Contextual Variables, Social Stigma, Provider Engagement, and Quality of Life Among HIV-Infected African American Men

2.50
Hdl Handle:
http://hdl.handle.net/10755/159015
Type:
Presentation
Title:
Contextual Variables, Social Stigma, Provider Engagement, and Quality of Life Among HIV-Infected African American Men
Abstract:
Contextual Variables, Social Stigma, Provider Engagement, and Quality of Life Among HIV-Infected African American Men
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Buseh, Aaron, PhD, MPH
P.I. Institution Name:University of Wisconsin - Milwaukee
Title:Assistant Professor
Contact Address:College of Nursing, 1921 East Hartford Avenue, Room 569, Milwaukee, WI, 53211, USA
Contact Telephone:(414) 229-5462
Co-Authors:Sheryl T. Kelber, MS, Biostatistician; Chang G. Park, PhD, Research Analyst; and Patricia E. Stevens, PhD, RN, FAAN, Professor
Purpose: The health provider-patient engagement is critical to the management and patient adherence to HIV treatment regimens. The objective of this study was to examine the relationships between contextual variables, social stigma, provider engagement, and health related quality of life (HRQOL). Subjects: The sample consisted of (n=55) HIV-infected African American men residing in an urban setting of a large Midwestern state. The study sample ranged in age 18-77 years, (M = 48.84, SD= 7.67) and the average length of time since diagnosis with HIV infection was (M = 10.79 years SD= 6.4). Methods: Descriptive, cross-sectional study that comprised the administration of a survey questionnaire to men who reported being diagnosed with HIV infection. Measures were collected on: contextual factors, socio-demographic variables, social stigma, patient-provider engagement, and, on HRQOL domains: (life satisfaction, overall functioning, provider trust, financial worries, medication worries and sexual function). Results: Multiple regression analyses were preformed to determine the influence of contextual, socio-demographic factors, social stigma and provider engagement on the HRQOL measures. With the exception of medication worries, which only explained 28% of the variance, the regression model explained from 42% to 67% of the variance in the HRQOL measures. Hierarchical regression analyses showed that provider engagement with their clients and social stigma contributed significantly to the levels of HRQOL measures after controlling for the socio-demographic and contextual variables. Conclusions: Results suggest the need for developing strategies appropriate for African American men that fosters a milieu of healthy provider-patient relationship in an effort to enhance the HRQOL of this population. Also, it is important for health care providers to recognize that the HRQOL experiences of African American men living with HIV/AIDS reflect the impact of stigma in their lives.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleContextual Variables, Social Stigma, Provider Engagement, and Quality of Life Among HIV-Infected African American Menen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159015-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Contextual Variables, Social Stigma, Provider Engagement, and Quality of Life Among HIV-Infected African American Men</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Buseh, Aaron, PhD, MPH</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Milwaukee</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 1921 East Hartford Avenue, Room 569, Milwaukee, WI, 53211, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(414) 229-5462</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">aaronbg@uwm.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sheryl T. Kelber, MS, Biostatistician; Chang G. Park, PhD, Research Analyst; and Patricia E. Stevens, PhD, RN, FAAN, Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The health provider-patient engagement is critical to the management and patient adherence to HIV treatment regimens. The objective of this study was to examine the relationships between contextual variables, social stigma, provider engagement, and health related quality of life (HRQOL). Subjects: The sample consisted of (n=55) HIV-infected African American men residing in an urban setting of a large Midwestern state. The study sample ranged in age 18-77 years, (M = 48.84, SD= 7.67) and the average length of time since diagnosis with HIV infection was (M = 10.79 years SD= 6.4). Methods: Descriptive, cross-sectional study that comprised the administration of a survey questionnaire to men who reported being diagnosed with HIV infection. Measures were collected on: contextual factors, socio-demographic variables, social stigma, patient-provider engagement, and, on HRQOL domains: (life satisfaction, overall functioning, provider trust, financial worries, medication worries and sexual function). Results: Multiple regression analyses were preformed to determine the influence of contextual, socio-demographic factors, social stigma and provider engagement on the HRQOL measures. With the exception of medication worries, which only explained 28% of the variance, the regression model explained from 42% to 67% of the variance in the HRQOL measures. Hierarchical regression analyses showed that provider engagement with their clients and social stigma contributed significantly to the levels of HRQOL measures after controlling for the socio-demographic and contextual variables. Conclusions: Results suggest the need for developing strategies appropriate for African American men that fosters a milieu of healthy provider-patient relationship in an effort to enhance the HRQOL of this population. Also, it is important for health care providers to recognize that the HRQOL experiences of African American men living with HIV/AIDS reflect the impact of stigma in their lives.</td></tr></table>en_GB
dc.date.available2011-10-26T21:37:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:37:12Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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