The impact of social capital and mental health on medication adherence among older people living with HIV (PLWH)

He, Lei; Yu, Bin; Yu, Jun; Xiong, Jun; Huang, Yu‐Ling; Xie, Tian; Chai, Qiang; Gao, Bo

doi:10.1186/s12889-021-12251-0

Cited by 6 publications

(6 citation statements)

References 49 publications

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“…For example, discussing HIV status makes them more likely to receive timely treatment and be retained in care, which is necessary for successful viral suppression ( 33 , 34 ). In addition, in counties with better community health, PWH have an increased sense of responsibility ( 35 ) and a sense of belonging ( 36 ), which in turn is associated with better engagement in HIV treatment and a higher possibility of viral suppression ( 29 , 37 ).…”

Section: Discussionmentioning

confidence: 99%

Moderation effect of community health on the relationship between racial/ethnic residential segregation and HIV viral suppression in South Carolina: A county-level longitudinal study from 2013 to 2018

Shi

Zhang²,

Yang³

et al. 2023

Front. Public Health

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BackgroundViral suppression is the ultimate goal of the HIV treatment cascade and a primary endpoint of antiretroviral therapy. Empirical evidence found racial/ethnic disparities in viral suppression among people living with HIV (PWH), but the evidence of the relationship between racial/ethnic residential segregation and place-based viral suppression is scarce. Further exploring potential structural moderators in this relationship has substantial implications for healthcare policymaking and resource allocation. The current study aimed to investigate the spatial-temporal disparities in the HIV viral suppression rate across 46 counties in South Carolina from 2013 to 2018. We also examined the impact of racial/ethnic residential segregation and the moderation effect of community health, one measurement of community engagement and volunteerism.MethodsThe proportion of PWH who achieved viral suppression for each county and calendar year was calculated using de-identified electronic medical records. The isolation index was calculated and used to measure racial/ethnic residential segregation. The community health index and other county-level factors were directly extracted from multiple publicly available datasets. We used geospatial mapping to explore the spatial-temporal variations of HIV viral suppression rates. Hierarchical quasi-binominal regression models were used to examine the impacts of racial/ethnic residential segregation on county-level viral suppression rate by the extent of community health.ResultsFrom 2013 to 2018, the average viral suppression rate across 46 counties in SC increased from 64.3% to 65.4%. Regression results revealed that counties with high racial/ethnic residential segregation were more likely to have a low viral suppression rate (β = −0.56, 95% CI: −0.75 to −0.37). In counties with high levels of community health, the impact of racial/ethnic residential segregation on viral suppression rate decreased as compared with those with low levels of community health (β = 5.50, 95% CI: 0.95–10.05).ConclusionsRacial/ethnic residential segregation acts as a structural barrier to placed-based viral suppression rates and compromises the goal of the HIV treatment cascade. Concentrated and sustained county-level interventions aiming to improve community health can be practical approaches to promote health equity in HIV treatment and care.

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Section: Discussionmentioning

confidence: 99%

Moderation effect of community health on the relationship between racial/ethnic residential segregation and HIV viral suppression in South Carolina: A county-level longitudinal study from 2013 to 2018

Shi

Zhang²,

Yang³

et al. 2023

Front. Public Health

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“…These studies have found that mental health comorbidities are influential factors in medication adherence, with depression being considered the most closely related comorbidity among these patients. 29 In the past 10 years, New York was the first American state to launch an Ending the Epidemic (ETE) initiative to end the epidemic by reducing the number of people infected with HIV. Important lessons learned from the ETE initiative include involvement of stakeholders in developing epidemiological metrics and in setting goals, along with implementing performance-based measures and timely communication among key stakeholders.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have examined the relationship between depression and adherence to medication among elderly PLWH. These studies have found that mental health comorbidities are influential factors in medication adherence, with depression being considered the most closely related comorbidity among these patients 29 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression in Elderly People Living With HIV: A Systematic Review and Meta-analysis

Ahmed,

Saha,

Almusalami

et al. 2023

Infect Microb Dis

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We conducted a systematic review and meta-analysis to determine the prevalence of depression among elderly people living with HIV. We searched electronic databases and included 12 observational studies that reported on depression among people who were 50 years of age or older and had HIV. The studies were mostly hospital-based and from Western and African countries. They included a total of 5868 older people with HIV, of whom 1667 had depression. Pooled prevalence of depression was 28% with heterogeneity of 95.2%. Prevalence ranged from 14.5% in the Netherlands to 42.4% in South Africa. Although there was asymmetry in the funnel plot, the Egger’s test showed no significant publication bias. Our meta-analysis found a high burden of depression among older people with HIV. Comprehensive health services addressing psychosocial needs and interventions to prevent and treat depression are needed, especially in community settings. Healthcare providers and policymakers should address the prevalence of depression in such communities.

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“…Collective action and cooperation as inputs make a better output and improve social capital. This was a part of the recent update in the national programme where these principles were taken up as community mobilization and people's action [ 2 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Social Capital With Tuberculosis: A Community-Based Cross-Sectional Analytical Study in South India

Ramasubramani,

Kar,

Sarkar

2023

Cureus

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Background: Social capital denotes the relationships, networks, norms and values in the community. A high level of social capital positively improves health through a supportive social system. Illnesses affect health and social relationships. One such disease is tuberculosis (TB), known for its social stigma. India has the highest burden of morbidity and mortality due to TB. The assessment of social capital would highlight the importance of a supportive environment in reducing the disease burden and bringing better treatment outcomes. Methods: A cross-sectional exploratory analytical study was conducted in two primary health centers in Puducherry between February 2020 and March 2021. Considering the feasibility and resource constraints, we assessed the social capital between 50 newly diagnosed pulmonary tuberculosis (PTB) patients, their age- and gender-matched 50 household contacts (HHCs) and 50 PTB patients who completed treatment a year before. The HHC was either the marital partner or sibling of the newly diagnosed PTB patients selected for comparison as their exposure to infection would be similar to those diseased but did not develop the illness. Social capital and its domains were assessed using the World Bank's social capital questionnaire. Sociodemographic characteristics and social capital domains were compared using a chi-squared test. Mean standardized Z-scores of the domains were compared using one-way analysis of variance (ANOVA). A p-value of <0.05 is taken as significant. Results: Most participants from each group belonged to lower socioeconomic strata and were males (80%). The overall level of social capital was low among the newly diagnosed PTB patients, especially the group and network and trust and solidarity domains. The mean standardized Z-scores of social capital were the highest among the HHCs, followed by the treatment-completed PTB patients. There was no consistent pattern, but the trust and solidarity domain showed a statistically significant difference. Conclusion: A low level of social capital and its domains were seen among the newly diagnosed PTB patients. However, better scores among the HHCs and the treatment-completed patients infer a negative association between social capital and TB. Thus, higher social capital preserves and improves health. Therefore, caregivers and disease-cured patients can be utilized as a social support system for current diseased patients and improve their health status.

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The impact of social capital and mental health on medication adherence among older people living with HIV (PLWH)

Cited by 6 publications

References 49 publications

Moderation effect of community health on the relationship between racial/ethnic residential segregation and HIV viral suppression in South Carolina: A county-level longitudinal study from 2013 to 2018

Moderation effect of community health on the relationship between racial/ethnic residential segregation and HIV viral suppression in South Carolina: A county-level longitudinal study from 2013 to 2018

Prevalence of Depression in Elderly People Living With HIV: A Systematic Review and Meta-analysis

Association of Social Capital With Tuberculosis: A Community-Based Cross-Sectional Analytical Study in South India

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