Predictors of psychological well-being and depression in HIV-infected women
As women infected with HIV live longer, understanding predictors of psychological well-being are critical to providing optimal care. Psychological well-being has been previously associated with adherence to medication, better self-care and high quality of life yet the predictors of psychological well-being over time are not well understood. The purpose of this study is to identify predictors of psychological well-being over the course of three years in a cohort of HIV-infected women. Methods: This study used path analysis via logistic and multiple regression to analyze predictors across three time points. Women (baseline n=322; final n=192) participating in a larger, longitudinal study of childbearing, comprised the sample. Participants were predominantly single (82%), African-American (87%), ranging in age from 17-49 years (M=30.1), and having annual incomes less than $10,000 (65%). Results: Consistent predictors of both psychological well-being (model R-square=.353, F=14.067, p<.000) and, conversely, depression (model R-square=.280, F=14.785, p<.000) were Barriers to Services (well-being beta=-.211, p<.000; depression beta=.148, p< .050), Having a Paid Job (well-being beta=.164, p<.050; depression beta=-.250, p<.000), and Hope (well-being beta=.407, p<.000; depression beta=-.298, p<.000). Independent predictors of Psychological Well-Being were Emotional Support (well-being beta=-.245, p<.050) and Active Coping (well-being beta=.161, p<.050). An independent predictor of Depression was Passive Coping (depression beta=.172, p<.050). Conclusions: Treatment of women with HIV-infection requires strategies that promote active coping, emotional support, and access to healthcare services to fully support women's well being and maximize their health.
R.L. Sowells, B.F. Seals, and Kenneth D. Phillips. "Predictors of psychological well-being and depression in HIV-infected women" 130th Annual Meeting of the American Public Health Association. Philadelphia, PA. Jan. 2002.