Self-Care of Women Growing Older With HIV and/or AIDS

Plach, Sandra K.; Stevens, Patricia E.; Keigher, Sharon M.

doi:10.1177/0193945905275973

Cited by 29 publications

(38 citation statements)

References 49 publications

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“…In contrast to the participants in the current study, Plach et al's (2005) participants were much older and were not caregivers for their children. Therefore, being able to focus solely on themselves most likely contributed to those participants' ability to shift their illness perspective to take care of themselves and to remain proactive with their health.…”

Section: Discussioncontrasting

confidence: 58%

“…Similarly, active meaning-making strategies identified in the current study were compared with the coping strategy of changing ways of thinking identified in a study by Plach, Stevens, and Keigher (2005), who drew upon the illness experiences of a sample of older White, African American, and Hispanic HIVinfected women who changed their thinking about life, death, sickness, and health by adopting more positive attitudes and by focusing on their previously neglected physical and emotional needs. In contrast to the participants in the current study, Plach et al's (2005) participants were much older and were not caregivers for their children.…”

Section: Discussionmentioning

confidence: 99%

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Coping With HIV: Perspectives of Mothers

Pittiglio

Hough²

2009

Journal of the Association of Nurses in AIDS Care

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This qualitative study explored how HIV-infected mothers cope with a diagnosis of HIV and their resulting life circumstances. The study was a secondary analysis of qualitative semistructured interviews with a subgroup of women (N = 35) who had participated in a larger quantitative and qualitative longitudinal study, Living with HIV/AIDS: Mother-Child Coping and Adjustment. The sample for the current study was primarily low-income HIV-infected mothers. Examination of the participants' narratives indicated that they relied on strategies that not only enabled them to cope with HIV but also helped them to develop better attitudes toward life and more positive behavior and to begin to live life differently than before the diagnosis. These results offset the stereotype that low-income women are less capable of coping with stressful life situations than other populations in that the coping strategies used by this population were very similar in form and function to those used by other more advantaged populations.

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Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Coping With HIV: Perspectives of Mothers

Pittiglio

Hough²

2009

Journal of the Association of Nurses in AIDS Care

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“…Research, however, is emerging that recognizes how age is an important social factor to consider when examining the HIV self-management behaviors of HIV-positive women. Plach et al 19 conducted in-depth interviews with nine culturally diverse HIV-positive women ages 50-56. They report that women's definitions of HIV self-management are shaped in large part by their life experiences over time, which serve as a buffer for managing the health effects of HIV.…”

Section: Chronic Illness Self-managementmentioning

confidence: 99%

“…As noted by Plach et al, women viewed their advanced age to be a source of wisdom from which they could rely upon to cope with chronic illness as well as life challenges. 19 That is, older women with HIV have a lifetime of self-management experiences from which to draw. Ultimately, they purport that mature age is viewed as a strength to simultaneously managing HIV and other co-morbid conditions.…”

Section: Chronic Illness Self-managementmentioning

confidence: 99%

Taking It One Day at a Time: African American Women Aging with HIV and Co-Morbidities

Warren-Jeanpiere

Dillaway

Hamilton

et al. 2014

AIDS Patient Care and STDs

125

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Self-managing HIV/AIDS presents challenges for anyone infected. These challenges may be further complicated for older HIV-infected African American women who acquired the disease at younger ages and now have comorbidities. Little is known regarding how women's age identity, social responsibilities, co-morbidities, and romantic relationship status influence their HIV self-management. Five focus groups were conducted in Washington DC, with HIV-positive African American women aged 52-65. Topics included HIV and co-morbidity self-management, social support needs, medication adherence, and future plans for old age. A constant comparison approach was applied during data analysis. Co-morbidities, including diabetes and hypertension, were perceived to be more difficult to self-manage than HIV. This difficulty was not attributed to aging but to daily struggles such as lack of income and/or health insurance, an inflexible work schedule, and loneliness. Social responsibilities, including caring for family, positively impacted participants' ability to self-manage HIV by serving as motivation to stay healthy in order to continue to help family members. In contrast, inflexible work schedules negatively impacted women's ability to sustain medication adherence. Overall, this study demonstrates that HIV and co-morbidity self-management are inextricably linked. We can no longer afford to view engagement in HIV care as a single-disease issue and hope to attain optimal health and well-being in our HIVaffected populations. Optimal HIV self-management must be framed within a larger context that simultaneously addresses HIV and co-morbidities, while considering how social and cultural factors uniquely intersect to influence older African American women's self-management strategies.

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“…Although many studies have been conducted with HIV-infected women, few focus on mature women living with HIV, particularly Midwestern women (Gosselink & Myllykangas, 2007;Plach, Stevens, & Keigher, 2005). Much of the available literature about the population of mature women living with HIV focuses on menopausal issues (Arnsten et al, 2006;Fantry, Zhan, Taylor, Sill, & Flaws, 2005;Santoro, Arnsten, Buono, Hoard, & Schoenbaum, 2005;Schoenbaum et al, 2005), with less attention to other unique health concerns as perceived by the population.…”

Section: Discussionmentioning

confidence: 99%

Health Concerns of Mature Women Living With HIV in the Midwestern United States

Enriquez¹,

Lackey²,

Witt³

2008

Journal of the Association of Nurses in AIDS Care

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This study was performed to better understand the health concerns of mature Midwestern women living with HIV and to offer health care providers information about the spectrum of medical and psychosocial needs of this population. Individual interviews were conducted with 18 low-income women who were 41 to 68 years of age. Interviews showed multiple needs that encompassed both physical and emotional health: more frequent health screenings, the ability to differentiate symptoms of advancing HIV from those of aging, desire for knowledge about reasonable expectations for aging women with HIV, and attention to emotional health needs and social support. Interventions aimed at helping mature HIV-infected women cope as they age, education about the normal aging process, consumer information about appropriate timing of health care screenings, and mechanisms to facilitate the creation of social support networks to decrease isolation seem to be needed in this population.

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Self-Care of Women Growing Older With HIV and/or AIDS

Cited by 29 publications

References 49 publications

Coping With HIV: Perspectives of Mothers

Coping With HIV: Perspectives of Mothers

Taking It One Day at a Time: African American Women Aging with HIV and Co-Morbidities

Health Concerns of Mature Women Living With HIV in the Midwestern United States

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