背景：老年感染者由於面臨老化以及疾病病程，有著更多的生理及心理上的症狀，社會支持可以有效的增加感染者的心理調適以及服藥遵從性延緩疾病進程，進一步改善生活品質。
目的：本研究旨在探討老年感染者與年輕感染者在社會支持、生活品質與死亡率的不同以及其相互關係，並進一步預測影響生活品質的重要因子。
方法：本研究為回溯性、橫斷性研究，採次級資料庫分析，以南部某醫學中心愛滋病個案管理資料庫中共246人之資料進行分析，經個案管理師以結構式問卷包括：自覺社會支持多面向量表、世界衛生組織生活品質量表簡明版(WHOQOL-HIV BRIEF)及病歷回顧方式資料蒐集。以線性迴歸分析CD4數目、社會支持以及共病指數等對生活品質之預測能力。
結果：老年感染者的社會支持低於年輕感染者(25.8±7.61 vs 31.83±9.118, p=.04)，尤其在朋友面向的支持顯著較少(6.70±2.71 vs 10.35±3.78, p=.003)。社會支持與生活品質呈現中度相關。而預測感染者生活品質因素主要為社會支持(F=8.252, p<.001)。
結論：增加感染者之社會支持可作為增進HIV感染者之生活品質介入措施之參考。

ABSTRACT
Background：The HIV older adults had more physical and psychological symptoms because of being confronted with the aging and disease progression. Social support can effectively enhance the coping strategy and adherence of people living with HIV, delay their disease progression, and furthermore improve their quality of life.
Objective：To discuss the differences and correlations in social support, quality of life and mortality rate between older and younger adults in HIV, and furthermore to predict factors on quality of life.
Methods：Secondary database analysis was conducted in the study. Total 246 patients in the HIV Case Management Database of a university hospital in southern Taiwan were included in this analysis. Data was collected through chart review and structured questionnaires including： MSPSS, WHOQOL-BREF HIV. Linear regression was used to analyze the predicting ability of CD4 cell counts, social support and Charlson Comobidity Index on the quality of life.
Results：Social support of HIV older adults was lower than younger ones ( 25.8±7.61 vs 31.83±9.118, p=.04 ), especially in the friend domain ( 6.70±2.71 vs 10.35±3.78, p=.003 ). Social support moderately correlated with the quality of life of people living with HIV, and was the main factor to predict their quality of life (F=8.252, p<.001).
Conclusion：Increasing social support provides reference for further intervention to improve the quality of life of people living with HIV.

參考文獻
柯乃熒、劉曉穎、賴霈妤、李欣純、柯文謙(2006)。HIV個案管理模式及其成效評估。感染控制雜誌，16(4)，237-245。
胡美蓉 (2010)。諦聽他們的生命樂章-三位男性國校退休教師生命敘說研究。台南大學，台灣。
馮明珠、高淑青、盧伯樑、柯乃熒 (2007)。成人愛滋感染者父母親之照顧經驗。護理雜誌，55(1)，24-32。
Abramowitz, S., Koenig, L. J., Chandwani, S., Orban, L., Stein, R., Lagrange, R., et al. (2009). Characterizing social support: global and specific social support experiences of HIV-infected youth. AIDS Patient Care STDS, 23(5), 323-330.
Achenbach, C. J., Cole, S. R., Kitahata, M. M., Casper, C., Willig, J. H., Mugavero, M. J., et al. (2011). Mortality after cancer diagnosis in HIV-infected individuals treated with antiretroviral therapy. AIDS, 25(5), 691-700.
Bajunirwe, F., Tisch, D. J., King, C. H., Arts, E. J., Debanne, S. M., & Sethi, A. K. (2009). Quality of life and social support among patients receiving antiretroviral therapy in Western Uganda. Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv, 21(3), 271-279.
Bakanda, C., Birungi, J., Mwesigwa, R., Ford, N., Cooper, C. L., Au-Yeung, C., et al. (2011). Association of aging and survival in a large HIV-infected cohort on antiretroviral therapy. AIDS, 25(5), 701-705.
Barclay, T. R., Hinkin, C. H., Castellon, S. A., Mason, K. I., Reinhard, M. J., Marion, S. D., et al. (2007). Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Health Psychology, 26(1), 40-49.
Barrera, M. (1986). Distinctions between social support concepts, measures, and models. 14(4), 413-445.
Bing, E. G., Hays, R. D., Jacobson, L. P., Chen, B., Gange, S. J., Kass, N. E., et al. (2000). Health-related quality of life among people with HIV disease: results from the Multicenter AIDS Cohort Study. Quaity of l Life Research, 9(1), 55-63.
Brummett, B. H., Mark, D. B., Siegler, I. C., Williams, R. B., Babyak, M. A., Clapp-Channing, N. E., et al. (2005). Perceived social support as a predictor of mortality in coronary patients: effects of smoking, sedentary behavior, and depressive symptoms. Psychosomatic medicine, 67(1), 40-45.
Burgoyne, R., & Renwick, R. (2004). Social support and quality of life over time amongadults living with HIV in the HAART era. Social Science & Medicinee, 58(7), 1353-1366. doi: 10.1016/s0277-9536(03)00314-9
Chesney, M. A., Chambers, D. B., Taylor, J. M., & Johnson, L. M. (2003). Social support, distress, and well-being in older men living with HIV infection. Journal of acquired immune deficiency syndromes, 33 Suppl 2, S185-193.
Cobb, S. (1976). Presidential Address-1976. Social support as a moderator of life stress. Psychosomatic medicine , 38(5), 300-314.
Cowdery, J. E., & Pesa, J. A. (2002). Assessing quality of life in women living with HIV infection. AIDS Care, 14(2), 235-245.
Crystal, S., Akincigil, A., Sambamoorthi, U., Wenger, N., Fleishman, J. A., Zingmond, D. S., et al. (2003). The diverse older HIV-positive population: A national profile of economic circumstances, social support, and quality of life. Journal of acquired immune deficiency syndromes, 33, S76-S83.
Cuzin, L., Delpierre, C., Gerard, S., Massip, P., & Marchou, B. (2007). Immunologic and clinical responses to highly active antiretroviral therapy in patients with HIV infection aged >50 years. Clinical infectious diseases, 45(5), 654-657.
de Boer-van der Kolk, I. M., Sprangers, M. A., Prins, J. M., Smit, C., de Wolf, F., & Nieuwkerk, P. T. (2010). Health-related quality of life and survival among HIV-infected patients receiving highly active antiretroviral therapy: a study ofpatients in the AIDS Therapy Evaluation in the Netherlands (ATHENA) Cohort. Clinical infectious diseases, 50(2), 255-263.
Egger, M., May, M., Chene, G., Phillips, A. N., Ledergerber, B., Dabis, F., . . . Sterne, J. A. (2002). Prognosis of HIV-1-infected patients starting highly active antiretroviral therapy: a collaborative analysis of prospective studies. Lancet, 360(9327), 119-129.
Emlet, C. A. (2006a). A comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV/AIDS. AIDS Patient Care STDS, 20(5), 350-358.
Emlet, C. A. (2006b). An examination of the social networks and social isolation in older and younger adults living with HIV/AIDS. Health & social work, 31(4), 299-308.
Emlet, C. A. (2007). Experiences of stigma in older adults living with HIV/AIDS: a mixed-methods analysis. AIDS Patient Care STDS, 21(10), 740-752.
Eng, P. M., Rimm, E. B., Fitzmaurice, G., & Kawachi, I. (2002). Social ties and change in social ties in relation to subsequent total and cause-specific mortality and coronary heart disease incidence in men. American journal of epidemiology, 155(8), 700-709.
Ettenhofer, M. L., Hinkin, C. H., Castellon, S. A., Durvasula, R., Ullman, J., Lam, M., et al. (2009). Aging, neurocognition, and medication adherence in HIV infection. TheAmerican journal of geriatric psychiatry, 17(4), 281-290.
Fang, C. T., Hsiung, P. C., Yu, C. F., Chen, M. Y., & Wang, J. D. (2002). Validation of the World Health Organization quality of life instrument in patients with HIV infection. Quality of life research, 11(8), 753-762.
Galvan, F. H., Davis, E. M., Banks, D., & Bing, E. G. (2008). HIV stigma and social support among African Americans. AIDS Patient Care STDS, 22(5), 423-436.
Grabar, S., Kousignian, I., Sobel, A., Le Bras, P., Gasnault, J., Enel, P., . . . Costagliola, D. (2004). Immunologic and clinical responses to highly active antiretroviral therapy over 50 years of age. Results from the French Hospital Database on HIV. AIDS, 18(15), 2029-2038. doi: 10.1097/00002030-200410210-00007
Grov, C., Golub, S. A., Parsons, J. T., Brennan, M., & Karpiak, S. E. (2010). Loneliness and HIV-related stigma explain depression among older HIV-positive adults. AIDS Care, 22(5), 630-639.
Heckman, T. G., Kochman, A., Sikkema, K. J., Kalichman, S. C., Masten, J., & Goodkin, K. (2000). Late middle-aged and older men living with HIV/AIDS: race differences in coping, social support, and psychological distress. Journal of the National Medical Association, 92(9), 436-444.
Hinkin, C. H., Hardy, D. J., Mason, K. I., Castellon, S. A., Durvasula, R. S., Lam, M. N., et al. (2004). Medication adherence in HIV-infected adults: effect of patient age, cognitive status, and substance abuse. AIDS, 18 Suppl 1, S19-25.
Hirabayashi, N., Fukunishi, I., Kojima, K., Kiso, T., Yamashita, Y., Fukutake, K., et al. (2002). Psychosocial factors associated with quality of life in Japanese patients with human immunodeficiency virus infection. Psychosomatics, 43(1), 16-23.
Ho, C. F., Twinn, S., & Cheng, K. K. (2010). Quality of life constructs of Chinese people living with HIV/AIDS. Psychology, health & medicine, 15(2), 210-219.
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: a meta-analytic review. PLoS medicine, 7(7), e1000316.
House, J. S. (2001). Social isolation kills, but how and why? Psychosomatic medicine, 63(2), 273-274.
Hsiung, P. C., Fang, C. T., Wu, C. H., Sheng, W. H., Chen, S. C., Wang, J. D., & Yao, G. (2011). Validation of the WHOQOL-HIV BREF among HIV-infected patients in Taiwan. AIDS Care, 23(8), 1035-1042. doi: 10.1080/09540121.2010.543881
Jia, H., Uphold, C. R., Wu, S., Chen, G. J., & Duncan, P. W. (2005). Predictors of changes in health-related quality of life among men with HIV infection in the HAART era. AIDS Patient Care STDS, 19(6), 395-405. doi: 10.1089/apc.2005.19.395
Kabore, I., Bloem, J., Etheredge, G., Obiero, W., Wanless, S., Doykos, P., et al. (2010). Theeffect of community-based support services on clinical efficacy and health-related quality of life in HIV/AIDS patients in resource-limited settings in sub-Saharan Africa. AIDS Patient Care STDS, 24(9), 581-594.
Kalayjian, R. C., Landay, A., Pollard, R. B., Taub, D. D., Gross, B. H., Francis, I. R., . . . Teams, P. (2003). Age-Related Immune Dysfunction in Health and in Human Immunodeficiency Virus (HIV) Disease: Association of Age and HIV Infection with Naive CD8+ Cell Depletion, Reduced Expression of CD28 on CD8+ Cells, and Reduced Thymic Volumes. Journal of Infectious Diseases, 187(12), 1924-1933. doi: 10.1086/375372
Kilbourne, A. M., Justice, A. C., Rabeneck, L., Rodriguez-Barradas, M., & Weissman, S. (2001). General medical and psychiatric comorbidity among HIV-infected veterans in the post-HAART era. Journal of Clinical Epidemiology, 54(12, Supplement 1), S22-S28.
Knobel, H., Guelar, A., Valldecillo, G., Carmona, A., Gonzalez, A., Lopez-Colomes, J. L., et al. (2001). Response to highly active antiretroviral therapy in HIV-infected patients aged 60 years or older after 24 months follow-up. AIDS, 15(12), 1591-1593.
Knowlton, A., Hua, W., & Latkin, C. (2004). Social support among HIV positive injection drug users: implications to integrated intervention for HIV positives. AIDS and behavior, 8(4), 357-363.
Knowlton, A. R., Hua, W., & Latkin, C. (2005). Social support networks and medical service use among HIV-positive injection drug users: implications to intervention. AIDS Care, 17(4), 479-492.
Ko, N.-Y., Lai, Y.-Y., Liu, H.-Y., Lee, H.-C., Chang, C.-M., Lee, N.-Y., . . . Ko, W.-C. (2012). Impact of the nurse-led case management program with retention in care on mortality among people with HIV-1 infection: A prospective cohort study. International Journal of Nursing Studies, 49(6), 656-663.
Langford, C. P., Bowsher, J., Maloney, J. P., & Lillis, P. P. (1997). Social support: a conceptual analysis. Journal of advanced nursing, 25(1), 95-100.
Leserman, J., Jackson, E. D., Petitto, J. M., Golden, R. N., Silva, S. G., Perkins, D. O., et al. (1999). Progression to AIDS: the effects of stress, depressive symptoms, and social support. Psychosomatic medicine, 61(3), 397-406.
Leserman, J., Petitto, J. M., Gu, H., Gaynes, B. N., Barroso, J., Golden, R. N., et al. (2002). Progression to AIDS, a clinical AIDS condition and mortality: psychosocial and physiological predictors. Psychological medicine, 32(6), 1059-1073.
Li, L., Wu, Z., Wu, S., Jia, M., Lieber, E., & Lu, Y. (2008). Impacts of HIV/AIDS Stigma on Family Identity and Interactions in China. Families systems & health, 26(4),431-442.
Lima, V. D., Harrigan, R., Bangsberg, D. R., Hogg, R. S., Gross, R., Yip, B., et al. (2009). The combined effect of modern highly active antiretroviral therapy regimens and adherence on mortality over time. Journal of Acquired Immune Deficiency Syndromes, 50(5), 529-536.
Linsk, N. L., Fowler, J. P., & Klein, S. J. (2003). HIV/AIDS prevention and care services and services for the aging: bridging the gap between service systems to assist older people. Journal of Acquired Immune Deficiency Syndromes, 33 Suppl 2, S243-250.
Lyons, A., Pitts, M., Grierson, J., Thorpe, R., & Power, J. (2010). Ageing with HIV: health and psychosocial well-being of older gay men. AIDS Care, 22(10), 1236-1244.
Mathews, W. C., & May, S. (2007). EuroQol (EQ-5D) measure of quality of life predicts mortality, emergency department utilization, and hospital discharge rates in HIV-infected adults under care. Health and Quality of Life Outcomes, 5, 5.
Mavandadi, S., Zanjani, F., Ten Have, T. R., & Oslin, D. W. (2009). Psychological well-being among individuals aging with HIV: the value of social relationships. Journal of Acquired Immune Deficiency Syndromes, 51(1), 91-98.
Mazzella, F., Cacciatore, F., Galizia, G., Della-Morte, D., Rossetti, M., Abbruzzese, R., et al. (2010). Social support and long-term mortality in the elderly: role of comorbidity. Archives of Gerontology and Geriatrics, 51(3), 323-328.
Miners, A. H., Sabin, C. A., Mocroft, A., Youle, M., Fisher, M., & Johnson, M. (2001). Health-related quality of life in individuals infected with HIV in the era of HAART. HIV Clinical Trials, 2(6), 484-492.
Mrus, J. M., Leonard, A. C., Yi, M. S., Sherman, S. N., Fultz, S. L., Justice, A. C., et al. (2006). Health-related quality of life in veterans and nonveterans with HIV/AIDS. Journal of General Internal Medicine, 21 Suppl 5, S39-47.
Mrus, J. M., Williams, P. L., Tsevat, J., Cohn, S. E., & Wu, A. W. (2005). Gender differences in health-related quality of life in patients with HIV/AIDS. Quality of Life Research, 14(2), 479-491. doi: 10.1007/s11136-004-4693-z
Mugavero, M. J., Lin, H. Y., Willig, J. H., Westfall, A. O., Ulett, K. B., Routman, J. S., et al. (2009). Missed visits and mortality among patients establishing initial outpatient HIV treatment. Clinical Iinfectious Diseases, 48(2), 248-256.
Navarro, G., Nogueras, M. M., Segura, F., Casabona, J., Miro, J. M., Murillas, J., et al. (2008). HIV-1 infected patients older than 50 years. PISCIS cohort study. The Journal of Infection, 57(1), 64-71.
Nogueras, M., Navarro, G., Anton, E., Sala, M., Cervantes, M., Amengual, M., et al. (2006). Epidemiological and clinical features, response to HAART, and survival in HIV-infected patients diagnosed at the age of 50 or more. BMC Infectious Diseases,6, 159.
Nokes, K. M., Coleman, C. L., Hamilton, M. J., Corless, I. B., Sefcik, E., Kirksey, K. M., et al. (2011). Age-related effects on symptom status and health-related quality of life in persons with HIV/AIDS. Applied Nursing Research, 24(1), 10-16.
Nokes, K. M., Holzemer, W. L., Corless, I. B., Bakken, S., Brown, M.-A., Powell-Cope, G. M., et al. (2000). Health-related quality of life in persons younger and older than 50 who are living with HIV/AIDS. Research on Aging, 22(3), 290-310.
O'Connell, K. A., Saxena, S., Skevington, S. M., & Grp, W. H. (2004). WHOQOL-HIV for quality of life assessment among people living with HIV and AIDS: results from the field test. [Article]. Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv, 16(7), 882-889. doi: 10.1080/09540120412331290194
Onen, N. F., Overton, E. T., Seyfried, W., Stumm, E. R., Snell, M., Mondy, K., et al. (2010). Aging and HIV infection: a comparison between older HIV-infected persons and the general population. HIV Clinical Trials, 11(2), 100-109.
Oursler, K. K., Goulet, J. L., Leaf, D. A., Akingicil, A., Katzel, L. I., Justice, A., et al. (2006). Association of comorbidity with physical disability in older HIV-infected adults. AIDS Patient Care STDS, 20(11), 782-791.
Palella, F. J., Jr., Delaney, K. M., Moorman, A. C., Loveless, M. O., Fuhrer, J., Satten, G. A., et al. (1998). Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. TheNew England journal of medicine, 338(13), 853-860.
Paxton, S., Gonzales, G., Uppakaew, K., Abraham, K. K., Okta, S., Green, C., et al. (2005). AIDS-related discrimination in Asia. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, 17(4), 413 - 424.
Pereira, M., & Canavarro, M. C. (2011). Gender and age differences in quality of life and the impact of psychopathological symptoms among HIV-infected patients. AIDS and Behavior. 15(8), 1857-1869. doi: 10.1007/s10461-011-9928-8
Piette, J., Wachtel, T. J., Mor, V., & Mayer, K. (1995). The impact of age on the quality of life in persons with HIV infection.Journal of Aging and Health, 7(2), 163-178.
Pitts, M., Grierson, J., & Misson, S. (2005). Growing older with HIV: a study of health, social and economic circumstances for people Living with HIV in Australia over the age of 50 years. AIDS Patient Care STDS, 19(7), 460-465.
Poindexter, C., & Shippy, R. A. (2008). Networks of older New Yorkers with HIV: fragility, resilience, and transformation. AIDS Patient Care STDS, 22(9), 723-733.
Porter, K., Babiker, A., Bhaskaran, K., Darbyshire, J., Pezzotti, P., & Walker, A. S. (2003). Determinants of survival following HIV-1 seroconversion after the introduction of HAART. Lancet, 362(9392), 1267-1274.
Prezza, M., & Giuseppina Pacilli, M. (2002). Perceived social support from significant others, family and friends and several socio-demographic characteristics. Journal of Community & Applied Social Psychology, 12(6), 422-429. doi: 10.1002/casp.696
Rabkin, J. G. (2008). HIV and depression: 2008 review and update. Current HIV/AIDS Reports, 5(4), 163-171.
Reilly, T., Smith, L., Woodruff, S. I., Clapp, J. D., & Cade, J. (2010). Predictors of death and survival duration among a sample of persons living With HIV/AIDS. Social Work in Health Care, 49(9), 783-798.
Roth, M. (2009). Social support as a mediator in the relation between sensation seeking (need for stimulation) and psychological adjustment in older adults. Personality and Individual Differences, 47(7), 798-801.
Rutledge, T., Matthews, K., Lui, L. Y., Stone, K. L., & Cauley, J. A. (2003). Social networks and marital status predict mortality in older women: prospective evidence from the Study of Osteoporotic Fractures (SOF). Psychosomatic Medicine, 65(4), 688-694.
Sabin, C. A., Smith, C. J., d'Arminio Monforte, A., Battegay, M., Gabiano, C., Galli, L., et al. (2008). Response to combination antiretroviral therapy: variation by age. AIDS, 22(12), 1463-1473.
Sarason, I. G., Sarason, B. R., Potter, E. H., 3rd, & Antoni, M. H. (1985). Life events, social support, and illness. Psychosomatic Medicine, 47(2), 156-163.
Schrimshaw, E. W., & Siegel, K. (2003). Perceived barriers to social support from family and friends among older adults with HIV/AIDS. Journal of Health Psychology, 8(6), 738-752.
Schuster, M. A., Collins, R., Cunningham, W. E., Morton, S. C., Zierler, S., Wong, M., et al. (2005). Perceived discrimination in clinical care in a nationally representative sample of HIV-infected adults receiving health care. Journal of General Internal Medicine, 20(9), 807-813.
Sherr, L., Harding, R., Lampe, F., Johnson, M., Anderson, J., Zetler, S., et al. (2009). Clinical and behavioural aspects of aging with HIV infection. Psychology health & medicine, 14(3), 273-279.
Shippy, R. A., & Karpiak, S. E. (2005). The aging HIV/AIDS population: fragile social networks. Aging Mental Health, 9(3), 246-254.
Silverberg, M. J., Jacobson, L. P., French, A. L., Witt, M. D., & Gange, S. J. (2009). Age and racial/ethnic differences in the prevalence of reported symptoms in human immunodeficiency virus-infected persons on antiretroviral therapy. Journal of Pain and Symptom Management, 38(2), 197-207.
Silverberg, M. J., Leyden, W., Horberg, M. A., DeLorenze, G. N., Klein, D., &Quesenberry, C. P., Jr. (2007). Older age and the response to and tolerability of antiretroviral therapy. Archives of Internal Medicine, 167(7), 684-691.
Skevington, S. M. (2012). Is quality of life poorer for older adults with HIV/AIDS? International evidence using the WHOQOL-HIV. AIDS Care. doi: 10.1080/09540121.2012.661838
Skiest, D. J., Rubinstien, E., Carley, N., Gioiella, L., & Lyons, R. (1996). The importance of comorbidity in HIV-infected patients over 55: a retrospective case-control study. The American journal of medicine, 101(6), 605-611. doi: 10.1016/s0002-9343(96)00329-4
Smith, R. D., Delpech, V. C., Brown, A. E., & Rice, B. D. (2010). HIV transmission and high rates of late diagnoses among adults aged 50 years and over. AIDS, 24(13), 2109-2115.
Sun, H., Zhang, J., & Fu, X. (2007). Psychological status, coping, and social support of people living with HIV/AIDS in central China. Public Health Nursing, 24(2), 132-140.
Sun, J., Buys, N., Stewart, D., & Shum, D. (2011). Mediating effects of coping, personal belief, and social support on the relationship among stress, depression, and smoking behaviour in university students. Health Education, 111(2), 133-146.
Swindells, S., Jiang, H., Mukherjee, A. L., Winters, M., Bosch, R. J., Katzenstein, D., et al. (2011). Lower CD4 cell count and higher virus load, but not antiretroviral drug resistance, are associated with AIDS-defining events and mortality: an ACTG Longitudinal Linked Randomized Trials (ALLRT) analysis. HIV Clinical Trials, 12(2), 79-88.
UNAIDS. (2006). 2006 REPORT ON THE GLOBAL AIDS EPIDEMIC.
Vaillant, G. E. (2002). Aging Well. New York: LITTLE BROWN AND COMPANY.
Valcour, V., Shikuma, C., Shiramizu, B., Watters, M., Poff, P., Selnes, O., et al. (2004). Higher frequency of dementia in older HIV-1 individuals: the Hawaii Aging with HIV-1 Cohort. Neurology, 63(5), 822-827.
Vance, D. E., Childs, G., Moneyham, L., & McKie-Bell, P. (2009). Successful aging with HIV: a brief overview for nursing. Journal of Gerontological Nursing, 35(9), 19-25; quiz 26-17.
Vance, D. E., Moneyham, L., & Farr, K. F. (2008). Suicidal ideation in adults aging with HIV: neurological and cognitive considerations. Journal of Psychosocial Nursing and Mental Health Services, 46(11), 33-38.
Vidrine, D. J., Amick, B. C., 3rd, Gritz, E. R., & Arduino, R. C. (2003). Functional status and overall quality of life in a multiethnic HIV-positive population. AIDS Patient Care STDS, 17(4), 187-197.
Vyavaharkar, M., Moneyham, L., Corwin, S., Saunders, R., Annang, L., & Tavakoli, A. (2010). Relationships between stigma, social support, and depression in HIV-infected African American women living in the rural Southeastern United States. The Journal of the Association of Nurses in AIDS Care, 21(2), 144-152.
Vyavaharkar, M., Moneyham, L., Murdaugh, C., & Tavakoli, A. (2012). Factors associated with quality of life among rural women with HIV disease. Aids and Behavior, 16(2), 295-303. doi: 10.1007/s10461-011-9917-y
Vyavaharkar, M., Moneyham, L., Tavakoli, A., Phillips, K. D., Murdaugh, C., Jackson, K., et al. (2007). Social support, coping, and medication adherence among HIV-positive women with depression living in rural areas of the southeastern United States. AIDS Patient Care STDS, 21(9), 667-680.
Weinfurt, K. P., Willke, R. J., Glick, H. A., Freimuth, W. W., & Schulman, K. A. (2000). Relationship Between CD4 Count, Viral Burden, and Quality of Life Over Time in HIV-1-Infected Patients. Medical Care, 38(4), 404-410.
White-Williams, C., Myers, S., Naftel, D., Bourge, R., & Grady, K. (2011). 157 Are Social Support and Coping Mediators of Quality of Life (QOL) Long-Term after Heart Transplantation (HT)?. The Journal of Heart and Lung Transplantation ,30 suppl4, S59.
Williams, N., Knodel, J., Kiry Kim, S., Puch, S., & Saengtienchai, C. (2008). Overlooked potential: older-age parents in the era of ART. AIDS Care, 20(10), 1169-1176.
Wu, A. W. (2000). Quality of life assessment comes of age in the era of highly active antiretroviral therapy. AIDS, 14(10), 1449-1451.
Yang, C. H., Huang, Y. F., Hsiao, C. F., Yeh, Y. L., Liou, H. R., Hung, C. C., et al. (2008). Trends of mortality and causes of death among HIV-infected patients in Taiwan, 1984-2005. HIV Medicine, 9(7), 535-543.
Yang, M. H., Chen, Y. M., Kuo, B. I., & Wang, K. Y. (2003). Quality of life and related factors for people living with HIV/AIDS in Northern Taiwan. Journal of Nursing Research, 11(3), 217-226.