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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Richard L. Sowell, PhD, RN, FAAN, School of Nursing, Kennesaw State University, College of Health & Human Services, 1000 Chastain Road, #1601, Kennesaw, GA 30144-5591, Brenda F. Seals, PhD, MPH, Weill Medical College of Cornell University, Child Devp., Pediatrics, 20 Clermont Place, Staton Island, NY 10314, 718 477 0016, rsowell@kennesaw.edu, and Kenneth Phillips, PhD, School of Nursing, University of South Carolina Columbia, Corners of Green and Pickens Street, University of South Carolina, Columbia, SC 29208.
Background: As women infected with HIV live longer, understanding predictors of psychological well-being are critical to providing optimal care. Psychological well-being has been previously associated with adherence to medication, better self-care and high quality of life yet the predictors of psychological well-being over time are not well understood. The purpose of this study is to identify predictors of psychological well-being over the course of three years in a cohort of HIV-infected women. Methods: This study used path analysis via logistic and multiple regression to analyze predictors across three time points. Women (baseline n=322; final n=192) participating in a larger, longitudinal study of childbearing, comprised the sample. Participants were predominantly single (82%), African-American (87%), ranging in age from 17-49 years (M=30.1), and having annual incomes less than $10,000 (65%). Results: Consistent predictors of both psychological well-being (model R-square=.353, F=14.067, p<.000) and, conversely, depression (model R-square=.280, F=14.785, p<.000) were Barriers to Services (well-being beta=-.211, p<.000; depression beta=.148, p< .050), Having a Paid Job (well-being beta=.164, p<.050; depression beta=-.250, p<.000), and Hope (well-being beta=.407, p<.000; depression beta=-.298, p<.000). Independent predictors of Psychological Well-Being were Emotional Support (well-being beta=-.245, p<.050) and Active Coping (well-being beta=.161, p<.050). An independent predictor of Depression was Passive Coping (depression beta=.172, p<.050). Conclusions: Treatment of women with HIV-infection requires strategies that promote active coping, emotional support, and access to healthcare services to fully support women's well being and maximize their health.
Learning Objectives: At the conclusion of this session, participants will be able
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.