HIV-related shame and health-related quality of life among older,HIV-positive adults |
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| Authors: | Wilson Vincent Xindi Fang Sarah K Calabrese Timothy G Heckman Kathleen J Sikkema Nathan B Hansen |
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| Institution: | 1.Department of Medicine, Center for AIDS Prevention Studies,University of California,San Francisco,USA;2.School of Public Health,Yale University,New Haven,USA;3.Department of Psychology,George Washington University,Washington,USA;4.College of Public Health,University of Georgia,Athens,USA;5.Department of Psychology and Neuroscience and Duke Global Health Institute,Duke
University,Durham,USA |
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| Abstract: | This study investigated how HIV-related shame is associated with health-related quality of life (HRQoL) in older people living with HIV (PLHIV). Structural equation modeling tested whether HIV-related shame was associated with three dimensions of HRQoL (physical, emotional, and social well-being) and whether there were significant indirect associations of HIV-related shame with the three HRQoL dimensions via depression and loneliness in a sample of 299 PLHIV ≥50 years old. Results showed that depression and loneliness were key mechanisms, with depression at least partially accounting for the association between HIV-related shame and both emotional and physical well-being, respectively, and loneliness accounting for the association between HIV-related shame and social well-being. HIV-related shame appears to be an important correlate of HRQoL in older PLHIV and may provide a promising leveraging point by which to improve HRQoL in older PLHIV. |
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