Quality of life of older women living with HIV: comparative assessment of physical and mental health-related markers using a large Canadian Sexual and Reproductive Health Cohort Study

Kteily-Hawa, Roula; Andany, Nisha; Wang, Ying; Logie, Carmen H.; Tharao, Wangari; Conway, Tracey; Webster, Kath; Pokomandy, Alexandra de; Kaida, Angela; Hogg, Robert S.; Loutfy, Mona

doi:10.1080/15284336.2018.1554373

Cited by 11 publications

(23 citation statements)

References 37 publications

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“…Spiritual is considered as an important IVCN contributor to the survival of patients with HIV [5]. However, HIV disease, especially in Indonesia, experiences a lot of stigmas [16]. Therefore, patients with HIV among them have fear, shame, experience rejection by family or friends, and feel frustrated [19].…”

Section: Needs Supportmentioning

confidence: 99%

Systematic Review of Spiritual Experiences in HIV Patients

Alawiyah¹,

Lindayani

Herdiman

2021

KLS

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One of the consequences caused by problems that occur in HIV patients is a change in the quality of life, particularly that relating to spirituality. This article offers a systematic review of previous studies regarding the spiritual safety of HIV patients. Inclusion criteria for article searches were studies conducted on patients with HIV, over 18 years of age, diagnosed with HIV for more than 6 months, qualitative studies, and exploring spiritual experiences. The quality assessment of each article was carried out using the standard format of the JBI Critical Appraisal Checklist for Qualitative Study. The results of this study include eight articles matching the criteria, and produce four themes that can represent all the articles analyzed: getting closer to God; having hope and life goals; needing support; and finding meaning in life. By identifying and classifying the spiritual experiences of HIV patients, it is hoped that their families will be able to provide motivation in dealing with the problems that occur. It is also hoped that practitioners will be able to use the results of this study as material in collecting assessment data on HIV patients. Keywords: Spiritual Experience, HIV, Qualitative and Literature Review

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Section: Needs Supportmentioning

confidence: 99%

Systematic Review of Spiritual Experiences in HIV Patients

Alawiyah¹,

Lindayani

Herdiman

2021

KLS

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“…As with most research into QoL, including health-related QoL (HRQoL), in other populations ( Lysaker et al., 2005 ), research into PLWH's QoL is overwhelmingly quantitative (see e.g., Fredriksen-Goldsen et al., 2015 ), generally relying on such surveys as the WHO-QOL HIV-BREF (see e.g., Cho et al., 2019 ; Kteily-Hawa et al., 2019 ) or seeking to devise similar instruments designed to measure QoL and/or identify factors that might increase it (see e.g., Brown et al., 2018 ; Webster, 2019 ). Other scholars apply quantitative measures to narrative accounts of living with HIV (see e.g., Macapagal et al., 2012 ) to identify pre-selected factors linked to QoL in previous research.…”

Section: Introductionmentioning

confidence: 99%

How older people living with HIV narrate their quality of life: Tensions with quantitative approaches to quality-of-life research

Rosenfeld

Anderson

Catalán³

et al. 2021

SSM - Qualitative Research in Health

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This article draws on life-history interviews with older (aged 50+) people living with HIV in England to uncover the interpretive practices in which they engaged as they evaluated their own quality of life (QoL). Our paper highlights the distinctive insights that biographical and narrative approaches can bring to QoL research. While accounts of subjectively ‘poor’ QoL were relatively straightforward and unequivocally phrased, accounts of subjectively ‘good’ and ‘OK’ QoL were produced using complex interpretive and evaluative practices. These practices involved biographical reflection and contextualization, with participants weighing up and comparing their current lives' ‘pros’ and ‘cons’, their own lives with the lives of others, and their present lives with lives they had imagined having at the time of interview. Thus, ‘good’ and ‘OK’ QoL were constructed using practical, relational, and interpretive work – features of QoL analytically unavailable in quantitative data gathered through standardised measures (including our own survey data collected from these same participants). Our findings underscore the uneasy fit between QoL's quantitative measurement and its subjective understandings and evaluations, on the one hand, and the interpretive work that goes into achieving these understandings and evaluations, on the other.

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Section: Introductionmentioning

confidence: 99%

“…39 When considering social-ecological factors that may influence pathways to resilience among WLWH, there is a need to examine age. Using survey data from the Canadian HIV Women's Sexual & Reproductive Health Cohort Study (CHIWOS) with a sample frame comprising 1422 women, Kteily-Hawa et al 40 found that the more resilient WLWH are, the higher their physical health-related quality of life (HR-QoL). Compared to younger WLWH, older WLWH may be more resilient because they can draw from and make sense of life experiences.…”

Section: Introductionmentioning

confidence: 99%

“…The physical health of older women with HIV was impacted by resilience, mental health, food security, and depressive symptoms stressing the link between psychosocial and structural factors and physical health (ie, the social-ecological connections). 40 For WLWH, context-specific variables such as modes of transmission, experiences of HIV-related stigma, and use of health-care services vary by region across Canada. [41][42][43] The literature suggests that there are often regional differences associated with experiences of discrimination, social support,…”

Section: Introductionmentioning

confidence: 99%

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Examining Multilevel Factors Associated with the Process of Resilience among Women Living with HIV in a Large Canadian Cohort Study: A Structural Equation Modeling Approach

Kteily-Hawa

Warren

Kazemi

et al. 2019

J Int Assoc Provid AIDS Care

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Objectives: We examined how multiple, nested, and interacting systems impact the protective process of resilience for women living with HIV (WLWH). Methods: Using data from a Cohort Study, we conducted univariate analyses, multivariable logistic regression, and a 2-step structural equation modeling for the outcome, high resilience (N = 1422). Results: Participants reported high overall resilience scores with a mean of 62.2 (standard deviation = 8.1) and median of 64 (interquartile range = 59-69). The odds of having high resilience were greater for those residing in Quebec compared to Ontario (adjusted odds ratio [aOR] = 2.1 [1.6, 2.9]) and British Columbia (aOR = 1.8 [1.3, 2.5]). Transgender women had increased odds of high resilience than cisgender women (aOR = 1.9 [1.0, 3.6]). There were higher odds of resilience for those without mental health diagnoses (aOR = 2.4 [1.9, 3.0]), non-binge drinkers (aOR=1.5 [1.1, 2.1]), and not currently versus previously injecting drugs (aOR = 3.6 [2.1, 5.9]). Structural equation modeling confirmed that factors influencing resilience lie at multiple levels: micro, meso, exo, and macro systems of influence. Conclusion: There is a need to consider resilience as the interaction between the person and their environments, informing the development of multilevel interventions to support resilience among WLWH.

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Quality of life of older women living with HIV: comparative assessment of physical and mental health-related markers using a large Canadian Sexual and Reproductive Health Cohort Study

Cited by 11 publications

References 37 publications

Systematic Review of Spiritual Experiences in HIV Patients

Systematic Review of Spiritual Experiences in HIV Patients

How older people living with HIV narrate their quality of life: Tensions with quantitative approaches to quality-of-life research

Examining Multilevel Factors Associated with the Process of Resilience among Women Living with HIV in a Large Canadian Cohort Study: A Structural Equation Modeling Approach

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