Preference for care models among older people living with HIV: cross-sectional study

作者全名："Li, Mei; Ren, Jianlan; Luo, Yue; Watson, Roger; Zheng, Yu; Ding, Li; Wang, Fulan; Chen, Yanhua"

作者地址："[Li, Mei; Ding, Li] Chongqing Med Univ, Dept Gynecol, Affiliated Hosp 1, Branch 1, Chongqing, Peoples R China; [Ren, Jianlan] Southwest Med Univ, Dept Anesthesiol, Affiliated Hosp, 2296, Luzhou, Peoples R China; [Luo, Yue] Sichuan Univ, West China Hosp, Dept Cardiol, Chengdu, Peoples R China; [Watson, Roger] Univ Hull, Hlth & Social Care Fac, Kingston Upon Hull, England; [Zheng, Yu] Southwest Med Univ, Dept Rheumatism & Immunol, Affiliated Hosp, Luzhou, Peoples R China; [Wang, Fulan] Chongqing Med Univ, Dept Gynecol, Affiliated Hosp 1, Chongqing, Peoples R China; [Chen, Yanhua] Southwest Med Univ, Dept Nursing, Affiliated Hosp, Luzhou, Peoples R China"

通信作者："Chen, YH (通讯作者)，Southwest Med Univ, Dept Nursing, Affiliated Hosp, Luzhou, Peoples R China."

来源：BMC PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001099617100008

JCR分区：Q1

影响因子：3.5

年份：2023

卷号：23

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Older; Care models; Preference; HIV stigma; Social support

摘要："Background The number of people living with HIV (PWH) aged 50 and above is increasing. The question of care among older PWH (aged >= 50 years) is an increasing concern. Understanding the care preference of older people can better provide care services for them. The purpose of this study was to investigate the care preference (home-based care, self-care, institutional care, community-based care, and mutual-aid care) among older PWH and identify the factors affecting their care preference.Methods A cross-sectional survey was conducted among older PWH (aged >= 50 years) about care preference from May to November 2021. We enrolled 319 participants using convenience sampling. We designed a questionnaire to assess the care preference of older PWH. The Chi-square test and Fisher's exact test were used to conduct univariate analysis of care preference. Multinomial logistic regression was used to identify factors influencing care preference.Results Most older PWH (72.7%) preferred home-based care, and few (15.7%) preferred self-care. Fewer older PWH preferred community-based care (5.3%), institutional care (5.0%) and mutual-aid care (1.3%). Multivariate analysis showed that older PWH with a house, spouse and more children were more inclined to choose home-based care (p < .05). Older PWH living alone, having higher monthly income and higher HIV stigma preferred to choose self-care (p < .05).Conclusion Home-based care was the most preferred model of older PWH, and self-care ranked second. The number of those who preferred institutional care, community-based care and mutual-aid care were few. Nation and government should take measures to allocate care resources for older adults reasonably to better meet the care needs of older PWH. It is important to strengthen social security, reduce internalized HIV stigma, improve social support, and explore diversified care models for improving the quality of life of older PWH."

基金机构：The authors are grateful to all patients who participated in this study and the Centers for Disease Control and Prevention for their support of this program.; Centers for Disease Control and Prevention

基金资助正文：The authors are grateful to all patients who participated in this study and the Centers for Disease Control and Prevention for their support of this program.