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Psychosocial Mechanisms of Self-rated Successful Aging with HIV: A Structural Equation Model.

ABSTRACT: This study tested a conceptual psychosocial model of self-rated successful aging (SRSA) with HIV. Our sample (n = 356) included older women living with HIV (OWLH): average age 56.5 years, 73% Black. SRSA was assessed using a research-based 10-point scale (higher scores = better outcomes). We conducted adjusted structural equation modeling. The global model included two latent variables-protective attributes (composite of positive psychosocial factors: resilience, personal mastery, optimism, spirituality) and psychological distress (composite of negative psychosocial factors: anxiety, depression, loneliness, internalized HIV-related stigma). The model showed good fit (χ²(58) = 76, p = 0.06; RMSEA = 0.03; CFI = 0.99). Increased protective attributes were associated with improved SRSA both directly and mediated by improved coping with stress. While psychological distress did not have a direct effect on SRSA, it was indirectly associated with worsened SRSA via diminished protective attributes and via decreased coping with stress. Findings suggest the need for interventions enhancing positive and mitigating negative psychosocial factors in OWLH.

SUBMITTER: Rubtsova AA

PROVIDER: S-EPMC8978972 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature

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Psychosocial Mechanisms of Self-rated Successful Aging with HIV: A Structural Equation Model.

Rubtsova Anna A AA Wingood Gina G Ofotokun Ighovwerha I Mehta C Christina CC Gustafson Deborah D Vance David E DE Sharma Anjali A Adimora Adaora A AA Holstad Marcia M

AIDS and behavior 20210611 9

This study tested a conceptual psychosocial model of self-rated successful aging (SRSA) with HIV. Our sample (n = 356) included older women living with HIV (OWLH): average age 56.5 years, 73% Black. SRSA was assessed using a research-based 10-point scale (higher scores = better outcomes). We conducted adjusted structural equation modeling. The global model included two latent variables-protective attributes (composite of positive psychosocial factors: resilience, personal mastery, optimism, spir ...[more]

PMID: 34115265

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Project description:BackgroundUnderstanding the psychosocial factors influencing self-management behaviors among people living with HIV/AIDS (PLWHA) is crucial for effective medical interventions and improving their quality of life. However, few studies have explored the psychosocial mechanisms influencing self-management behaviors among PLWHA in China. This study, conducted in accordance with STROBE guidelines, uses SEM to explore the roles of social support, self-efficacy, and self-esteem in predicting self-management behaviors among Chinese PLWHA.MethodsFrom March 2023 to July 2023, a convenience sample of 282 PLWHA, recruited from one designated AIDS hospital and one Centers for Disease Control and Prevention in Sichuan Province, China, was surveyed. Data were collected via four validated self-report scales (the Social Support Rating Scale, the General Self-Efficacy Scale, the Self-Esteem Scale, and the HIV/AIDS Patient Self-Management Scale). Structural equation modeling was used to assess the relationships among social support, self-efficacy, self-esteem, and self-management behaviors.ResultsThe new model demonstrated acceptable fit parameters (χ2/df = 2.15, GFI = 0.96, AGFI = 0.93, CFI = 0.93, IFI = 0.94, RMSEA = 0.05). The direct effect of social support on self-management behaviors was significant (β = 0.117, P < 0.05). In addition, self-efficacy and self-esteem played significant mediating roles in the influence of social support on self-management behaviors, accounting for 38.73% and 22.79% of the total effect, respectively. Moreover, they served as chain mediators, contributing 9.80% to the total effect.ConclusionsThese findings contribute to our understanding of the psychosocial dynamics influencing self-management behavior in Chinese PLWHA and have broader implications for populations in other countries. Targeted interventions that enhance social support, self-efficacy, and self-esteem could be applied in various cultural contexts to improve self-management practices among PLWHA globally.

Dataset Information

Psychosocial Mechanisms of Self-rated Successful Aging with HIV: A Structural Equation Model.

Publications

Psychosocial Mechanisms of Self-rated Successful Aging with HIV: A Structural Equation Model.

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