دورية أكاديمية

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

التفاصيل البيبلوغرافية
العنوان: Preference for care models among older people living with HIV: cross-sectional study
المؤلفون: Li, Mei, Ren, Jianlan, Luo, Yue, Watson, Roger, Zheng, Yu, Ding, Li, Wang, Fulan, Chen, Yanhua
المساهمون: Sichuan Provincial Social Science "14th Five-Year Plan" Program, The Primary Health Development Research Center of Sichuan Province Program, the Sichuan Hospital Management and Development Research Center, Southwest Medical University
المصدر: BMC Public Health ; volume 23, issue 1 ; ISSN 1471-2458
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2023
مصطلحات موضوعية: Public Health, Environmental and Occupational Health
الوصف: 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.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1186/s12889-023-16941-9
DOI: 10.1186/s12889-023-16941-9.pdf
DOI: 10.1186/s12889-023-16941-9/fulltext.html
الإتاحة: https://doi.org/10.1186/s12889-023-16941-9Test
حقوق: https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test
رقم الانضمام: edsbas.FD1CA155
قاعدة البيانات: BASE