Support, Stigma, Health, Coping, and Quality of Life in Older Gay Men With HIV

Slater, Larry Z.; Moneyham, Linda; Vance, David E.; Raper, James L.; Mugavero, Michael J.; Childs, Gwendolyn

doi:10.1016/j.jana.2012.02.006

Cited by 74 publications

(53 citation statements)

References 1 publication

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“…Despite these efforts, women recognized that they were aging, and some worried that they may run out of treatment options or that their aging bodies may just “give out” in response to the stress of managing HIV over time. These findings are consistent with recent studies that have examined aging among older PLWHA and highlight the importance of concepts such as resilience, optimism, and problem-focused coping to facilitate successful aging and better quality of life (Emlet et al, 2011; Moore et al, 2013; Slater et al, 2013). …”

Section: Discussionsupporting

confidence: 91%

Reflections on living with HIV over time: exploring the perspective of HIV-infected women over 50

Psaros

Barinas

Robbins

et al. 2014

Aging & Mental Health

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Objectives Approximately 32.7% of people living with HIV/AIDS (PLWHA) in the U.S. are now over the age of 50. Women comprise a significant percentage of the U.S. HIV epidemic and the percentage of women diagnosed with HIV continues to grow; however, little is known about women’s experiences living and coping with HIV over time. The goal of this study was to explore experiences of U.S. women over 50 living with HIV to better understand how they make sense of their diagnosis and cope with their illness over time, and during the aging process. Method Nineteen women (mean age = 56.79, SD=4.63) referred from Boston-area organizations and hospitals completed one-time, in-depth individual interviews. 47% of participants identified as Black/African American, and 37% as White. Average time since diagnosis was 16.32 years (SD=5.70). Inclusion criteria included: female sex; aged 50 or older; HIV diagnosis; and English speaking. Transcribed interviews were analyzed using a grounded theory approach and NVivo 9 software. Results Findings are described across the following themes: 1) experiences at diagnosis, 2) uncertainty of disease course, 3) acceptance, 4) living “well” with HIV. Participants appeared to be well-adjusted to their HIV diagnosis and described a progression to acceptance and survivorship; they identified strategies to “live well” in the context of HIV. For some, health-related uncertainty about the future remained. These findings were organized into a model of coping with HIV. Conclusions Themes and issues identified by this study may help guide interventions across the lifespan for women with HIV.

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Section: Discussionsupporting

confidence: 91%

Reflections on living with HIV over time: exploring the perspective of HIV-infected women over 50

Psaros

Barinas

Robbins

et al. 2014

Aging & Mental Health

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“…This result is important because both emotional and instrumental support are significant variables to achieve better quality of life. 18 The averages on emotional social support were slightly higher than the ones from the instrumental social support. A similar fact was observed in a research with caregivers of children and adolescents living with HIV/AIDS, which indicated satisfaction with the social support received, especially emotional, as opposed to the instrumental support, which covered financial aid and help in practical and operational aspects of everyday life.…”

Section: 14mentioning

confidence: 85%

Social Support for People Living With Acquired Immunodeficiency Syndrome

Pedrosa

Fiuza

Cunha³

et al. 2016

Texto contexto - enferm.

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ABSTRACT:The aim of this study was to evaluate the social support for people with AIDS. It was a cross-sectional study, with 215 outpatients at a University Hospital in Northeastern Brazil. Data were collected from August to December 2012, through interviews, using a Socio-demographic and Clinical Form and a Social Support Scale for People Living with HIV/AIDS. Statistical Package for the Social Science was used for data analysis. Results showed that average scores of social emotional and instrumental support were satisfactory and not influenced by sex (p=0.954; p=0.508), education (p=0.756; p=0.194), marital status (p=0.076; p=0.446) and length of antiretroviral therapy (p=0.480; p=0.120). People diagnosed for less than three years had more instrumental support (p=0.048) than those diagnosed over three years (p=0.370). Neighbors, employers and health professionals provided less support. The conclusion was that people with AIDS have satisfactory social support, especially from friends and family not living in the same household. DESCRIPTORS: APOYO SOCIAL DE LAS PERSONAS QUE VIVEN CON SÍNDROME DE INMUNODEFICIENCIA ADQUIRIDARESUMEN: Este estudio objetivó evaluar el apoyo social a personas con SIDA. Estudio transversal con muestra de 215 pacientes ambulatorios de un hospital universitario del nordeste de Brasil. Los datos recolectados entre agosto y diciembre de 2012, a través de entrevistas utilizando el formulario sociodemográfico y clínico y la Escala de Apoyo Social para las Personas que Viven con VIH/SIDA. El Statistical Package for the Social Science fue utilizado para análisis de datos. Los resultados evidenciaron que las puntuaciones medias de apoyo social emocionales e instrumentales fueron satisfactorios, y no influenciados por el sexo (p=0,954; p=0,508), educación (p=0,756; p=0,194), estado civil (p=0,076; p=0,446) y tiempo de terapia antirretroviral (p=0,480; p=0,120). Las personas diagnosticadas en menos de tres años tenían más apoyo instrumental (p=0,048) que los diagnosticados hace más de tres años (p=0,370). Los vecinos, jefe y profesionales de salud proporcionaban menos apoyo. Se concluyó que personas con SIDA tienen un apoyo social satisfactorio, principalmente por parte de amigos y familiares que no viven en el mismo hogar.DESCRIPTORES: Síndrome de inmunodeficiencia adquirida. VIH. Apoyo social.

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“…Additionally, disentangling the impact of HIV as a health condition and as a social determinant of health can be challenging, as the effects may be overlapping. As a social determinant, HIV-related stigma has been negatively associated with quality of life (Slater et al, 2012), and HIV-related bereavement has been shown to influence mental health (Wight et al, 2012).…”

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

Moving Toward a Holistic Conceptual Framework for Understanding Healthy Aging Among Gay Men

Halkitis

Kapadia

Ompad

et al. 2015

Journal of Homosexuality

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In the last four decades, we have witnessed vast and important transitions in the social, economic, political, and health contexts of the lived experiences of gay men in the United States. This dynamic period, as evidenced most prominently by the transition of the gay rights movement to a civil rights movement, has shifted the exploration of gay men's health from one focusing primarily on HIV/AIDS into a mainstream consideration of the overall health and wellbeing of gay men. Against this backdrop, aging gay men in the United States constitute a growing population, for whom further investigations of health states and health-related disparities are warranted. In order to advance our understanding of the health and wellbeing of aging gay men, we outline here a multilevel, ecosocial conceptual framework that integrates salient environmental, social, psychosocial, and sociodeomgraphic factors into sets of macro-, meso-, and micro-level constructs that can be applied to comprehensively study health states and health care utilization in older gay men.

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Support, Stigma, Health, Coping, and Quality of Life in Older Gay Men With HIV

Cited by 74 publications

References 1 publication

Reflections on living with HIV over time: exploring the perspective of HIV-infected women over 50

Reflections on living with HIV over time: exploring the perspective of HIV-infected women over 50

Social Support for People Living With Acquired Immunodeficiency Syndrome

Moving Toward a Holistic Conceptual Framework for Understanding Healthy Aging Among Gay Men

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