Resilience Among Women with HIV: Impact of Silencing the Self and Socioeconomic Factors
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In the U.S., women account for over a quarter of the approximately 50,000 annual new HIV diagnoses and face intersecting and ubiquitous adversities including gender inequities, sexism, poverty, violence, and limited access to quality education and employment. Women are also subjected to prescribed gender roles such as silencing their needs in interpersonal relationships, which may lessen their ability to be resilient and function adaptively following adversity. Previous studies have often highlighted the struggles encountered by women with HIV without focusing on their strengths. The present cross-sectional study investigated the relationships of silencing the self and socioeconomic factors (education, employment, and income) with resilience in a sample of women with HIV. The sample consisted of 85 women with HIV, diverse ethnic/racial groups, aged 24–65 enrolled at the Chicago site of the Women’s Interagency HIV Study in the midwestern region of the United States. Measures included the Connor-Davidson Resilience Scale -10 item and the Silencing the Self Scale (STSS). Participants showed high levels of resilience. Women with lower scores on the STSS (lower self-silencing) reported significantly higher resilience compared to women with higher STSS scores. Although employment significantly related to higher resilience, silencing the self tended to predict resilience over and above the contributions of employment, income, and education. Results suggest that intervention and prevention efforts aimed at decreasing silencing the self and increasing employment opportunities may improve resilience.
KeywordsResilience Silencing the self HIV Women Socioeconomic factors
Data in this manuscript were collected by the Chicago site of the Women’s Interagency HIVstudy (WIHS), which is funded by the National Institute of Allergy and Infectious DiseasesGrant U01-AI-34994 (PI, Dr. Mardge Cohen) and co-funded by the National Cancer Institute and National Institute of Drug Abuse. Sannisha K. Dale is funded by a National Research Service Award (#F31MH095510) from the National Institute of Mental Health. Kathleen Weber is also funded in part by P30- AI082151. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the views of the National Institutes of Health.
We would like to express tremendous gratitude to the WIHS participants in this study and to WIHS staff Cheryl Watson, Crystal Winston, Sally Urwin and Karlene Schowalter who were key in data collection and management.
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