Journal of Community Health

, Volume 41, Issue 5, pp 989–997 | Cite as

Exploring Pathways Between HIV+ Status and Excellent Overall Health Among Kenyan Women: Family Functioning, Meaningfulness of Life, Seroconcordance, Social Support and Considering the Need for Integrated Care

  • Michael L. Goodman
  • Hani Serag
  • Stanley Gitari
  • Philip H. Keiser
  • Matthew Dacso
  • Ben G. Raimer
Original Paper


As people living with HIV/AIDS (PLWHA) live longer, and HIV incidence declines, health systems are transitioning from vertical-only care delivery to horizontal integration with social and other services. This is essential to responding to the chronic nature of the disease, and health systems must respond to full-breadth of socio-economic conditions facing PLWHA. We use excellent self-rated health as a referent, and assess the role of non-biomedical conditions in mediating HIV+ status and excellent overall health among a large community sample of Kenyan women. After controlling for age and wealth, we found significant mediation by social support, partner HIV status, meaningfulness of life, family functioning, food sufficiency, and monthly income. If the goal of health systems is to help all people attain the highest level of health, integrating vertical HIV services with socio-economic support and empowerment may be required. Further investigation of the relative contribution of social support, family functioning, food and financial sufficiency should be conducted longitudinally, ideally in collaboration with HIV clinical services.


Overall wellness HIV Women Kenya Mediation analysis 


Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to report.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.University of Texas Medical BranchGalvestonUSA
  2. 2.Sodzo InternationalHoustonUSA
  3. 3.Maua Methodist HospitalMauaKenya
  4. 4.GalvestonUSA

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