Prevalence and Correlates of Self-Rated Successful Aging Among Older Women Living With HIV
Year: 2019
Type: article
Abstract: BACKGROUND: Despite marked gains in longevity attributable to antiretroviral therapy (ART), older women living with HIV (OWLH) experience substantial health challenges, and few studies addressed whether they can achieve successful aging (SA). This is among the first studies examining prevalence and psychosocial correlates of self-rated SA (SRSA) among OWLH and women at risk of HIV. METHODS: The sample included 386 OWLH and 137 HIV-seronegative women enrolled in the Women's Interagency HIV Study (WIHS) who were aged 50 years and older and participated in the "From Surviving to Thriving" (FROST) substudy. The FROST survey included measures of SRSA and positive psychosocial constructs. RESULTS: Participants were on average 57 years (SD = 5.3), 74% African American and 30% unemployed. Among OWLH, 94% were on ART and 73% were virally suppressed. Compared with OWLH, a higher proportion of HIV-seronegative women had an annual income ≤ $6000, no health insurance, and reported lower optimism and health-related quality of life. We found no differences in SRSA prevalence by HIV status: 84% of OWLH and 83% of HIV-seronegative women reported SRSA ≥7 (range = 2-10, higher scores signify better SRSA). Having SRSA ≥7 was associated with higher levels of positive psychosocial characteristics (eg, resilience and optimism) among both OWLH and HIV-seronegative women. CONCLUSIONS: SRSA is achievable among older women with and at risk of HIV despite health complications. Among disadvantaged women, factors other than HIV may be primary drivers of SRSA. Future research is needed to examine determinants of SRSA and to design public health interventions enhancing SA within this population.
Language: English
Field: Psychology
Domain: Social Sciences
Open Access status: hybrid
Funders: University of Pennsylvania, Emory University, Georgia Clinical and Translational Science Alliance, National Institutes of Health, Center for AIDS Research, University of Washington, University of California, San Francisco, Center for AIDS Research, University of Alabama at Birmingham, National Institute on Alcohol Abuse and Alcoholism, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Institute on Drug Abuse, National Cancer Institute, National Institute on Deafness and Other Communication Disorders, National Institute of Allergy and Infectious Diseases, National Institute of Child Health and Human Development, National Institute of Dental and Craniofacial Research, Office of Research on Women's Health, National Center for Advancing Translational Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Center for AIDS Research, University of North Carolina at Chapel Hill
Awards: G1852790566, G1913134163, G226574744, Acute Effects of Cannabis on Cognition and Mobility in Older HIV-Infected and Uninfected Women", Emory R38 Research Training Program, Emory WIHS CRS - Longitudinal Cohort, G2675028044, G311558797, Brooklyn Women's Interagency HIV Study (WIHS) V, G3869857964, G4371267688, WIHS Data Management and Analysis Center (WDMAC), Clinical and Translational Science Institute, G5900455136, G6113675784, G674907753, G6990385686, University of North Carolina Womens Interagency HIV Study UNC WIHS, The CFAR Social & Behavioral Science Research Network National Scientific Meeting, G7728176396, G775892330, G7807729167, Women's Interagency HIV Study (WIHS-V), G897868480, G9000080293, Penn Mental Health AIDS Research Center, Emory Specialized Center of Research Excellence (SCORE) on Sex Differences, UNC MACS/WIHS Combined Cohort Study Clinical Research Site, Center for AIDS Research at Emory University, Penn Center for AIDS Research, The University of North Carolina Center for AIDS Research, MACS/WIHS Combined Cohort Study: Brooklyn Clinical Research Site (Bklyn CRS), Sustained Training in Aging and HIV Research (STAHR), UAB Center for AIDS Research (CFAR)
OpenAlex ID: W2982616117