Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 5 de 5
Filtrar
1.
AIDS Care ; 31(5): 554-562, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30558446

RESUMEN

People aging with HIV face social stressors which may negatively affect their overall nutrition. Here, we assess relationships between self-reported measures of depression, perceived stress, social support, and food insecurity with diet quality in older adults with HIV. A retrospective analysis of self-reported data from parent study at The University of Alabama at Birmingham 1917 HIV Clinic was performed. The study sample consisted of sixty people living with HIV (PLWH) with controlled HIV infection (<50 copies/mL), aged 50 years or older who participated in a cross-sectional microbiome study. Dietary intake was measured using the NHANES 12-month Food Frequency Questionnaire (FFQ) and three Automated Self-Administered (ASA) 24-hr diet recalls to calculate diet quality scores using the Mediterranean Diet Score (MDS); alternative Healthy Eating Index (aHEI); and the Recommended Food Score (RFS) indices. Food insecurity was measured with the Food Security Questionnaire (FSQ). Participants completed the following psychosocial scales: (1) depression - Patient Health Questionnaire-8 (PHQ8); (2) perceived stress - Perceived Stress Scale (PSS-10); (3) social support - Multidimensional Scale of Perceived Social Support (MSPSS). Linear regression models were used to investigate relationships among variables controlling for gender and income. The cohort was characterized as follows: Mean age 56 ± 4.6 years, 80% African-American, and 32% women. Mean body mass index (BMI) was 28.4 ± 7.2 with 55% reporting food insecurity. Most participants reported having post-secondary education (53%), although 77% reported annual incomes <$20,000. Food insecurity was independently associated with measures of poor dietary intake: aHEI (ß = -0.08, p = .02) and MDS (ß = -0.23, p < 0.01) and with low dietary intake of fibre (ß = -0.27, p = .04), vitamin E (ß = -0.35, p = .01), folate (ß = -0.31, p = .02), magnesium (ß = -0.34, p = .01) and copper (ß = -0.36, p = .01). These data indicate food insecurity is associated with poor diet quality among PLWH. Clinical interventions are needed to improve food access for PLWH of low SES.


Asunto(s)
Dieta , Conducta Alimentaria , Abastecimiento de Alimentos/estadística & datos numéricos , Infecciones por VIH/psicología , Estrés Psicológico , Anciano , Alabama , Fármacos Anti-VIH/uso terapéutico , Estudios de Cohortes , Depresión , Fibras de la Dieta , Femenino , Infecciones por VIH/tratamiento farmacológico , Humanos , Masculino , Persona de Mediana Edad , Evaluación Nutricional , Encuestas Nutricionales , Estado Nutricional , Estudios Retrospectivos , Apoyo Social , Encuestas y Cuestionarios
2.
Eur J Cancer Care (Engl) ; 19(1): 110-7, 2010 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-19709169

RESUMEN

It has been suggested that chemotherapy treatment for cancer may contribute to cognitive decline in older cancer survivors. This issue is particularly important given that subtle cognitive impairment, particularly in cognitive processing speed, can affect functional status and quality of life for older adults. Multivariate regression of data from a longitudinal randomized controlled trial of older adults revealed a trend towards decreased performance after cancer treatment with chemotherapy on several functional measures associated with processing speed (as compared with matched individuals who did not have cancer). Additional analyses revealed that a subset of the chemotherapy-treated adults demonstrated a reliable negative change on several measures of processing speed. While inconclusive, this hypothesis generating work suggests that cognitive dysfunction following cancer treatment may contribute to disability observed in older cancer survivors. Further research is needed to determine the significance of the relationship between cognitive and functional impairment in older cancer survivors.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Trastornos del Conocimiento/inducido químicamente , Neoplasias/tratamiento farmacológico , Actividades Cotidianas , Anciano , Anciano de 80 o más Años , Quimioterapia Adyuvante/efectos adversos , Trastornos del Conocimiento/fisiopatología , Función Ejecutiva/efectos de los fármacos , Función Ejecutiva/fisiología , Femenino , Humanos , Estudios Longitudinales , Masculino , Neoplasias/complicaciones , Neoplasias/fisiopatología , Pruebas Neuropsicológicas , Análisis de Regresión , Índice de Severidad de la Enfermedad
3.
Psychol Aging ; 16(3): 427-36, 2001 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11554521

RESUMEN

Self-report measures of depression, physical health symptoms, and life satisfaction were collected over a 2-year period from 197 family caregivers of dementia patients and 218 noncaregivers (controls). Latent growth models were used to compare changes across time for African American and White caregivers, with gender, age, and socioeconomic status serving as covariates. Results indicated that White caregivers sustained higher levels of elevated depression and decreasing life satisfaction over time compared with African American caregivers. Both groups of caregivers reported increases in physical symptoms over time. These results indicate worsening difficulties over time for many White caregivers. African American caregivers show more resilience on measures of depression and life satisfaction but are still vulnerable to increases in physical symptoms over time. Implications for additional research and clinical intervention are discussed.


Asunto(s)
Enfermedad de Alzheimer/psicología , Negro o Afroamericano/psicología , Cuidadores/psicología , Población Blanca/psicología , Adulto , Anciano , Anciano de 80 o más Años , Actitud Frente a la Salud , Costo de Enfermedad , Depresión/psicología , Femenino , Humanos , Estudios Longitudinales , Masculino , Escala del Estado Mental , Persona de Mediana Edad , Satisfacción Personal , Trastornos Somatomorfos/psicología
4.
Int J STD AIDS ; 12(3): 181-8, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11231872

RESUMEN

As part of a longitudinal investigation, the husbands and cohabiting male partners of 684 Rwandan women were recruited to participate in an HIV testing and counselling programme. All of the women and 256 of the men (37%) had previously received standard testing and generic counselling services. In this project, all of the men participated in an extensive, male-focused counselling programme. This included 428 men who were receiving testing and counselling for the first time. Interview responses indicated that rates of condom use during sexual intercourse increased dramatically at the one-year follow-up assessment for the serodiscordant couples. This effect was especially strong for couples whose male partners were receiving testing and counselling for the first time. Rates of condom use also increased substantially in seroconcordant HIV-positive couples whose partners had both been tested previously. Women in couples with at least one seropositive partner reported lower rates of coercive sex by their male partners after they completed the counselling programme. Male-focused and couple-focused testing and counselling programmes appear to be effective in reducing risky sexual behaviours in heterosexual couples, even if one or both partners have received testing and counselling services previously.


Asunto(s)
Infecciones por VIH/prevención & control , Consejo Sexual , Conducta Sexual , Adulto , Estudios de Cohortes , Condones/estadística & datos numéricos , Femenino , Infecciones por VIH/epidemiología , Infecciones por VIH/psicología , Seropositividad para VIH/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Rwanda/epidemiología , Conducta Sexual/estadística & datos numéricos
5.
Aging Ment Health ; 6(1): 62-71, 2002 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11827624

RESUMEN

Relationships between life events and psychological distress were investigated for 197 dementia caregivers and 218 non-caregivers. Participants indicated which events on the Louisville Older Persons Events Scale they had experienced over the past six months. Life events were then classified as associated or unassociated with care-giving using differences in incidence rates between caregivers and non-caregivers. Primary care-giving stressors and associated life events were most predictive of psychological distress among caregivers. Among non-caregivers, unassociated negative life events were the strongest predictors of depression and life satisfaction. Implications for the assessment of life events and caregiver interventions are discussed.


Asunto(s)
Cuidadores/psicología , Demencia/psicología , Acontecimientos que Cambian la Vida , Estrés Psicológico/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA