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A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.

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Title: A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.
Authors: Chuku, Chika Christle, Silva, Maria F., Lee, Jasper S., Reid, Rachelle, Lazarus, Kimberly, Carrico, Adam W., Dale, Sannisha K.
Source: AIDS Care. Oct2024, Vol. 36 Issue 10, p1410-1423. 14p.
Subjects: Cross-sectional method, Patient compliance, Psychological resilience, Statistical correlation, African Americans, Self-efficacy, Viral load, Research funding, HIV infections, Psychology of women, Evaluation of medical care, Posttraumatic growth, Psychological adaptation, Descriptive statistics, Psychology of HIV-positive persons, Research, Religion, Drugs, Social support, Confidence intervals, Self-perception, Well-being
Abstract: Black women living with HIV (BWLWH) face barriers that impact health outcomes. However, positive psychosocial indicators may influence HIV care outcomes. Among this cross-sectional study of 119 BWLWH, a network analysis was utilized to examine relationships between positive psychosocial factors and HIV-related health outcomes. A preliminary polychoric analysis was conducted to examine correlations between the variables, and the network analyzed connections between resilience, self-efficacy, self-esteem, perceived social support, religious coping, post-traumatic growth, and an indicator variable for suboptimal HIV care outcomes (low medication adherence, detectable viral load, and missed HIV-related health visits) and determined the centrality measures within the network. Seven significant associations were found among the factors: self-efficacy and self-esteem, post-traumatic growth and resilience, post-traumatic growth and self-efficacy, post-traumatic growth and religious coping, perceived social support and resilience, self-esteem and resilience, self-esteem and perceived social support (bootstrapped 95% CI did not contain zero). Self-efficacy was the strongest indicator associated with the other factors. Although not statistically significant, the indicator for suboptimal HIV care outcomes was negatively associated with perceived social support and religious coping. Future interventions incorporating self-efficacy may be beneficial to the overall well-being of Black women. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.
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  Data: <searchLink fieldCode="AR" term="%22Chuku%2C+Chika+Christle%22">Chuku, Chika Christle</searchLink><br /><searchLink fieldCode="AR" term="%22Silva%2C+Maria+F%2E%22">Silva, Maria F.</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Jasper+S%2E%22">Lee, Jasper S.</searchLink><br /><searchLink fieldCode="AR" term="%22Reid%2C+Rachelle%22">Reid, Rachelle</searchLink><br /><searchLink fieldCode="AR" term="%22Lazarus%2C+Kimberly%22">Lazarus, Kimberly</searchLink><br /><searchLink fieldCode="AR" term="%22Carrico%2C+Adam+W%2E%22">Carrico, Adam W.</searchLink><br /><searchLink fieldCode="AR" term="%22Dale%2C+Sannisha+K%2E%22">Dale, Sannisha K.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Oct2024, Vol. 36 Issue 10, p1410-1423. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+resilience%22">Psychological resilience</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Self-efficacy%22">Self-efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Viral+load%22">Viral load</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+women%22">Psychology of women</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Posttraumatic+growth%22">Posttraumatic growth</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Religion%22">Religion</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Self-perception%22">Self-perception</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Black women living with HIV (BWLWH) face barriers that impact health outcomes. However, positive psychosocial indicators may influence HIV care outcomes. Among this cross-sectional study of 119 BWLWH, a network analysis was utilized to examine relationships between positive psychosocial factors and HIV-related health outcomes. A preliminary polychoric analysis was conducted to examine correlations between the variables, and the network analyzed connections between resilience, self-efficacy, self-esteem, perceived social support, religious coping, post-traumatic growth, and an indicator variable for suboptimal HIV care outcomes (low medication adherence, detectable viral load, and missed HIV-related health visits) and determined the centrality measures within the network. Seven significant associations were found among the factors: self-efficacy and self-esteem, post-traumatic growth and resilience, post-traumatic growth and self-efficacy, post-traumatic growth and religious coping, perceived social support and resilience, self-esteem and resilience, self-esteem and perceived social support (bootstrapped 95% CI did not contain zero). Self-efficacy was the strongest indicator associated with the other factors. Although not statistically significant, the indicator for suboptimal HIV care outcomes was negatively associated with perceived social support and religious coping. Future interventions incorporating self-efficacy may be beneficial to the overall well-being of Black women. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2024.2372714
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 1410
    Subjects:
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Psychological resilience
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Viral load
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Posttraumatic growth
        Type: general
      – SubjectFull: Psychological adaptation
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: Research
        Type: general
      – SubjectFull: Religion
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      – SubjectFull: Drugs
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Self-perception
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      – SubjectFull: Well-being
        Type: general
    Titles:
      – TitleFull: A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.
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              M: 10
              Text: Oct2024
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              Y: 2024
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