Allison R. Webel|Yvette Cuca|Jennifer Okonsky|Alice Asher|Alphoncina Kaihura|Robert A. Salata
The impact of social context on self-management in women living with HIV
Case Western Reserve University|University of California, San Francisco|Unity Health System|University of California, San Francisco|Global Brain Health Institute|University of California, San Francisco|Unity Health System|Unity Health System|University of California, San Francisco|Case Western Reserve University
hiv selfmanagement central health people living hiv comprised daily tasks individuals employ manage illness women living hiv confronted social context vulnerabilities impede ability conduct hiv selfmanagement behaviors including demanding social roles poverty homelessness decreased social capital limited access health care examined relationship vulnerabilities hiv selfmanagement crosssectional secondary analysis 260 women living hiv two us sites social context variables assessed using validated selfreport scales hiv selfmanagement assessed using hiv selfmanagement scale measures daily health practices hiv social support chronic nature hiv data analyzed using appropriate descriptive statistics multivariable regression mean age 46 years 65 participants africanamerican results indicated social context variables particularly social capital significantly predicted domains hiv selfmanagement including daily health practices f 540 adjusted r2 027 p 001 hiv social support f 450 adjusted r2 022 p 001 accepting chronic nature hiv f 557 adjusted r2 027 p 001 found evidence support influence traditional social roles mother employee daily health practices chronic nature hiv domains hiv selfmanagement data support idea womens social context influences hiv selfmanagement behavior social context previously identified important data provide new evidence aspects social context might important targets selfmanagement interventions women living hiv working improve social capital incorporate social roles daily health practices women living hiv may improve health population