{"title":"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","authors":"Wenxiu Sun, Wei-Ti Chen, Yanyun Pan, Xueqian Lu, Lin Zhang, Rachel Arbing","doi":"10.3928/00989134-20250905-03","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether psychological distress mediates the relationship between social isolation and frailty among older people living with HIV (PLWH) in China.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Social Isolation and Frailty Among Older People Living With HIV in China: Mediation Effects of Psychological Distress.\",\"authors\":\"Wenxiu Sun, Wei-Ti Chen, Yanyun Pan, Xueqian Lu, Lin Zhang, Rachel Arbing\",\"doi\":\"10.3928/00989134-20250905-03\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To determine whether psychological distress mediates the relationship between social isolation and frailty among older people living with HIV (PLWH) in China.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":15848,\"journal\":{\"name\":\"Journal of gerontological nursing\",\"volume\":\" \",\"pages\":\"1-10\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of gerontological nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/00989134-20250905-03\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20250905-03","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Social Isolation and Frailty Among Older People Living With HIV in China: Mediation Effects of Psychological Distress.
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.
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.