Identifying Distinct Symptom Clusters in Older Adults Living With HIV in the United States: A Latent Class Analysis
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As the number of older people living with HIV (PLWH) continues to grow, many experience a high symptom burden that negatively affects quality of life. Identifying symptom subgroups can help inform targeted interventions. Our study explored symptom patterns among older PLWH and their associations with self-rated health. Participants (≥50 years) completed surveys on demographics, symptoms, and self-rated health. The latent class analysis identified symptom occurrence-based subgroups, and differences in the number of bothersome symptoms (those reported as causing moderate to severe distress) and self-rated health were examined. Among 152 participants, the most common symptoms were fatigue, insomnia, and anxiety. Three subgroups emerged all high (46.0%), mixed psychosomatic (39.5%), and all low (14.5%). The mixed psychosomatic group reported significantly worse self-rated health compared with the other groups. Psychological symptoms strongly influence health perception in older PLWH. Addressing psychological symptoms alongside physical symptom relief may improve self-rated health in this population. Copyright © 2025 Association of Nurses in AIDS Care.

키워드

HIVlatent class analysisolder adultsself-rated healthsymptom clustersDIAGNOSED HIVPATTERNSHEALTH
제목
Identifying Distinct Symptom Clusters in Older Adults Living With HIV in the United States: A Latent Class Analysis
저자
Yeom, SeonmiKim, Young ManLee, Jung Eun
DOI
10.1097/JNC.0000000000000584
발행일
2025-11
유형
Article
저널명
Journal of the Association of Nurses in AIDS Care
36
6
페이지
660 ~ 670