Identifying HIV-Infected Women's Psychosocial Stressors: Findings from a Qualitative Study

Brown, Jennifer L.; Vanable, Peter A.; Naughton, Jessie D.; Carey, Michael P.

doi:10.1080/15381501.2013.806235

Cited by 14 publications

(9 citation statements)

References 33 publications

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“…However, they may be afraid of telling others of serostatus due to the fear of potential negative consequences following disclosure such as condemn, isolation, or anger from family or friends [44]. Challenges surrounding HIV serostatus disclosure (i.e., whether disclose serostatus to others, who to disclose, when to disclose, and how to disclose) have been described being particularly stressful to most PLWH in many other studies [17][18][19]. Previous studies also reported that the lack of communicating skills about this sensitive topic can be the barrier to appropriate disclosure [45][46][47].…”

Section: Discussionmentioning

confidence: 99%

“…Although some researchers have noticed the limitation of using general life events scales to assess stress among HIV population and have focused on the HIV-specific stress, most of them used qualitative method and were cross-sectional in design [17][18][19][20][21]. A quantitative assessment of stress among PLWH using a disease-specific stress instrument with established validity and reliability is required to elucidate the impact of HIV infection on PLWH.…”

Section: Introductionmentioning

confidence: 99%

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HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Huang

Luo

Chen

et al. 2020

IJERPH

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This study explored the HIV-related stressors that people living with HIV (PLWH) commonly experience and express as stressful at the time of diagnosis and 1 year later. The factors associated with stress levels and whether social support would moderate the negative effects of stress on psychological health (depressive and anxiety symptoms) were also investigated. Newly diagnosed PLWH were consecutively recruited in this study. Participants rated their stress with the HIV/AIDS Stress Scale at baseline and 1 year later. Social support, depression, and anxiety were also self-reported at both time points. There were significant decreases in stress levels 1 year after diagnosis. Stressors regarding confidentiality, disclosure, emotional distress, fear of infecting others, and excessive attention to physical functions were the most problematic at baseline and 1-year follow-up. A younger age, married status, not living alone, less income, presence of HIV symptoms, and lack of social support were associated with higher levels of stress. No stress-buffering effect of social support on depressive and anxiety symptoms was found in this study. Interventions to reduce stress among PLWH should take into consideration the following priority stressors: confidentiality, discrimination/stigma, serostatus disclosure, distressing emotions, fear of infecting others, and excessive attention to physical functions. More attention should be paid to PLWH with younger age, not living alone, less income, presence of HIV symptoms, and lack of social support.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Huang

Luo

Chen

et al. 2020

IJERPH

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“…Importantly, stigma and discrimination are reported among WLWH more frequently than in men living with HIV, and may contribute to the lack of or delay to HIV testing among women . Women may especially fear disclosure if found to be HIV positive, more so if they come from communities with significant gender power inequities; they may have fears about HIV in general and choose not to be tested .…”

Section: Resultsmentioning

confidence: 99%

Out of focus: tailoring the cascade of care to the needs of women living with HIV

et al. 2017

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Around half of the global adult HIV-positive population are women, yet historically women have been under-represented in clinical studies of antiretroviral therapy (ART) and there has been minimal exploration of gender-specific factors related to the response to and appropriateness of treatment choices in women living with HIV (WLWH). There are several key issues pertaining to the cascade of HIV care that make it important to differentiate WLWH from men living with HIV. Factors that are gender specific may impact on the status of WLWH, affecting access to diagnosis and treatment, optimal clinical management, ART outcomes, retention in care, and the overall long-term wellbeing of WLWH. In this review, we discuss the results of recently reported women-only clinical trials and highlight the key unmet needs of WLWH as they pertain to the cascade of HIV care across World Health Organization European Region countries. As significant knowledge gaps remain, the review identifies key areas where further research is required, in order to support improved management of WLWH and guide informed clinical decision-making, including addressing psychosocial factors as part of comprehensive care.

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“…Disclosure of serostatus to children is one of the main concerns and psychological stressors of all mothers with HIV disease. 77,78 In a systematic review of disclosure to children younger than 12 years of age, Krauss et al found there were health (e.g., adherence, HIV testing of children, quality of life) and planning benefits (e.g., life planning, future care for children) for both HIV-positive and HIV-negative children with caregiver disclosure. 79 Other challenges AYA with chronic disease often face challenges transitioning from pediatric or adolescent to adult-centered medical care.…”

Section: Postnatal Period and Beyondmentioning

confidence: 99%

Parenting Among Adolescents and Young Adults with Human Immunodeficiency Virus Infection in the United States: Challenges, Unmet Needs, and Opportunities

Hatfield-Timajchy

Brown

Haddad

et al. 2016

AIDS Patient Care and STDs

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Given the realistic expectations of HIV-infected adolescents and young adults (AYA) to have children and start families, steps must be taken to ensure that youth are prepared to deal with the challenges associated with their HIV and parenting. Literature reviews were conducted to identify published research and practice guidelines addressing parenting or becoming parents among HIV-infected AYA in the United States. Research articles or practice guidelines on this topic were not identified. Given the paucity of information available on this topic, this article provides a framework for the development of appropriate interventions and guidelines for use in clinical and community-based settings. First, the social, economic, and sexual and reproductive health challenges facing HIV-infected AYA in the United States are summarized. Next, family planning considerations, including age-appropriate disclosure of HIV status to those who are perinatally infected, and contraceptive and preconception counseling are described. The impact of early childbearing on young parents is discussed and considerations are outlined during the preconception, antenatal, and postnatal periods with regard to antiretroviral medications and clinical care guidelines. The importance of transitioning AYA from pediatric or adolescent to adult-centered medical care is highlighted. Finally, a comprehensive approach is suggested that addresses not only medical needs but also emphasizes ways to mitigate the impact of social and economic factors on the health and well-being of these young parents and their children.

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Identifying HIV-Infected Women's Psychosocial Stressors: Findings from a Qualitative Study

Cited by 14 publications

References 33 publications

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Out of focus: tailoring the cascade of care to the needs of women living with HIV

Parenting Among Adolescents and Young Adults with Human Immunodeficiency Virus Infection in the United States: Challenges, Unmet Needs, and Opportunities

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