Mesh : Humans Female HIV Infections / psychology Aged Middle Aged Social Stigma Aging / psychology Age Factors Women's Health

来  源:   DOI:10.1371/journal.pone.0306225   PDF(Pubmed)

Abstract:
BACKGROUND: Older women living with HIV often go unnoticed due to societal biases and stigmas. Despite a rise in cases among older women, there is limited research on the psychosocial factors impacting their experiences. Aging complexities compounded by HIV and menopause affect these women\'s health, while factors like mental health impact, changing support networks, and ageism with HIV stigma influence their well-being. Existing studies mostly compare older HIV-positive individuals without considering gender and intersectional identities, limiting understanding of their unique experiences. The scarcity of research addressing age-related differences from diverse perspectives delays the development of tailored treatments and interventions.
OBJECTIVE: The study aims to comprehensively explore the age-related experiences of older women with HIV through three sub-questions that address (1) Key experiences, medical and social challenges, and strengths; (2) Impact of intersectional identities on their experiences; and (3) Gaps and limitations in current research.
METHODS: Utilizing a scoping review approach, the study seeks to map existing literature, employing a theoretical framework rooted in Sex- and Gender-Based Analysis Plus (SGBA+). Articles focusing on the age-related experiences of older women living with HIV aged 50 and above will be included. The study selection process will involve two independent reviewers screening articles based on pre-established inclusion criteria. Data extraction and synthesis will follow, analyzing the influence of sex, gender, and other identities on experiences.
CONCLUSIONS: The study\'s comprehensive approach aims to bridge gaps in understanding older women\'s HIV experiences, emphasizing intersectionality. While limited to English-language peer-reviewed articles, this review seeks to offer valuable insights for healthcare, policy, and research, potentially fostering positive change in the lives of diverse older women living with HIV.
摘要:
背景:由于社会偏见和污名,感染艾滋病毒的老年妇女往往被忽视。尽管老年妇女的病例有所增加,关于影响他们经历的社会心理因素的研究有限。艾滋病毒和更年期复合的老龄化复杂性影响这些妇女的健康,虽然心理健康等因素会影响,不断变化的支持网络,和年龄歧视与艾滋病毒的耻辱影响他们的福祉。现有研究大多比较老年HIV阳性个体,而不考虑性别和交叉身份。限制了对他们独特经历的理解。缺乏从不同角度解决与年龄相关的差异的研究延迟了定制治疗和干预措施的发展。
目的:该研究旨在通过三个子问题全面探讨老年艾滋病病毒感染者的年龄相关经历:(1)关键经历,医疗和社会挑战,和优势;(2)交叉身份对他们的经验的影响;(3)当前研究中的差距和局限性。
方法:利用范围审查方法,这项研究旨在绘制现有文献,采用植根于基于性别和性别的分析加(SGBA+)的理论框架。将包括侧重于50岁及以上感染艾滋病毒的老年妇女的年龄相关经历的文章。研究选择过程将涉及两名独立的审稿人根据预先建立的纳入标准筛选文章。接下来将进行数据提取和合成,分析性的影响,性别,和经验上的其他身份。
结论:该研究的综合方法旨在弥合在了解老年妇女的艾滋病毒经历方面的差距,强调交叉性。虽然仅限于英语同行评审文章,这篇评论旨在为医疗保健提供有价值的见解,政策,和研究,可能促进感染艾滋病毒的不同老年妇女的生活发生积极变化。
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