HIV-related shame and health-related quality of life among older, HIV-positive adults.

Published

Journal Article

This study investigated how HIV-related shame is associated with health-related quality of life (HRQoL) in older people living with HIV (PLHIV). Structural equation modeling tested whether HIV-related shame was associated with three dimensions of HRQoL (physical, emotional, and social well-being) and whether there were significant indirect associations of HIV-related shame with the three HRQoL dimensions via depression and loneliness in a sample of 299 PLHIV ≥50 years old. Results showed that depression and loneliness were key mechanisms, with depression at least partially accounting for the association between HIV-related shame and both emotional and physical well-being, respectively, and loneliness accounting for the association between HIV-related shame and social well-being. HIV-related shame appears to be an important correlate of HRQoL in older PLHIV and may provide a promising leveraging point by which to improve HRQoL in older PLHIV.

Full Text

Duke Authors

Cited Authors

  • Vincent, W; Fang, X; Calabrese, SK; Heckman, TG; Sikkema, KJ; Hansen, NB

Published Date

  • June 2017

Published In

Volume / Issue

  • 40 / 3

Start / End Page

  • 434 - 444

PubMed ID

  • 27904976

Pubmed Central ID

  • 27904976

Electronic International Standard Serial Number (EISSN)

  • 1573-3521

International Standard Serial Number (ISSN)

  • 0160-7715

Digital Object Identifier (DOI)

  • 10.1007/s10865-016-9812-0

Language

  • eng