scholarly journals Resilience and psychosocial factors linked to symptom experience during the menopause transition for women living with HIV*

Menopause ◽  
2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Elizabeth M. King ◽  
Angela Kaida ◽  
Jerilynn Prior ◽  
Arianne Albert ◽  
Peggy Frank ◽  
...  
2016 ◽  
Vol 2 (2) ◽  
pp. 114-116 ◽  
Author(s):  
Shema Tariq ◽  
Jane Anderson ◽  
Fiona Burns ◽  
Valerie Delpech ◽  
Richard Gilson ◽  
...  

2017 ◽  
Vol 14 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Anna A. Rubtsova ◽  
Mirjam-Colette Kempf ◽  
Tonya N. Taylor ◽  
Deborah Konkle-Parker ◽  
Gina M. Wingood ◽  
...  

2021 ◽  
Vol 33 (4) ◽  
pp. 242-252
Author(s):  
Elizabeth C. Wetzel ◽  
Tapiwa Tembo ◽  
Elaine J. Abrams ◽  
Alick Mazenga ◽  
Mike J. Chitani ◽  
...  

BackgroundIntimate partner violence (IPV) is a global public health concern particularly in pregnancy where IPV can have negative health implications for the mother and child. Data suggest IPV disproportionately affects pregnant women living with HIV (PWLWH) compared to those without HIV. HIV-related outcomes are worse among women experiencing IPV. Despite this knowledge, there is paucity of data concerning PWLWH and IPV in Malawi, where there is a high HIV prevalence (10.6%). ObjectivesWe aim to characterize IPV amongst PWLWH in Malawi and describe its relationship to demographic characteristics, psychosocial factors, and HIV-related outcomes. MethodsThis analysis used data from the VITAL Start pilot study, which is a video-based intervention targeting retention and ART adherence amongst PWLWH in Malawi. PWLWH not on ART were recruited at antenatal clinic and given study questionnaires to assess demographics, IPV, and psychosocial factors. Questionnaires were also administered at one-month follow-up to assess outcomes related to HIV. Descriptive statistics and logistic regression models were used to explore the risk factors associated with IPV.ResultsThirty-nine percent of participants reported ever experiencing IPV from their current partner. The majority (53%) reporting IPV experienced more than one type of violence. IPV was associated with being married (p=0.04) and depression (p<0.0001) in the univariable analysis. For women retained at one-month, IPV was associated with reporting a missed ART dose in the past month but not with adherence measured by pill count.ConclusionsA large proportion of PWLWH experienced IPV from their current partner and IPV was associated with worse self-reported ART adherence at one-month follow-up. Further evidence is needed to understand how IPV impacts PWLWH throughout postpartum and beyond. Given the detrimental impact on health outcomes among PWLWH in Malawi, additional focus on IPV is essential to identify mechanisms to prevent, screen, and manage IPV among this population.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 499-499
Author(s):  
Anna Rubtsova ◽  
Gina Wingood ◽  
Igho Ofotokun ◽  
Deborah Gustafson ◽  
David Vance ◽  
...  

Abstract Although older women living with HIV (OWLH) face challenges related to the intersection of HIV and aging, our published research found significant prevalence of self-rated successful aging (SRSA) in a sample of OWLH enrolled in the Women’s Interagency HIV Study (WIHS). Studies in other populations link SRSA to positive psychosocial factors but little is known about SRSA mechanisms among OWLH. The purpose of this study is to test a conceptual psychosocial model of SRSA. Our sample (N=356) included OWLH enrolled in WIHS who participated in the “From Surviving to Thriving” (FROST) substudy and completed psychosocial and cognitive assessments: average age 56.5 years, 73% Black, 55% with annual income ≤ $12,000, 74% having 3 or more comorbidities, median CD4=673 cells/ml (Q1=486; Q3=880). SRSA was assessed using a research-based 10-point scale (higher scores=better outcomes). We conducted adjusted structural equation modeling. The global model included two latent variables -- protective attributes (composite of positive psychosocial factors: resilience, personal mastery, optimism, spirituality) and negative affect (composite of negative psychosocial factors: anxiety, depression, loneliness, internalized HIV-related stigma). The model showed good fit (χ2(65)=72.3, p=0.25; RMSE=0.02; CFI=0.99) and explained 21% of variance in SRSA. Increased protective attributes were associated with improved SRSA both directly (p&lt;0.01) and indirectly, via improved coping with stress (p&lt;0.001). While negative affect did not have a direct effect on SRSA, it was indirectly associated with worsened SRSA via diminished protective attributes (p&lt;0.001). Findings suggest the need for interventions enhancing positive and mitigating negative psychosocial factors to promote SRSA among OWLH.


2012 ◽  
Author(s):  
Hind Khatib-Othman ◽  
Shereen el-Feki ◽  
Kamal Mountasser ◽  
Hend Sabry ◽  
Rita Wahab

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