Resilience partially mediates the influence of HIV-related stress on HRQoL in older adults living with HIV/AIDS
Tuesday, November 5, 2013
: 5:00 p.m. - 5:15 p.m.
Background: By 2015, 50% of all HIV/AIDS cases in the United States will be in persons 50-plus years of age. Very little, if any, research has examined resilience in older HIV-infected persons. This research investigated the mediating effect of resilience between HIV-related stress and health-related quality of life (HRQoL) in PLWHA over fifty. Methods: Data from a sample of 303 PLWHA over 50 was analyzed using structural equation modeling (SEM) to define a hypothesized resilience measure (represented by self-efficacy, coping, hope/optimism and social support) and to test a meditating effect of resilience between HIV-related stress and HRQoL (physical well-being, function and global well-being, and emotional well-being). Results: The SEM results showed satisfactory model fit for resilience construct, χ2 (14, N=301) =14.9, p=0.387, and CFI=0.99, IFI=0.99, TLI=0.99, RMSEA=0.014 (95% CI: 0.000, 0.059), with all factor loading raging from 0.60 to 0.80. The meditational model with an adequate fit (χ2 (63, N=301) =164.273, p<0.0001, CFI=0.95, IFI=0.95, TLI=0.93, RMSEA=0.073 (95% CI: 0.060, 0.087)) revealed a partial mediating effect of resilience between HIV-related stress and HRQoL. Conclusion: The model indicated a well-defined resilience construct and suggested that HIV-related stress partially reduces the negative influence of HIV-related stress on HRQoL. Future design of interventions that build personal capacity and environmental support may contribute to better management of HIV/AIDS and may be more efficacious in increasing HRQoL in older PLWHA.
Public health or related research
Social and behavioral sciences
Identify the conceptual construct of resilience and its components in older PLWHA; Assess the mediating effect of resilience on the predictive path between HIV-related stress and health-related quality of life.
Keyword(s): HIV/AIDS, Mental Health
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am currently a MPH candidate and will graduate in May, 2013. My experiences in HIV/AIDS include conducting community based research to evaluate a nutritional intervention program and a needs assessment for AIDS-specific residential care housing in greater New Haven area. I have a broad interest in psychosocial and behavioral aspects of HIV/AIDS and quantitative research methods.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.