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HIV, Social Networks, and Loneliness among Older Adults in Uganda.
Quach, Lien T; Ritchie, Christine S; Reynolds, Zahra; Paul, Robert; Seeley, Janet; Tong, Yao; Hoeppner, Susanne; Okello, Samson; Nakasujja, Noeline; Olivieri-Mui, Brianne; Saylor, Deanna; Greene, Meredith; Asiimwe, Stephen; Tindimwebwa, Edna; Atwiine, Flavia; Sentongo, Ruth; Siedner, Mark J; Tsai, Alexander C.
Afiliación
  • Quach LT; Medical Practice Evaluation Center, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA. lquach@mgh.harvard.edu.
  • Ritchie CS; Centre for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA, USA. lquach@mgh.harvard.edu.
  • Reynolds Z; Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, USA. lquach@mgh.harvard.edu.
  • Paul R; Department of Gerontology, University of Massachusetts Boston, Boston, MA, USA. lquach@mgh.harvard.edu.
  • Seeley J; Harvard Medical School, Boston, MA, USA. lquach@mgh.harvard.edu.
  • Tong Y; The Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, USA. lquach@mgh.harvard.edu.
  • Hoeppner S; Centre for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA, USA.
  • Okello S; Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, USA.
  • Nakasujja N; Harvard Medical School, Boston, MA, USA.
  • Olivieri-Mui B; Medical Practice Evaluation Center, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
  • Saylor D; Department of Psychological Sciences, University of Missouri at St. Louis, St. Louis, USA.
  • Greene M; Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
  • Asiimwe S; Medical Practice Evaluation Center, Mongan Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
  • Tindimwebwa E; Harvard Medical School, Boston, MA, USA.
  • Atwiine F; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
  • Sentongo R; Mbarara University of Science and Technology, Mbarara, Uganda.
  • Siedner MJ; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
  • Tsai AC; Department of Psychiatry, College of Health Sciences, Makerere University School of Medicine, Kampala, Uganda.
AIDS Behav ; 28(2): 695-704, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38281251
ABSTRACT
Loneliness among older adults has been identified as a major public health problem. Yet little is known about loneliness, or the potential role of social networks in explaining loneliness, among older people with HIV (PWH) in sub-Saharan Africa, where 70% of PWH reside. To explore this issue, we analyzed data from 599 participants enrolled in the Quality of Life and Ageing with HIV in Rural Uganda study, including older adults with HIV in ambulatory care and a comparator group of people without HIV of similar age and gender. The 3-item UCLA Loneliness Scale was used to measure loneliness, and HIV status was the primary explanatory variable. The study found no statistically significant correlation between loneliness and HIV status. However, individuals with HIV had smaller households, less physical and financial support, and were less socially integrated compared to those without HIV. In multivariable logistic regressions, loneliness was more likely among individuals who lived alone (aOR3.38, 95% CI1.47-7.76) and less likely among those who were married (aOR0.34, 95% CI0.22-0.53) and had a higher level of social integration (aOR0.86, 95% CI 0.79-0.92). Despite having smaller social networks and less support, older adults with HIV had similar levels of loneliness as those without HIV, which may be attributed to resiliency and access to HIV-related health services among individuals with HIV. Nonetheless, further research is necessary to better understand the mechanisms involved.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Infecciones por VIH / Soledad Tipo de estudio: Prognostic_studies Límite: Aged / Humans País/Región como asunto: Africa Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Infecciones por VIH / Soledad Tipo de estudio: Prognostic_studies Límite: Aged / Humans País/Región como asunto: Africa Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos