{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:03:08Z","timestamp":1790053388582,"version":"4.0.1"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults living with HIV (OALHIV) may experience the demands of long-term HIV care together with frailty, stigma, privacy concerns, and barriers in their residential environment. This study developed an exploratory set of age-friendly living-environment criteria and examined how experts perceived influence among the resulting domains. It did not test epidemiological causality or measure regional service performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An English-language Web of Science corpus covering 2003\u20132023 was processed with term co-occurrence mapping and clustering. Fuzzy Delphi method (FDM) ratings from 28 experts were used to screen candidate criteria, followed by domain-level fuzzy decision-making trial and evaluation laboratory (FDEMATEL). Sensitivity analyses examined the FDM cutoff and fuzzy-attitude parameter, and FDEMATEL was calculated using the standard zero-diagonal convention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The workflow included 1,487 records, 89 cleaned terms, 43 second-round candidates, and 22 retained criteria in five domains. The second-round mean FDM threshold was 0.4729. The same 22 criteria were retained for fixed thresholds from 0.453 to 0.478, for recalculated fuzzy-attitude parameters from 0.40 to 0.60, and under leave-one-criterion-out recalculation. In the zero-diagonal FDEMATEL analysis, healthcare accessibility (\n                      <jats:italic>D<\/jats:italic>\n                      \u2212\n                      <jats:italic>R<\/jats:italic>\n                      = 0.320), social support network (0.683), and digital inclusion and assistive technology (0.866) occupied net-influencing positions; built-environment adaptation (\u22121.170) and psychological wellbeing and destigmatization (\u22120.699) occupied net-influenced positions. The sign classification matched the originally reported calculation, although magnitudes changed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The framework is hypothesis-generating and reflects literature-derived concepts and expert judgement, not demonstrated causal effects or the directly reported priorities of OALHIV. Patient and community co-design, field measurement, and external validation are required before the criteria can guide resource allocation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1873646","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T04:22:11Z","timestamp":1790050931000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Literature-derived criteria and expert-perceived influence structure for age-friendly living environments among older adults living with HIV in China: a text-mining, fuzzy Delphi, and fuzzy DEMATEL study"],"prefix":"10.3389","volume":"14","author":[{"given":"Quan","family":"Wen","sequence":"first","affiliation":[{"name":"School of Art and Design, Henan Industry and Trade Vocational College","place":["Zhengzhou, China"]},{"name":"School of Housing, Building and Planning, Universiti Sains Malaysia","place":["Penang, 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