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Loneliness and its correlates among older adults living with HIV: A multicenter cross-sectional study

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收录情况： ◇ SCIE ◇ SSCI

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机构： [1]School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China [2]Tianjin Hexi District Center for Disease Control and Prevention, Tianjin, China [3]Department of Scientific Research, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China [4]Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China [5]School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China [6]Department of AIDS/STD Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing, China [7]Department of AIDS/STD Control and Prevention, Tianjin Center for Disease Control and Prevention, Tianjin, China [8]Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, China [9]Wuxi Municipal Center for Disease Control and Prevention, Wuxi, China [10]School of Public Health, Fudan University, Shanghai, China [11]School of Public Health, Southwest Medical University, Luzhou, China [12]Kirby Institute, University of New South Wales, Sydney, Australia

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With the aging among people living with HIV, it is critical to understand the health needs of older adults (aged 50 years and above) living with HIV (OALHIV). Loneliness, as the next critical public health issue, was rarely mentioned among OALHIV.A multicenter cross-sectional study was conducted between April 2021 and April 2022. Participants were recruited from infectious diseases hospitals that provide HIV care in four cities in China. The associations with loneliness symptoms (measured by a three-item UCLA Loneliness Scale) were analyzed by logistic regression models.A total of 680 OALHIV (500 men, 180 women, mean age 60.3 ± 7.8 years) were included in the analysis. About one-fifth (18.1 %) of OALHIV reported loneliness symptoms. Living in urban areas (aOR 3.50, 95 % CI 1.76-6.95), having children without close intergenerational relationships (2.85, 1.15-7.07), higher self-perceptions of aging (1.10, 1.06-1.15), being heterosexual (0.26, 0.13-0.52) or bisexual (0.37, 0.16-0.82), having children with whom they kept close intergenerational relationships (0.36, 0.14-0.98), and reporting life satisfaction (0.40, 0.24-0.66), were associated with loneliness symptoms.This study is a cross-sectional study and only included OALHIV who participated in antiretroviral therapy treatment for >18 months, which is not widely representative.Loneliness was prevalent among OALHIV. Living in urban areas, being homosexual, having children with whom they kept fragile intergenerational relationships, being dissatisfied with life, and having higher self-perceptions of aging were independent risk factors for loneliness. Routine health management for OALHIV needs to incorporate the assessment of aging perceptions and loneliness.Copyright © 2023 Elsevier B.V. All rights reserved.

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出版当年[2022]版：

大类 | 2 区

医学

小类 | 2 区精神病学 2 区临床神经病学

最新[2023]版：

大类 | 2 区

医学

小类 | 2 区临床神经病学 2 区精神病学

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出版当年[2021]版：

Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY

最新[2023]版：

Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY

影响因子： 4.9 最新[2023版] 5.4 最新五年平均 6.533 出版当年[2021版] 6.569 出版当年五年平均 4.839 出版前一年[2020版] 6.6 出版后一年[2022版]

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第一作者机构： [1]School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China

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通讯机构： [10]School of Public Health, Fudan University, Shanghai, China [11]School of Public Health, Southwest Medical University, Luzhou, China [12]Kirby Institute, University of New South Wales, Sydney, Australia [*1]School of Public Health, Fudan University, 130 Dongan Road, Xuhui District, Shanghai 200032, China.

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