Date: 01 Sep 2013
Spirituality and Religion among HIV-Infected Individuals
- Magdalena Szaflarski
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Spirituality and religion are important to many people living with HIV (PLWH). Recent research has focused on special populations (ethnic-minorities, women, and youth), spirituality/religion measurement, mediating/moderating mechanisms, and individual and community-level interventions. Spirituality/religion in PLWH has been refined as a multidimensional phenomenon, which improves health/quality of life directly and through mediating factors (healthy behaviors, optimism, social support). Spirituality/religion helps people to cope with stressors, especially stigma/discrimination. Spiritual interventions utilizing the power of prayer and meditation and addressing spiritual struggle are under way. Faith-based community interventions have focused on stigma and could improve individual outcomes through access to spiritual/social support and care/treatment for PLWA. Community engagement is necessary to design/implement effective and sustainable programs. Future efforts should focus on vulnerable populations; utilize state-of-the-art methods (randomized clinical trials, community-based participatory research); and, address population-specific interventions at individual and community levels. Clinical and policy implications across geographic settings also need attention.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
•• Vance DE, Brennan M, Enah C, Smith GL, Kaur J. Religion, spirituality, and older adults with HIV: critical personal and social resources for an aging epidemic. Clin Intervent Aging. 2011;6:101–9. This paper draws attention to the aging HIV epidemic and proposes a model of successful aging that incorporates spirituality/religion as a coping mechanism as well as a source of stress. Implications for practice are discussed. CrossRef
•• Szaflarski M, Kudel I, Cotton S, et al. Multidimensional assessment of spirituality/religion in patients with HIV: conceptual framework and empirical refinement. J Relig Health. 2012;51:1239–60. This study refines the conceptualization and measurement of spirituality/religion in PLWH using the conceptual framework underlying the Brief Multidimensional Measure of Religiousness/Spirituality, a “gold standard”. A collective of 56 spirituality and religion items were analyzed by using confirmatory factor analysis. Results suggest 8 dimensions of spirituality/religion that are salient in PLWH. PubMedCrossRef
Koenig HG. Medicine, religion, and health: Where science and spirituality meet. West Conshohocken: Templeton Foundation Press; 2008.
Koenig HG, McCullough ME, Larson DB. Handbook of religion and health. Oxford: Oxford University Press; 2001.CrossRef
Jenkins R. Religion and HIV: implications for research and intervention. J Soc Issues. 1995;51:247–70.CrossRef
• Balaji AB, Oster AM, Viall AH, et al. Role flexing: how community, religion, and family shape the experiences of young black men who have sex with men. AIDS Patient Care STDS. 2012;26:730–7. This qualitative study addresses homosexuality in the context of religious organizations’ responses to HIV in the U.S. Deep South. Findings suggest that homosexuality remains highly stigmatized. Young black MSM in the study used “role flexing” to modify their behavior to fit into a faith community. PubMedCrossRef
Baumgartner L, Niemi E. The perceived effect of HIV/AIDS on other identities. Qual Rep. 2013;18:1–23.
Cuevas JE, Vance DE, Viamonte SM, Lee SK, South JL. A comparison of spirituality and religiousness in older and younger adults with and without HIV. J Spiritual Ment Health. 2010;12:273–87.CrossRef
Remle RC, Koenig H. Religion and health in HIV/AIDS communities. In: Plante TG, Sherman AC, editors. Faith and health: psychological perspectives. The Guilford Press; 2001.p. 195–212.
Garfield CF, Isacco A, Sahker E. Religion and spirituality as important components of men's health and wellness: an analytic review. Am J Lifestyle Med. 2012;7:27–37.CrossRef
• Campbell C, Skovdal M, Gibbs A. Creating social spaces to tackle AIDS-related stigma: reviewing the role of church groups in sub-Saharan Africa. AIDS Behav. 2011;15:1204–19. This is a systematic literature review to examine the role of religious groups in the HIV epidemic in sub-Saharan Africa. Five themes emerge in the review that highlight the complex and contradictory responses of congregations to HIV. PubMedCrossRef
Aja GN, Modeste NN, Montgomery SB. Qualitative inquiry into church-based assets for HIV/AIDS prevention and control: a forum focus group discussion approach. Qual Rep. 2012;17:1–15.
Sofolahan YA, Airhihenbuwa CO. Childbearing decision making: a qualitative study of women living with HIV/AIDS in Southwest Nigeria. AIDS Res Treat. 2012;2012:478065.PubMed
Vance DE, Antia L, Blanshan SA, et al. A structural equation model of religious activities on biopsychosocial outcomes in adults with HIV. J Spiritual Ment Health. 2008;10:328–49.CrossRef
•• Ironson G, Stuetzle R, Ironson D, et al. View of God as benevolent and forgiving or punishing and judgmental predicts HIV disease progression. J Behav Med. 2011;34:414–25. This is a large, longitudinal study that has been able to document effects of perceptions of God on the health status of PLWH. In this study, positive perceptions of God were associated with slower while negative perceptions of God were associated with faster HIV disease progression. PubMedCrossRef
Vance DE. Spirituality of living and aging with HIV: a pilot study. J Relig Spiritual Aging. 2006;19:57–74.CrossRef
Vance DE, Struzick TC, Russell T. Spiritual and religious implications of aging with HIV: a conceptual and methodological review. J Relig Spiritual Aging. 2007;19:21–42.CrossRef
Vance DE, Woodley RA. Spiritual expressions of coping in adults with HIV: implications for successful aging. J Relig Disabil Health. 2008;12:37–57.CrossRef
Suzuki-Crumly JK, Ackerman ML, Vance DE, et al. The role of religiosity in mediating biopsychosocial outcomes in homosexuals and heterosexuals with HIV: a structural equation modeling comparison study. J Spiritual Ment Health. 2010;12:209–23.CrossRef
Ackerman ML, Vance DE, Antia L, et al. The role of religiosity in mediating biopsychosocial outcomes between African Americans and Caucasians with HIV. J Spiritual Ment Health. 2009;11:312–27.CrossRef
Deribew A, Deribe K, Reda AA, et al. Change in quality of life: a follow-up study among patients with HIV infection with and without TB in Ethiopia. BMC Publ Health. 2013;13:408.CrossRef
Huang D, Sangthong R, McNeil E, et al. Effects of a phone call intervention to promote adherence to antiretroviral therapy and quality of life of HIV/AIDS patients in Baoshan, China: a randomized controlled trial. AIDS Res Treat. 2013;2013:580974.PubMed
Pecoraro A, Royer-Malvestuto C, Rosenwasser B, et al. Factors contributing to dropping out from and returning to HIV treatment in an inner city primary care HIV clinic in the United States. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV 2013, Feb 21. [Epub ahead of print].
Brown J, Hanson JE, Schmotzer B, Webel AR. Spirituality and optimism: a holistic approach to component-based, self-management treatment for HIV. J Relig Health. 2013;1–12 [Epub ahead of print].
•• Bluthenthal RN, Palar K, Mendel P, et al. Attitudes and beliefs related to HIV/AIDS in urban religious congregations: barriers and opportunities for HIV-related interventions. Soc Sci Med. 2012;74:1520–7. This community-engaged, qualitative study examines a range of congregational views on HIV and PLWH. The views ranged in the study from highly judgmental to accepting/affirming, depending on the level of congregational HIV involvement. However, some highly involved congregations displayed stigmatizing attitudes, suggesting that stigma reduction efforts should coincide with congregations’ other HIV activities. PubMedCrossRef
Eke AN, Wilkes AL, Gaiter J. Organized religion and the fight against HIV/AIDS in the black community: The role of the Black Church. In: McCree DH, editor. African Americans and HIV/AIDS. New York: Springer; 2010. p. 53–68.CrossRef
Keough L, Marshall K. Faith communities engage the HIV/AIDS crisis: Lessons learned and paths forward. Washington, DC: Georgetown University; 2007.
Lightfoot AF, Woods BA, Jackson M, et al. “In my house”: laying the foundation for youth HIV prevention in the Black church. Prog Commun Health Partnersh. 2012;6:451–6.CrossRef
Foster PP, Cooper K, Parton JM, Meeks JO. Assessment of HIV/AIDS prevention of rural African American Baptist leaders: implications for effective partnerships for capacity building in American communities. J Natl Med Assoc. 2011;103:323–31.PubMed
Palar K, Mendel P, Derose KP. The organization of HIV and other health activities within urban religious congregations. J Urban Health. 2012. doi:10.1007/s11524-012-9783-6.
Monshipouri M, Trapp T. HIV/AIDS, religion, and human rights: a comparative analysis of Bangladesh, Indonesia, and Iran. Human Rights Rev. 2012;13:187–204.CrossRef
Sutton MY, Parks CP. HIV/AIDS prevention, faith, and spirituality among Black/African American and Latino communities in the United States: strengthening scientific faith-based efforts to shift the course of the epidemic and reduce HIV-related health disparities. J Relig Health. 2013;52:514–30.PubMedCrossRef
Szaflarski M, Vaughn LM. Using concept mapping to mobilize a black faith community to address HIV. UAB Health Disparities Research Annual Symposium. Birmingham, AL; 2012.
Lindley LL, Coleman JD, Gaddist BW, White J. Informing faith-based HIV/AIDS interventions: HIV-related knowledge and stigmatizing attitudes at project F.A.I.T.H. churches in South Carolina. Public Health Rep. 2010;125 Suppl 1:12–20.PubMed
- Spirituality and Religion among HIV-Infected Individuals
Current HIV/AIDS Reports
Volume 10, Issue 4 , pp 324-332
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Religious organizations
- Faith-based organizations
- People living with HIV
- Quality of life
- Social support
- Spiritual support
- Spiritual health
- Spiritual well-being
- Industry Sectors
- Magdalena Szaflarski (1) (2)
- Author Affiliations
- 1. Department of Sociology, University of Alabama at Birmingham, HHB 460Q, 1720 2nd Ave S, Birmingham, AL, 35294-1152, USA
- 2. Department Health Behavior, University of Alabama at Birmingham, Birmingham, AL, USA