The Association Between Depressive Symptoms, Anger, and Perceived Support Resources Among Underserved Older HIV Positive Black/African American Adults

Whitehead, Nicole Ennis; Hearn, Lauren E.; Burrell, Larry E.

doi:10.1089/apc.2014.0126

Cited by 23 publications

(18 citation statements)

References 36 publications

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“…Other researchers have concluded that loneliness is associated with low social support, and may not be a necessary part of depression (Adams et al, 2004). Those aging with HIV have limited social networks and have a heightened need for social support (High et al, 2012; Whitehead, Hearn, & Burrell, 2014). …”

Section: Discussionmentioning

confidence: 99%

Loneliness and substance use: the influence of gender among HIV+ Black/African American adults 50+

et al. 2015

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Estimates suggest 30% of adults report the highest levels of loneliness. Though men are more likely than women to use illicit substances and engage in heavy drinking, the prevalence of substance use in women is growing and their escalation towards dependence occurs more rapidly. Loneliness and substance use have greater relevance within the HIV+ population, with higher rates of substance misuse than the general population. However, the association between loneliness and substance use within HIV+ individuals remains understudied. The purpose of the present study was to test the hypothesis that there would be an association between loneliness and substance moderated by gender in HIV+ older adults. A cross sectional study was conducted between October 2013 and January 2014. Study participants included 96 HIV-positive Black/African American men and women recruited through the University of Florida Center for HIV/AIDS Research, Education and Service (UF CARES) in Jacksonville, Florida. Participants completed an interviewer-administered assessment examining mental and behavioral health. Pearson correlations examined associations between loneliness and substance use. Binary logistic regression analyses stratified by gender examined the association between loneliness and substance use while controlling for covariates. Among women, loneliness was associated with illicit drug use, AOR=3.37, 95% CI: 1.23 – 9.21, p =. 018 and heavy drinking, AOR=2.47, 95% CI: 1.07 – 5.71, p =. 033. No significant associations were found between loneliness and illicit drug use, and heavy drinking in men. Substance use among women in this population may be linked to loneliness. Interventions should be gender specific. Further research into this association is necessary as it will likely have important clinical implications for this population.

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Section: Discussionmentioning

confidence: 99%

Loneliness and substance use: the influence of gender among HIV+ Black/African American adults 50+

et al. 2015

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“…Feelings of anger can negatively influence psychosocial function in adults with HIV (Whitehead, Hearn, & Burrell, 2014). The State-Trait Anger Expression Inventory (STAXI) uses 4-point Likert scales ranging from 0 ( never ) to 3 ( always ).…”

Section: Methodsmentioning

confidence: 99%

Contextualizing Psychosocial Determinants of Alcohol Use by Age Cohorts of Adults Living With HIV, Ages 50 and Older

Mannes¹,

Burrell²,

Dunne³

et al. 2017

Journal of the Association of Nurses in AIDS Care

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We examined the influence of age on associations between affective states, social support, and alcohol use by age cohorts. We recruited 96 older Black adults living with HIV from the southeastern United States in 2013 and 2014. Participants completed questionnaires assessing demographics, psychological function, and substance use. Hierarchical regression analyses assessed the relationship between psychosocial factors and alcohol use in a 50- to 59-year-old group, and a 60 years and older age group. After controlling for covariates, trait anger, state anger, and life stress were positively associated with alcohol consumption in the younger group, while social support was negatively associated with alcohol consumption in the older group. Interventions should target negative affective states in 50- to 59-year-old adults with HIV, and preserve social support for adults with HIV as they age, as such interventions will likely have an impact on these individuals' alcohol consumption and longstanding quality of life.

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“…[2][3][4] Numerous factors have been identified as barriers to HIV care and treatment since the beginning of the epidemic, and several reports have provided important qualitative information on barriers to care and treatment in the current ART era. [5][6][7][8] However, contemporary population-based data on the relative prevalence of patient-perceived barriers to HIV care and treatment are sparse. 9 For more than a decade, state and federal funding has assured that Washington State residents have near universal access to HIV treatment.…”

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confidence: 99%

Barriers to HIV Care and Treatment Among Participants in a Public Health HIV Care Relinkage Program

Dombrowski

Simoni

Katz

et al. 2015

AIDS Patient Care and STDs

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Improving patient retention in HIV care and use of antiretroviral therapy (ART) are key steps to improving the HIV care continuum in the US. However, contemporary quantitative data on barriers to care and treatment from population-based samples of persons poorly engaged in care are sparse. We analyzed the prevalence of barriers to clinic visits, ART initiation, and ART continuation reported by 247 participants in a public health HIV care relinkage program in King County, WA. We identified participants using HIV surveillance data (N = 188) and referrals from HIV/STD clinics and partner services (N = 59). Participants most commonly reported insurance (50%), practical (26-34%), and financial (30%) barriers to care, despite residing in a state with essentially universal access to HIV care. Perceived lack of need for medical care was uncommon ( < 20%), but many participants (58%) endorsed a perceived lack of need for medication as a reason for not initiating ART. Depression and substance abuse were both highly prevalent (69% and 54%, respectively), and methamphetamine was the most commonly abused substance. Barriers to HIV care and treatment may be amenable to intervention by health department outreach in coordination with existing HIV medical and support services.

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The Association Between Depressive Symptoms, Anger, and Perceived Support Resources Among Underserved Older HIV Positive Black/African American Adults

Cited by 23 publications

References 36 publications

Loneliness and substance use: the influence of gender among HIV+ Black/African American adults 50+

Loneliness and substance use: the influence of gender among HIV+ Black/African American adults 50+

Contextualizing Psychosocial Determinants of Alcohol Use by Age Cohorts of Adults Living With HIV, Ages 50 and Older

Barriers to HIV Care and Treatment Among Participants in a Public Health HIV Care Relinkage Program

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