A Concept Mapping Study to Understand Multilevel Resilience Resources Among African American/Black Adults Living with HIV in the Southern United States.

Autor: Dulin AJ; Department of Behavioral and Social Sciences, Center for Health Promotion and Health Equity, Brown University School of Public Health, Box G-S121-8, Providence, RI, 02912, USA. akilah_dulin@brown.edu., Earnshaw VA; Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA., Dale SK; Department of Psychology, University of Miami, Coral Gables, FL, USA., Carey MP; Department of Psychiatry and Human Behavior, Centers for Behavioral and Preventive Medicine, Alpert Medical School of Brown University, The Miriam Hospital, Providence, RI, USA., Fava JL; Department of Psychiatry and Human Behavior, Centers for Behavioral and Preventive Medicine, Alpert Medical School of Brown University, The Miriam Hospital, Providence, RI, USA., Wilson-Barthes M; Department of Epidemiology, Centers for Epidemiology and Environmental Health, Brown University School of Public Health, Providence, RI, USA., Mugavero MJ; Division of Infectious Diseases, Department of Medicine, Center for AIDS Research, University of Alabama at Birmingham, Birmingham, AL, USA., Dougherty-Sheff S; Division of Infectious Diseases, Department of Medicine, Center for AIDS Research, University of Alabama at Birmingham, Birmingham, AL, USA., Johnson B; Division of Infectious Diseases, Department of Medicine, Center for AIDS Research, University of Alabama at Birmingham, Birmingham, AL, USA., Napravnik S; Division of Infectious Diseases, Department of Medicine, Department of Epidemiology, School of Medicine, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Howe CJ; Department of Epidemiology, Centers for Epidemiology and Environmental Health, Brown University School of Public Health, Providence, RI, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2021 Mar; Vol. 25 (3), pp. 773-786. Date of Electronic Publication: 2020 Sep 17.
DOI: 10.1007/s10461-020-03042-6
Abstrakt: Resilience may help people living with HIV (PLWH) overcome adversities to disease management. This study identifies multilevel resilience resources among African American/Black (AA/B) PLWH and examines whether resilience resources differ by demographics and neighborhood risk environments. We recruited participants and conducted concept mapping at two clinics in the southeastern United States. Concept Mapping incorporates qualitative and quantitative methods to represent participant-generated concepts via two-dimensional maps. Eligible participants had to attend ≥ 75% of their scheduled clinic appointments and did not have ≥ 2 consecutive detectable HIV-1 viral load measurements in the past 2 years. Of the 85 AA/B PLWH who were invited, forty-eight participated. Twelve resilience resource clusters emerged-five individual, two interpersonal, two organizational/policy and three neighborhood level clusters. There were strong correlations in cluster ratings for demographic and neighborhood risk environment comparison groups (r ≥ 0.89). These findings could inform development of theories, measures and interventions for AA/B PLWH.
Databáze: MEDLINE