7 596名老年人（≥50岁，中位年龄=60岁）。结果表明，健康老龄化的患病率为25.9%，HIV阳性者为19.9%，HIV阴性者为26.8%。在参与者中，49.1%的人自我报告没有重大疾病，93.0%的人报告没有残疾。此外，63.9%的参与者报告心理健康状况良好，65.9%的参与者总体健康状况良好。男性与高等教育呈正相关。此外，艾滋病毒阳性状况、年龄较大、丧偶、非洲黑人群体和城市居住与总体健康老龄化呈负相关。研究发现，与未感染艾滋病毒的人相比，感染艾滋病毒的老年人健康老龄化的患病率较低，这与艾滋病毒感染者的心理健康自我认知较差有关。

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来源期刊

Journal of Psychology in Africa PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

1.70

自引率

16.70%

发文量

期刊介绍： Findings from psychological research in Africa and related regions needs a forum for better dissemination and utilisation in the context of development. Special emphasis is placed on the consideration of African, African-American, Asian, Caribbean, and Hispanic-Latino realities and problems. Contributions should attempt a synthesis of emic and etic methodologies and applications. The Journal of Psychology in Africa includes original articles, review articles, book reviews, commentaries, special issues, case analyses, reports and announcements.