Bouncing Back: Resilience and Mastery Among HIV-Positive Older Gay and Bisexual Men

Emlet, Charles A.; Shiu, Chengshi; Kim, Hyun-Jun; Fredriksen‐Goldsen, Karen

doi:10.1093/geront/gnw171

Cited by 84 publications

(73 citation statements)

References 52 publications

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“…Loneliness and social isolation are key factors associated with depression, functional impairment and poorer quality of life among adults with HIV [89]. However, resilience (positive adaptation of past or present adversity) has been linked with healthy aging among adults living with HIV [90]; those who demonstrated high levels of self-acceptance and optimism, and implemented positive self-management strategies experienced health aging with HIV [91]. Positive self-management can result in better physical and emotional health, and health knowledge and behaviour among people living with HIV [92].…”

Section: Discussionmentioning

confidence: 99%

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

et al. 2020

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Background: People living with HIV are living longer, and can experience physical, mental and social health challenges associated with aging and multimorbidity. Rehabilitation is well positioned to address disability and maximize healthy aging. An international collaborative network, called the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), works to guide this emerging field. In this article, we report findings from CIHRRC's aim to identify emerging research priorities in HIV, aging and rehabilitation from the perspectives of people living with HIV, clinicians, researchers, representatives from community organizations and policy stakeholders. Methods: We conducted a multi-stakeholder multi-method international consultation with people living with HIV, researchers, clinicians and representatives of community-based organizations to identify research priorities in HIV, aging and rehabilitation. Stakeholders identified research priorities during a one-day International Forum comprised of presentations and facilitated discussion. We collated and analyzed data using content analytical techniques, resulting in a framework of research priorities. Results: Sixty-nine stakeholders from countries including Canada (n = 62; 90%), the United Kingdom (n = 5; 7%), United States (n = 1; 1%) and Australia (n = 1; 1%) attended the International Forum on HIV, Aging and Rehabilitation Research. Stakeholders represented community-based organizations (n = 20; 29%), academic institutions (n = 18; 26%), community or institutional healthcare organizations (n = 11; 16%), research or knowledge production organizations (n = 10; 14%), and organizations representing government or industry (n = 10; 14%). The Framework of Research Priorities in HIV, Aging and Rehabilitation includes seven research priorities: (1) nature, extent and impact of disability, concurrent health conditions and chronic inflammation with HIV; (2) prevalence, severity and impact of frailty; (3) community and social participation aging with HIV; (4) strategies for chronic disease management and healthy aging with HIV; (5) facilitators and barriers to access and engagement in, rehabilitation; (6) effectiveness of rehabilitation

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Section: Discussionmentioning

confidence: 99%

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

et al. 2020

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“…Based on this SMH framework and previous resilience research, we define resilience resources as positive psychological, behavioral, and/or social adaptation in the face of stressors and adversities (Fletcher & Sarkar, 2013) that draws upon "an individual's capacity, combined with families' and communities' resources to overcome serious threats to development and health" (Earnshaw et al, 2013;Unger, 2008). Resilience resources may protect the health of PLWH via promotion of positive health behaviors (e.g., engagement in care, antiretroviral therapy (ART) adherence) and buffering of adversities (e.g., trauma) on mental health, health behaviors, and physiological functioning Emlet, Shiu, Kim, & Fredriksen-Goldsen, 2017;O'Leary, Jemmott, Stevens, Rutledge, & Icard, 2014;Sauceda, Wiebe, & Simoni, 2014;Spies & Seedat, 2014). Resilience resources are also viewed here as processes that buffer against and are potentially more malleable to intervention than some of the aforementioned adversities at the individual, interpersonal, and neighborhood levels (Dale, Grimes, Miller, Ursillo, & Drainoni, 2016;De Santis et al, 2013;Kent, Davis, Stark, & Stewart, 2011;Steinhardt & Dolbier, 2008).…”

Section: Introductionmentioning

confidence: 99%

Resilience and HIV: a review of the definition and study of resilience

et al. 2018

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We use a socioecological model of health to define resilience, review the definition and study of resilience among persons living with human immunodeficiency virus (PLWH) in the existing peer-reviewed literature, and discuss the strengths and limitations of how resilience is defined and studied in HIV research. We conducted a review of resilience research for HIV-related behaviors/outcomes of antiretroviral therapy (ART) adherence, clinic attendance, CD4 cell count, viral load, viral suppression, and/or immune functioning among PLWH. We performed searches using PubMed, PsycINFO and Google Scholar databases. The initial search generated 14,296 articles across the three databases, but based on our screening of these articles and inclusion criteria, n = 54 articles were included for review. The majority of HIV resilience research defines resilience only at the individual (i.e., psychological) level or studies individual and limited interpersonal resilience (e.g., social support). Furthermore, the preponderance of HIV resilience research uses general measures of resilience; these measures have not been developed with or tailored to the needs of PLWH. Our review suggests that a socioecological model of health approach can more fully represent the construct of resilience. Furthermore, measures specific to PLWH that capture individual, interpersonal, and neighborhood resilience are needed. ARTICLE HISTORY

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“…10,11 Resilience has been shown to predict health-related quality of life in a recent large (N = 335) study of older gay and bisexual men. 12 Another recent study by Moore et al examined successful cognitive aging (operationally defined as freedom from cognitive, everyday, and emotional impairments) in older PLWHA, and found that self-reported levels of resilience did not differ between HIV-negative individuals defined as successful or unsuccessful cognitive agers, while it did between those HIV-positive persons who were defined as successful vs unsuccessful cognitive agers. 10 This suggests that resilience may be particularly protective for promoting successful aging outcomes in those with HIV.…”

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confidence: 99%

Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South

Fazeli

Moore

Vance

2018

Int J Geriat Psychiatry

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Bouncing Back: Resilience and Mastery Among HIV-Positive Older Gay and Bisexual Men

Abstract: Individual and structural-environmental characteristics contributed to resilience and mastery. These findings can be used to develop interventions incorporating an increased understanding of factors that are associated with both resilience and mastery.

Cited by 84 publications

References 52 publications

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

Resilience and HIV: a review of the definition and study of resilience

Resilience attenuates the association between neurocognitive functioning and everyday functioning in individuals aging with HIV in the Deep South

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