‘I'm happy in my life now, I'm a positive person’: approaches to successful ageing in older adults living with HIV in Ontario, Canada

Emlet, Charles A.; Harris, Lesley; Furlotte, Charles; Brennan, David J.; Pierpaoli, Christina M

doi:10.1017/s0144686x16000878

Cited by 44 publications

(43 citation statements)

References 40 publications

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“…Living with HIV over a prolonged timeframe, often decades, increased feelings of autonomy and resiliency among midlife and older Black women. While our findings contribute to the very limited literature on resiliency, coping, and successful aging among midlife and older adults with HIV (Emlet et al 2016; Emlet, Tozay, and Raveis 2010), they also signal the need for additional research on midlife and older Black women’s experiences in navigating employment sectors and public service agencies.…”

Section: Discussionmentioning

confidence: 58%

Intersectional stigma among midlife and older Black women living with HIV

Sangaramoorthy

Jamison

Dyer

2017

Culture, Health & Sexuality

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HIV-related stigma is a barrier to the prevention and treatment of HIV. For midlife and older Black women, the nature and intensity of HIV-related stigma may be compounded by their multiple marginalised social status based on gender, race, and age. We examined the perceptions and experiences of HIV-related stigma among midlife and older Black women living in Prince George’s County, Maryland, USA. Between 2014–2015, we conducted semi-structured interviews with a sample of 35 midlife and older Black women living with HIV. Using a modified grounded theory approach, we explored emergent themes related to the manifestation and experience of intersectional stigma and changes in stigma experience over time. Our findings suggest that intersectional stigma is a central feature in midlife and older Black women’s lives, with women reporting experiences of intersectional stigma at the interpersonal/familial, community, and institutional/structural levels. Although women acknowledged gradual acceptance of their HIV-positive status over time, they continued to experience negative responses related to gender, race, age, and disease. Our findings indicate that a more robust understanding of the impact of HIV-related stigma requires work to consider the complex manifestations of intersectional stigma among an increasingly aging population of Black women in the USA.

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Section: Discussionmentioning

confidence: 58%

Intersectional stigma among midlife and older Black women living with HIV

Sangaramoorthy

Jamison

Dyer

2017

Culture, Health & Sexuality

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“…ability that enables well-being in older age" recognizing the interaction between personal and environmental factors that influence health (25). This definition moves away from the previously used term 'successful aging' and acknowledges the presence of chronic disease and resultant disability while focusing on maximizing one's function and ability within their life experience (26). However, interventions to maximize healthy aging and how to measure their impact remains less clear (25).…”

mentioning

confidence: 99%

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

O’Brien

Ibáñez-Carrasco²,

Solomon³

et al. 2020

Preprint

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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. 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 to and engagement in, rehabilitation; 6) effectiveness of rehabilitation interventions for healthy aging with HIV; and 7) advancing development and use of patient reported outcome measures in HIV and aging. The Framework highlights methodological considerations to approach the priorities and the importance of knowledge translation and exchange to apply research knowledge into practice, programs and policy. Conclusions: These priorities offer a foundation for collaboration among international and multidisciplinary teams to advance the field of HIV, aging and rehabilitation in order to promote healthy aging with HIV.

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“…However, with advances in medicine, individuals with HIV are living longer, better lives and research has started focusing on SA and SA-related factors in this population. A qualitative study in individuals with HIV (N = 30; Age range = 50-73) assessed barriers to and strategies for SA (Emlet, Harris, Furlotte, Brennan, & Pierpaoli, 2017). Results showed that while stigma, prejudice, and discrimination were identified as potential SA barriers, a number of SA-related themes emerged, including resilience components, such as self-care, mastery, and spirituality; social support; and the importance of the environmental context, such as structural support, social networks, and communities.…”

Section: Successful Aging In Individuals Living With Hivmentioning

confidence: 99%

“…Specifically, this model suggests that the environment can facilitate access to resilience-promoting resources; that resilience may differ as a result of the complex and changing nature of an individual's circumstances and the interaction with their personal traits; and that the resilience process is culturally and temporally embedded and is therefore influenced by the cultural norms of the time, which is particularly important for specific cultural groups such as minorities (Ungar, 2011). The importance of the individual-environment interaction for the well-being of disadvantaged populations can be seen in the reoccurring finding that environmental and contextual factors, such as social support and social engagement, were significant in supporting individual resilience and SA (e.g., Emlet et al, 2017;Kok et al, 2018;Scelzo et al, 2018).…”

Section: Underlying Mechanisms Of Successful Agingmentioning

confidence: 99%

Successful Aging in Individuals From Less Advantaged, Marginalized, and Stigmatized Backgrounds

Thoma

Gee

2019

CPE

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Health and well-being in later life are heavily influenced by behaviors across the life course, which in turn are influenced by a variety of wider contextual, social, economic, and organizational factors. There is considerable potential for inequalities in health-promoting behaviors and health outcomes, arising from poverty, social, and environmental factors. This suggests that individuals from disadvantaged backgrounds and circumstances may have more exposure to (chronic) stressors, coupled with reduced access to resources, and increased susceptibility to risk factors for ill-health and mental disorders in later life. This drastically decreases the likelihood for successful aging in individuals from less advantaged backgrounds. Nevertheless, despite these adverse circumstances, some high-risk, disadvantaged individuals have been shown to achieve and maintain good health and well-being into later life. This scientific update provides an overview of recently published research with samples that, against expectations, demonstrate successful aging. Favorable personality traits, cognitive strategies, and a high-level of intrinsic motivation, paired with a supportive social environment, have been found to build a prosperous basis for successful aging and positive health outcomes in later life for individuals living in aversive environmental circumstances. For clinical psychologists, the movement towards the investigation of underlying mechanisms of successful aging from a psychological perspective, particularly in disadvantaged individuals, may be a critical step towards understanding the vast heterogeneity in aging. Successful aging is possible in disadvantaged individuals. Psychological and social resilience resources may compensate for the impact of disadvantage. The application of multi-level resilience models can aid future research on successful aging. Successful aging is possible in disadvantaged individuals. Psychological and social resilience resources may compensate for the impact of disadvantage. The application of multi-level resilience models can aid future research on successful aging.

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‘I'm happy in my life now, I'm a positive person’: approaches to successful ageing in older adults living with HIV in Ontario, Canada

Cited by 44 publications

References 40 publications

Intersectional stigma among midlife and older Black women living with HIV

Intersectional stigma among midlife and older Black women living with HIV

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

Successful Aging in Individuals From Less Advantaged, Marginalized, and Stigmatized Backgrounds

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