The Relationships Among Social Capital, HIV Self-Management, and Substance Use in Women.
Allison R WebelCarolyn SmithJoseph PerazzoJ Craig PhillipsHamed Al BattashiCarol Dawson-RosePublished in: Western journal of nursing research (2019)
Women living with HIV (WLHIV) face unique challenges to successfully self-manage HIV including substance use and limited social capital. We conducted a 6-month mixed-methods study to describe how social capital influences HIV self-management and substance use among WLHIV. Participants completed a self-report survey and in-depth interview at baseline, and 3 and 6 months. Descriptive statistics, t-tests, and generalized estimating equations (GEEs) were used to examine quantitative relationships. Qualitative data were analyzed using qualitative description. Current substance users reported lower social capital compared with past substance users (2.63 vs. 2.80; p = .34). Over time, substance use and social capital were associated with HIV self-management (Wald χ2 = 28.43; p < .001). Qualitative data suggest that HIV self-management is influenced by overlapping experiences with social capital, including influential trust, community, and value of self can be complicated by ongoing substance use. Social capital can facilitate improved HIV self-management; however, substance use and trauma can weaken this relationship.
Keyphrases
- antiretroviral therapy
- hiv positive
- hiv infected
- hiv testing
- mental health
- human immunodeficiency virus
- healthcare
- hepatitis c virus
- hiv aids
- men who have sex with men
- south africa
- electronic health record
- study protocol
- type diabetes
- clinical trial
- high resolution
- big data
- randomized controlled trial
- adipose tissue
- cross sectional
- optical coherence tomography
- pregnancy outcomes
- pregnant women
- health information