Exploring social ecological pathways from resilience to quality of life among women living with HIV in Canada

被引：15

作者：

Logie, Carmen H. ^{[1
,2
]}

Wang, Ying ^{[1
]}

Kazemi, Mina ^{[2
]}

Hawa, Roula ^{[2
]}

Kaida, Angela ^{[3
]}

Conway, Tracey ^{[2
,8
]}

Webster, Kath ^{[3
,16
]}

de Pokomandy, Alexandra ^{[4
,5
]}

Loutfy, Mona ^{[2
,6
,7
]}

Abdul-Noor, Rahma ^{[8
]}

Anema, Aranka ^{[9
]}

Angel, Jonathan ^{[10
]}

Baril, Jean-Guy ^{[11
]}

Barry, Fatimatou ^{[8
]}

Bauer, Greta ^{[12
]}

Beaver, Kerrigan ^{[8
]}

Becker, Denise ^{[13
]}

Benoit, Anita ^{[8
]}

Brophy, Jason ^{[14
]}

Brotto, Lori ^{[9
]}

Burchell, Ann ^{[15
]}

Cardinal, Claudette ^{[16
]}

Carlson, Allison ^{[8
]}

Carter, Allison ^{[16
,17
]}

Cescon, Angela ^{[17
]}

Cioppa, Lynne ^{[8
]}

Cohen, Jeffrey ^{[18
]}

Colley, Guillaume ^{[17
]}

Conway, Tracey ^{[2
,8
]}

Cooper, Curtis ^{[10
]}

Cotnam, Jasmine ^{[8
]}

Cousineau, Janette ^{[8
]}

Dayle, Janice ^{[19
]}

Desbiens, Marisol ^{[8
]}

Dubinsky, Hania ^{[19
]}

Dubuc, Daniele ^{[19
]}

Duddy, Janice ^{[20
]}

Gagnier, Brenda ^{[8
]}

Gahagan, Jacqueline ^{[21
]}

Gasingirwa, Claudine ^{[8
]}

Gataric, Nada ^{[17
]}

Greene, Saara ^{[22
]}

Hart, Trevor ^{[23
]}

Hankins, Catherine ^{[24
]}

Hogg, Bob ^{[16
,17
]}

Howard, Terry ^{[13
]}

Islam, Shazia ^{[8
]}

Jones, Evin ^{[20
]}

Kaushic, Charu ^{[22
]}

Keating, Alexandria ^{[25
]}

机构：

[1] Univ Toronto, Factor Inwentash Fac Social Work, Toronto, ON, Canada

[2] Womens Coll Hosp, Womens Coll Res Inst, Toronto, ON, Canada

[3] Simon Fraser Univ, Fac Hlth Sci, Vancouver, BC, Canada

[4] McGill Univ, Dept Family Med, Montreal, PQ, Canada

[5] McGill Univ, Ctr Hlth, Chron Viral Illness Serv, Montreal, PQ, Canada

[6] Univ Toronto, Dept Med, Toronto, ON, Canada

[7] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[8] Womens Coll Res Inst, Toronto, ON, Canada

[9] Univ British Columbia, Vancouver, BC, Canada

[10] Ottawa Hosp Res Inst, Ottawa, ON, Canada

[11] Clin Quartier Latin, Montreal, PQ, Canada

[12] Univ Western Ontario, London, ON, Canada

[13] Posit Living Soc British Columbia, Vancouver, BC, Canada

[14] Childrens Hosp Eastern Ontario, Ottawa, ON, Canada

[15] Ontario HIV Treatment Network, Toronto, ON, Canada

[16] Simon Fraser Univ, Vancouver, BC, Canada

[17] British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada

[18] Windsor Reg Hosp, Windsor, ON, Canada

[19] McGill Univ, Hlth Ctr, Montreal, PQ, Canada

[20] Pacific AIDS Network, Vancouver, BC, Canada

[21] Dalhousie Univ, Halifax, NS, Canada

[22] McMaster Univ, Hamilton, ON, Canada

[23] Ryerson Univ, Toronto, ON, Canada

[24] UNAIDS, Geneva, Switzerland

[25] ViVA & Southern Gulf Islands AIDS Soc, Victoria, BC, Canada

[26] BC Womens Hosp & Hlth Ctr, Oak Tree Clin, Vancouver, BC, Canada

[27] CIHR Canadian HIV Trials Network, Vancouver, BC, Canada

[28] Univ Ottawa, Ottawa, ON, Canada

[29] Providence Hlth Care, Vancouver, BC, Canada

[30] Univ Toronto, Toronto, ON, Canada

[31] Native Womens Shelter Montreal, Montreal, PQ, Canada

[32] Canadian Aboriginal AIDS Network, Vancouver, BC, Canada

[33] Univ Quebec, Montreal, PQ, Canada

[34] Posit Womens Network, Chennai, Tamil Nadu, India

[35] Womens Hlth Womens Hands, Toronto, ON, Canada

[36] McGill Univ, Toronto, ON, Canada

[37] British Columbia Ctr Dis Control, Vancouver, BC, Canada

[38] Publ Hlth Agcy Canada, Ottawa, ON, Canada

[39] Toronto East Gen Hosp, Toronto, ON, Canada

[40] Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[41] St Josephs Hlth Care, London, England

[42] Univ Victoria, Victoria, BC, Canada

[43] Ctr Hosp Univ Montreal, Montreal, PQ, Canada

[44] Ctr Addict & Met Hlth, Toronto, ON, Canada

[45] Haven Clin, Sudbury, ON, Canada

[46] Clin lActuel, Montreal, PQ, Canada

[47] Toronto Gen Res Inst, Toronto, ON, Canada

[48] Kingston Univ, Kingston, ON, Canada

[49] Native Youth Sexual Hlth Network, Toronto, ON, Canada

[50] St Michaels Hosp, Toronto, ON, Canada

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2018年 / 30卷

基金：

加拿大健康研究院;

关键词：

Resilience; women; HIV; social support; stigma; DISCLOSURE CONCERNS; FOOD INSECURITY; POSITIVE WOMEN; HEALTH; SUPPORT; STIGMA; VALIDATION; ASSOCIATION; INSTRUMENT; DEPRESSION;

D O I：

10.1080/09540121.2018.1488031

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Resilience, positive growth in contexts of stress and adversity, is shaped by social ecological factors. Among people living with HIV, resilience is associated with myriad positive health benefits and improved health-related quality of life (HR-QoL). Identifying contextual factors associated with resilience among women living with HIV (WLWH) is particularly important as this population experiences many stressors and inequalities. We examined social-ecological factors associated with resilience and its relationship with HR-QoL among WLWH. We utilized baseline survey data from a national cohort of WLWH (n=1424) in Canada. We conducted structural equation modelling using maximum likelihood estimation methods to test the direct effects of social support and women-centred HIV care (WCHC) on resilience, and the direct effects of resilience on mental and physical HR-QoL. We also tested the indirect effects of resilience on HR-QoL via HIV disclosure concerns and economic insecurity. Participant median age was 43 years (IQR=35-50); most participants were women of colour (29% Black; 22% Indigenous; 7% other ethnicities; 41% Caucasian). Social support and WCHC were associated with increased resilience. The direct path from resilience to mental HR-QoL was significant, accounting for the mediation effects of economic insecurity and social support. The direct path from resilience to physical HR-QoL was significant, accounting for the mediation effects of economic insecurity. Economic insecurity partially mediated the relationship between resilience and mental HR-QoL and physical HR-QoL. HIV disclosure concerns partially mediated the relationship between resilience and mental-HR-QoL. Model fit indices suggested that the model fit the data well (2[14]=160.378, P<0.001; CFI=0.987; RMSE=0.048 [90% CI:0.042-0.080]; SRMR=0.036). Findings suggest social (social support) and structural (WCHC) factors increase resilience. While resilience is associated with improved HR-QoL, social (HIV disclosure concerns) and structural (economic insecurity) factors partially mediate these associations and threaten HR-QoL. Multi-level interventions can address social ecological contexts to advance resilience and HR-QoL among WLWH.

引用

页码：S67 / S75

页数：9

共 50 条

[41] Social Capital and Quality of Life Among People Living With HIV/AIDS in Southeast China
Lan, Gui-Lian
Yuan, Zhao-Kang
Clements-Nolle, Kristen D.
Cook, Angelie
Yuan, Ling-Ling
Xu, Qun-Ying
Jiang, Hong-Ying
Zheng, Hui-Lie
Wang, Li
Yang, Wei
ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH, 2016, 28 (04) : 325 - 335
[42] The relationships among social support and quality of life in persons living with HIV/AIDS in Jiangxi and Zhejiang provinces, China
Lan, Guilian
Yuan, Zhaokang
Cook, Angelie
Xu, Qunying
Jiang, Hongying
Zheng, Huilie
Wang, Li
Yuan, Lingling
Xie, Xiaoxu
Lu, Yuanan
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2015, 27 (08): : 946 - 953
[43] The prevalence and social-structural correlates of housing status among women living with HIV in Vancouver, Canada
Zhao, Yinong
Shannon, Kate
Buxton, Jane A.
Ti, Lianping
Genovy, Theresa A.
Braschel, Melissa
Deering, Kathleen
BMC PUBLIC HEALTH, 2022, 22 (01)
[44] The prevalence and social-structural correlates of housing status among women living with HIV in Vancouver, Canada
Yinong Zhao
Kate Shannon
Jane A. Buxton
Lianping Ti
Theresa A. Genovy
Melissa Braschel
Kathleen Deering
BMC Public Health, 22
[45] Social network size and its relationship to domains of quality-of-life among older persons living with HIV
Yoo-Jeong, Moka
Nguyen, Annie L.
Waldrop, Drenna
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2023, 35 (04): : 600 - 607
[46] Social Support, Internalized HIV Stigma, Resilience and Depression Among People Living with HIV: A Moderated Mediation Analysis
Monique J. Brown
Chuanji Gao
Amandeep Kaur
Shan Qiao
Xiaoming Li
AIDS and Behavior, 2023, 27 : 1106 - 1115
[47] Sexual inactivity and sexual satisfaction among women living with HIV in Canada in the context of growing social, legal and public health surveillance
Kaida, Angela
Carter, Allison
de Pokomandy, Alexandra
Patterson, Sophie
Proulx-Boucher, Karene
Nohpal, Adriana
Sereda, Paul
Colley, Guillaume
O'Brien, Nadia
Thomas-Pavanel, Jamie
Beaver, Kerrigan
Nicholson, Valerie J.
Tharao, Wangari
Fernet, Mylene
Otis, Joanne
Hogg, Robert S.
Loutfy, Mona
JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2015, 18 : 29 - 38
[48] Social ecological model of alcohol use among youth living with HIV
Dinaj, Veronica
Wang, Bo
Budhwani, Henna
Naar, Sylvie
MacDonell, Karen Kolmodin
VULNERABLE CHILDREN AND YOUTH STUDIES, 2024, 19 (04) : 631 - 645
[49] Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada
Gormley, Rebecca
Lin, Sally Y.
Carter, Allison
Nicholson, Valerie
Webster, Kath
Martin, Ruth Elwood
Milloy, M-J
Pick, Neora
Howard, Terry
Wang, Lu
de Pokomandy, Alexandra
Loutfy, Mona
Kaida, Angela
AIDS AND BEHAVIOR, 2020, 24 (04) : 1212 - 1225
[50] Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada
Rebecca Gormley
Sally Y. Lin
Allison Carter
Valerie Nicholson
Kath Webster
Ruth Elwood Martin
M-J Milloy
Neora Pick
Terry Howard
Lu Wang
Alexandra de Pokomandy
Mona Loutfy
Angela Kaida
AIDS and Behavior, 2020, 24 : 1212 - 1225

← 1 2 3 4 5 →