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To analyze the current status of perceived HIV/AIDS-related stress among elderly individuals living with HIV/AIDS (PLWHA) and its influencing factors, and to explore the mediating role of psychological resilience between social support and HIV/AIDS-related stress.
A convenience sampling method was employed to include 405 elderly PLWHA from the Infectious Diseases and Immunology Department of Changsha Infectious Disease Hospital between January and February 2024. The on-site questionnaire included the Social Support Rating Scale (SSRS), the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), the Chinese HIV/AIDS Stress Scale (CSS-HIV), as well as demographic and disease characteristic information. Descriptive analysis, univariate analysis, and multiple stepwise linear regression were used to analyze the current status and influencing factors of HIV/AIDS-related stress; mediation analysis was conducted to explore the mediating effect of psychological resilience on HIV/AIDS-related stress.
The total score for HIV/AIDS-related stress among elderly PLWHA was 24.84±14.01, with emotional stress scoring 5.91±5.98,social stress 14.23±6.21, and instrumental stress 4.71±4.74. Factors influencing HIV/AIDS-related stress included being retired or engaged in farming, comorbidities, levels of social support, and psychological resilience (P<0.05). Psychological resilience showed a partial mediating effect in the relationship between social support and HIV/AIDS-related stress, accounting for 40.81% of the mediation effect.
Psychological resilience partially mediates the impact of social support on HIV/AIDS-related stress among elderly PLWHA. Interventions aimed at improving the status of social support and enhancing the psychological resilience of patients may help alleviate HIV/AIDS-related stress, thereby reducing their psychological burden and suffering.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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