HIV-related Stigma, Personal Mastery, Mindfulness, and Social Support in Older Adults Living with HIV in Coachella Valley, California

Author(s):  
Mariam Davtyan ◽  
Annie L. Nguyen ◽  
Jeff Taylor ◽  
Chris Christensen ◽  
Brandon J. Brown
2013 ◽  
Vol 7 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Yurong Zhang ◽  
Esme Fuller-Thomson ◽  
Christine Anne Mitchell ◽  
Xiulan Zhang

Although the number of older people living with HIV/AIDS (PLWHA) has increased substantially, few studies have focused on older PLWHA in developing countries. Based on a sample of 866 rural PLWHA in Henan, Anhui and Yunnan provinces in China, this study compares the characteristics of PLWHA aged 50 or older (n=185) with younger PLWHA (n=681). Most of the older PLWHA were female (n=112), illiterate, married and at the clinical stage of HIV. Over 90% of older people with HIV/AIDS lived in Henan and Anhui provinces. The severe epidemic in Henan and Anhui provinces was caused by commercial blood and plasma donation. Older PLWHA were less educated, received less social support and were more likely to live alone than younger PLWHA. The results underline the importance of developing programs and policy initiatives targeted at older people infected with HIV/AIDS. The policy and program recommendations include using a gender sensitive strategy, designing specific AIDS education and prevention programs suitable for low-literacy older adults and social support interventions for older PLWHA.


2020 ◽  
pp. 135910531989778
Author(s):  
Monique J Brown ◽  
J Stewart Trask ◽  
Jiajia Zhang ◽  
Mohammad Rifat Haider ◽  
Xiaoming Li

This cross-sectional study assessed the psychosocial and sociodemographic correlates of resilience among older adults living with HIV. Data were obtained from 103 men and 53 women aged 50 years and older in South Carolina. Multivariable linear regression models showed that employment (any) ( B: 3.52; 95% confidence interval : 1.04, 5.99), education ( B: −3.56; 95% confidence interval : −6.15, −0.98), time since diagnosis ( B: 0.18; 95% confidence interval : 0.04, 0.31), and social support ( B: 0.27; 95% confidence interval : 0.20, 0.34) were associated with resilience. Interventions tailored for older adults living with HIV to support resilience could facilitate social support, particularly for those who are newly diagnosed, unemployed, and have lower educational attainment.


2019 ◽  
Vol 40 (6) ◽  
pp. 1352-1370 ◽  
Author(s):  
Katherine G. Quinn ◽  
Molly K. Murphy ◽  
Zack Nigogosyan ◽  
Andrew E. Petroll

AbstractThere is a growing population of ageing individuals living with the human immunodeficiency virus (HIV). Older adults living with HIV often contend with intersecting stigmas including HIV stigma, ageism and, for some, homonegativity and/or racism. Although the HIV stigma literature is quite robust, research on the relationship between HIV stigma, social support and mental wellbeing among older adults living with HIV is limited. This study begins to address this gap by examining how intersectional stigma affects social support and mental wellbeing among rural-dwelling older adults living with HIV. Qualitative interviews were conducted by phone with 29 older adults living with HIV, over the age of 50, living in rural areas of the United States of America. Interviews were transcribed verbatim and analysed using thematic content analysis in MAXQDA qualitative analysis software. Analysis revealed three primary themes. The first had to do with gossip and non-disclosure of HIV status, which intersected with ageism and homonegativity to exacerbate experiences that fell within the remaining themes of experiences of physical and psychological isolation and loneliness, and shame and silence surrounding depression. The prevalence of social isolation and the effects of limited social support among older adults living with HIV are prominent and indicate a need for tailored interventions within the HIV care continuum for older adults living with HIV.


Author(s):  
Meredith Greene ◽  
Janet Myers ◽  
Judy Y. Tan ◽  
Cinthia Blat ◽  
Allison O’Hollaren ◽  
...  

The population with HIV is aging and has unique health needs. We present findings from an evaluation of the geriatric-HIV program, Golden Compass, at San Francisco General Hospital. We used the implementation science framework, RE-AIM ( Reach, Effectiveness, Adoption, Implementation, Maintenance) to guide the evaluation and used quantitative and qualitative methods to assess RE-AIM dimensions. From January 2017 to June 2018, 198 adults age ≥50 years participated in the program, with an estimated reach of 17%. Providers and patients indicated high acceptability of the program and were satisfied with clinics and classes. Colocation of services, specific pharmacy and geriatric assessments, and social support from classes were valued ( effectiveness). Provider adoption was high, and the program was implemented as originally designed. Areas for improvement included challenges of framing aging services to patients. Future efforts will focus on expanding the reach of the program and examining long-term outcomes.


2016 ◽  
Vol 58 (2) ◽  
pp. S82 ◽  
Author(s):  
Matthew E. Levy ◽  
Patricia Ong'wen ◽  
Maureen E. Lyon ◽  
Craig R. Cohen ◽  
Lawrence J. D'Angelo ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 339-339
Author(s):  
Monique Brown ◽  
Titilayo James ◽  
Chigozie Nkwonta ◽  
Amandeep Kaur

Abstract Rates of childhood sexual abuse (CSA) among people living with HIV are twice the CSA estimates among the general population. These statistics suggest that CSA prevalence may range from 16-22% among older adults living HIV (OALH). HIV disclosure continues to be a key consideration among people living with HIV. However, studies examining the views on HIV disclosure among OALH who are CSA survivors are lacking. Therefore, the aim of this study was to explore the views on HIV disclosure among OALH who are CSA survivors using a qualitative approach. Twenty-four adults aged 50-67 years, living with HIV and with a CSA history participated in the study. In-depth semi-structured interviews were conducted, audio-recorded and were analyzed using thematic analysis. The iterative analytic process included discussion of initial thoughts and key concepts, identification and reconciliation of codes, and naming of emergent themes. Three themes emerged: “You don’t have to tell the person if it’s just casual sex”, “Nothing ought to be hidden especially when you get ready to engage in sex”, and “As for me, I don’t disclose”. Views on HIV disclosure among OALH varied. Some participants stated that disclosure of HIV status should be dependent on the type of sexual relationship, while some OALH stated that participants should disclose regardless of type of relationship. Some participants were hesitant to disclose their HIV status due to anticipated HIV-related stigma. Understanding the perspectives on HIV disclosure among OALH with a CSA history may help to inform disclosure intervention programs for this vulnerable population.


2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 408-408
Author(s):  
V.A. Charles ◽  
J. Gradillas ◽  
K.H. Marr

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