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Psychosocial Protective and Risk Factors of Quality of Life Outcomes Among Older Adults Living With HIV

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Abstract

HIV continues to be a public health issue for older adults. Previous studies have examined predictors of quality of life (QoL) among people living with HIV (PLWH), but the majority have been in international settings and have not focused on older adults living with HIV (OALH). The aim of this study was to examine the associations between psychosocial protective and risk factors (resilience, internalized HIV-related stigma, and depression), and overall and domains (physical, psychological, independence, social, environmental, and spiritual) of QoL among OALH. Data were obtained from 156 OALH living in South Carolina. Resilience was positively associated with all QoL domains except the spiritual domain. Internalized HIV-related stigma was associated with all QoL domains except the psychological and environmental domains. Depression was associated with the overall QoL measure and all domains. Interventions aimed at increasing resilience, attenuating internalized HIV-related stigma and depressive symptoms may be warranted for OALH, which may improve overall and varying domains of QoL.

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Data Availability

Data can be obtained by e-mailing Dr. Xiaoming Li (xiaoming@mailbox.sc.edu).

Code Availability

Codes can be obtained by e-mailing Dr. Monique J. Brown (brownm68@mailbox.sc.edu).

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Acknowledgements

We would like to thank the clinic staff for helping with recruitment and the participants for participating in the study.

Funding

This study was funded by the South Carolina SmartState Program®. M. J. Brown is supported by grant K01MH115794 from the National Institute of Mental Health. The sponsors had no role in the design, analysis or decision to publish these findings. The content is solely the responsibility of the authors and does not necessarily represent the official views of the South Carolina SmartState Program® or the National Institutes of Health.

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Authors and Affiliations

  1. Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

    Monique J. Brown, Daniel Amoatika, Amandeep Kaur & Prince Nii Ossah Addo

  2. South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

    Monique J. Brown

  3. Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, SC, Columbia, USA

    Monique J. Brown

  4. Office for the Study on Aging, Arnold School of Public Health, University of South Carolina, SC, Columbia, USA

    Monique J. Brown

  5. School of Nursing, Bouvé College of Health Sciences, Northeastern University, MA, Boston, USA

    Moka Yoo-Jeong

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Contributions

MJB conceived the paper, designed the study and analyzed the data. MJB and DA wrote the first draft of the paper. All authors commented on previous versions of the manuscript.

Corresponding author

Correspondence to Monique J. Brown.

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There are no conflicts of interest to disclose for any author.

Ethical Approval

The study was approved by the University of South Carolina Institutional Review Board.

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All participants provided informed consent to participate before participating in the study.

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Participants provided consent to publishing study results.

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Brown, M.J., Amoatika, D., Kaur, A. et al. Psychosocial Protective and Risk Factors of Quality of Life Outcomes Among Older Adults Living With HIV. AIDS Behav 27, 2642–2648 (2023). https://doi.org/10.1007/s10461-023-03989-2

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