207632 Financial strain and life satisfaction among aging Black adults with HIV

Tuesday, November 10, 2009: 9:15 AM

Buffie Longmire-Avital, PhD , Center for HIV/AIDS Educational Studies and Training (CHEST) and Public Health Solutions, New York, NY
Sarit A. Golub, PhD, MPH , Department of Psychology, Hunter College, City University of New York, New York, NY
Jeffrey T. Parsons, PhD , Center for HIV Educational Studies and Training (CHEST), Hunter College, New York, NY
Mark Brennan, PhD , AIDS Community Research initiative of America (ACRIA), New York, NY
Stephen Karpiak, PhD , AIDS Community Research Initiative of America, New York, NY
Background: The intersection of race and socioeconomic status (SES) has been studied as a mitigating factor for HIV risk. However, little research has examined the roles of race and SES on health and life satisfaction for people with HIV. There is a need to understand how limited financial resources in conjunction with psychosocial factors may impact the experience of HIV-positive racial minorities as they age.

Methods: Data analyses were conducted on the self-reports of 350 HIV-positive, New York-based Black men and women who participated in the Research on Older Adults with HIV (ROAH) study. All participants were over the age of 50.

Results: Hierarchical regression analysis explained 40% of the variance in life satisfaction. Gender, an AIDS diagnosis, education, depression, perceived health and financial strain were related to life satisfaction. Furthermore, financial strain mediated the relation among emotional strain and life satisfaction.

Conclusion: The findings indicate that increased financial strain is related to less life satisfaction. Perceived financial strain maybe more relevant than SES in understanding how economic well-being is related to life satisfaction among HIV-positive older Black adults. Further research should examine if these findings are replicated among other racial groups.

Learning Objectives:
Determine how factors of SES and financial strain in combination relate to health and life satisfaction among older Black American adults with HIV. Discuss the implications regarding the expansion and development of support programs that address economic well-being for HIV-positive persons.

Keywords: HIV/AIDS, Social Class

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am lead author on this study
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.