感染艾滋病毒的老年人与营养健康：对2013年南非老年人大数据调查（WOPS）第二轮的分析
Aged Persons Living with HIV and Nutritional Wellness: Analysis of 2013 South Africa-SAGE Well-Being of Older People Study (WOPS) Wave 2.
作者信息
Oduro Joseph Kojo, Kissah-Korsah Kwaku
机构信息
Department of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana.
出版信息
J Aging Res. 2021 Jun 23;2021:6635814. doi: 10.1155/2021/6635814. eCollection 2021.
INTRODUCTION
This study sought to examine the nutritional wellness among aged persons living with HIV in Somkhele, South Africa.
METHODS
Data were extracted from the 2013 South Africa-SAGE Well-Being of Older People Study (WOPS) Wave 2. The study sampled 440 aged persons (50 years and above). The proportion of the aged persons with high nutritional wellness by key covariates was reported with chi-square and -values ( < 0.05). Two-level binary logistic regression models were fitted.
RESULTS
Results show that there were more aged women (79.8%) than men (20.2%) and the younger old (50-64) dominated (65.7%) in the ages, among the respondents. A higher percent of the aged persons were widows (39.5%) and had no formal education (46.1%). Six in 10 aged persons were HIV infected (59.5%). Percentage distribution of men with high nutrition was higher (78.7%). Regression results show that having nutritional wellness was low for aged persons who were infected by HIV (OR = 0.74, 95% CI = 0.69, 1.26) when compared to those who were not infected. Regarding ages of respondents, having high nutritional wellness was higher for young old (65-74 years) (OR = 1.21, 95% CI = 0.65, 2.25) compared to younger old (50-64 years).
CONCLUSION
This study suggests that age, education, source of drinking water, household source of income, and financial situation are important for nutritional wellness of aged persons who are HIV infected in South Africa. Moreover, having HIV infection is associated with low nutritional wellness. Being a young old (65-74 years) and receiving government grants and with better financial situation is associated with high nutritional wellness. Stakeholders and agencies who have interest in aged persons affected by HIV must understand the socioeconomic status in relation to their nutritional wellness. The results are of great importance to ageing policies, specifically in health and nutrition.
引言
本研究旨在调查南非索姆凯莱地区感染艾滋病毒的老年人的营养健康状况。
方法
数据取自2013年南非老年人大幸福研究（WOPS）第二轮。该研究对440名老年人（50岁及以上）进行了抽样。通过卡方检验和P值（P<0.05）报告了关键协变量下营养健康状况良好的老年人比例。拟合了二级二元逻辑回归模型。
结果
结果显示，受访者中年龄较大的女性（79.8%）多于男性（20.2%），年龄分布以年轻老年人（50 - 64岁）为主（65.7%）。较高比例的老年人是寡妇（39.5%）且未接受过正规教育（46.1%）。十分之六的老年人感染了艾滋病毒（59.5%）。营养状况良好的男性比例较高（78.7%）。回归结果表明，与未感染艾滋病毒的老年人相比，感染艾滋病毒的老年人营养状况良好的比例较低（OR = 0.74，95% CI = 0.69，1.26）。关于受访者的年龄，与年轻老年人（50 - 64岁）相比，年龄较大的老年人（65 - 74岁）营养状况良好的比例较高（OR = 1.21，95% CI = 0.65，2.25）。
结论
本研究表明，年龄、教育程度、饮用水来源、家庭收入来源和财务状况对南非感染艾滋病毒的老年人的营养健康很重要。此外，感染艾滋病毒与低营养健康状况相关。作为年龄较大的老年人（65 - 74岁）、领取政府补助且财务状况较好与高营养健康状况相关。关注受艾滋病毒影响的老年人的利益相关者和机构必须了解与其营养健康相关的社会经济状况。这些结果对老龄化政策，特别是在健康和营养方面，具有重要意义。
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