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- W4311397234 abstract "Rural older people living with HIV (PLH) in the United States are a population of growing size and significance. A better understanding of factors associated with quality of life (QOL), depressive symptoms, and stress in this population-especially modifiable factors-could inform future interventions.Online or on paper, we surveyed 446 PLH aged 50+ residing in rural counties across the United States (Mage = 56, 67% male, 67% White, and 23% Black). Associations between social support, HIV stigma, satisfaction with medical care, discrimination in health care settings, and structural barriers and health-related QOL, depressive symptoms, and perceived stress were assessed using multiple linear regressions.Controlling for demographics, greater social support was associated with better QOL, fewer depressive symptoms, and less stress. Greater HIV stigma was associated with more depressive symptoms and stress. Satisfaction with care was associated with better QOL and less stress. Discrimination in medical settings was associated with lower QOL and more depressive symptoms and stress. Finally, experiencing more structural barriers was associated with lower QOL and more depressive symptoms and stress.In addition to engagement in care and viral suppression, QOL and mental health are also critical considerations for rural older PLH. Increasing social support, reducing or providing skills to cope with HIV stigma, improving quality of care, reducing discrimination and stigma in medical settings, and reducing or mitigating the impact of structural barriers present potential targets for interventions aiming to improve the well-being of older rural PLH." @default.
- W4311397234 created "2022-12-26" @default.
- W4311397234 creator A5000137012 @default.
- W4311397234 creator A5029985352 @default.
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- W4311397234 creator A5058809121 @default.
- W4311397234 creator A5061346145 @default.
- W4311397234 creator A5083588398 @default.
- W4311397234 date "2022-12-13" @default.
- W4311397234 modified "2023-10-12" @default.
- W4311397234 title "Factors associated with quality of life, depressive symptoms, and perceived stress among rural older adults living with HIV in the United States" @default.
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