scholarly journals BELIEFS SURROUNDING THE PAIN AND DEPRESSION CYCLE AMONG OLDER AFRICAN AMERICAN WOMEN: FINDINGS FROM FOCUS GROUPS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S606-S606
Author(s):  
Emerald Rivers ◽  
Brittany Drazich ◽  
Sarah Szanton ◽  
Manka Nkimbeng ◽  
Janiece Taylor

Abstract Older African American women experience high rates of comorbid conditions and functional limitations that put them at risk of experiencing a cycle of pain and depressive symptoms. This cycle is often shaped by individual’s behaviors, emotions, physical responses, and thoughts. Increased pain severity is associated with comorbid pain and depression making it essential for older African American women to communicate their experiences with these conditions. Hence, we explored older adult African American women’s relevant beliefs, and identified strategies to address them in adapting the intervention, Get Busy Get Better. In three focus groups, we found that older African American women (mean age 60.7, n=11): (1) relied on companionship (emotions), (2) used physical activity strategies for pain and depression relief (behaviors), (3) had a general function reduction from pain (physical response), and (4) saw connections between depression and pain (thoughts). Thus, when adapting the intervention, strategies incorporate these four elements.

2018 ◽  
Vol 44 (7) ◽  
pp. 644-666 ◽  
Author(s):  
Faye Z. Belgrave ◽  
Sarah J. Javier ◽  
Deborah Butler ◽  
Chelsie Dunn ◽  
Joann Richardson ◽  
...  

While older African American women (e.g., aged 50 years and older) comprise only 11% of the female population in the United States, they account for 50% of HIV diagnoses among women in this age group. Unique sociocultural factors, including a lack of HIV knowledge and stigma, contribute to HIV risk among older African American women. The goal of this qualitative study was to obtain a nuanced perspective from older African American women about HIV knowledge and experiences with HIV using the framework of intersectionality theory. Focus groups were conducted with 35 African American women who were 50 years and older, nonpartnered, and heterosexual. Women were asked what they knew about HIV and if they thought older women were at risk for HIV. A thematic analysis using NVivo 11 yielded two central themes and three subthemes: HIV knowledge, including experiential knowledge, superficial knowledge, and no knowledge, and stigma around HIV in the Black church. Implications for developing HIV prevention programs and testing messages are discussed.


2020 ◽  
Vol 30 (2) ◽  
pp. 287-294
Author(s):  
Megan T. Ebor ◽  
Aurora P. Jackson

Objective: The current study sought to test the effect of an HIV prevention interven­tion on depressive symptoms in a sample of older African American women.Design, Setting and Participants: A pretest-posttest randomized control group design was conducted in a mega-church in Los Angeles with a sample of 62 older African American women, aged ≥50 years, 29 of whom were randomly assigned to the experimental condition and 33 to the comparison/control condition.Measures: A measure of psychological wellbeing (CES-D) was utilized to test the effect of the four-session group interven­tion vs the one-session informational group intervention on change in depressive symp­toms from pretest to posttest. Demographic characteristics included: measures of age in years; relationship and employment statuses (coded 1 for yes, 0 for no); and educational attainment.Results: Participation in the study was as­sociated with a significant improvement in the women’s psychological wellbeing from baseline to time 2; ie, decreased depres­sive symptoms. This change was greater for women in the four-session experimental group than for those in the one-session comparison group, due in part to a margin­ally significant interaction between time and experimental conditions.Conclusions: This study demonstrates the utility of faith-based/behavioral-scientist partnerships in HIV programming. Findings contribute to the evidence on interventions that might reduce depressive symptoms and HIV risk among older African American women. Ethn Dis. 2020;30(2):287-294; doi:10.18865/ed.30.2.287


2016 ◽  
Vol 9 (3) ◽  
pp. 510-517 ◽  
Author(s):  
Janiece L. Walker ◽  
Tracie C. Harrison ◽  
Adama Brown ◽  
Roland J. Thorpe ◽  
Sarah L. Szanton

2014 ◽  
Vol 46 ◽  
pp. 240
Author(s):  
Emerson Sebastiao ◽  
Kelechi Ibe-Lamberts ◽  
Andiara Schwingel ◽  
Wojtek Chodzko-Zajko

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