Resilience and social support in HIV/AIDS clients at the HIV Netherlands Australia Thailand Research Collaboration, Thai Red Cross AIDS Research Centre.

Authors

  • N. Muangma Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
  • D. Lalitanantpong Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Keywords:

Resilience, social support, HIV client

Abstract

Background : By 2015, Thailand had accumulated amount of 1,201,839 HIV infected people and approximately 600,000 HIV-infected patients were expected alive. Although relevant agencies have been trying to reduce discrimination and stigmatization, however, only 355,123 HIV-infected patients have been treated under the National Health System. The lower uptake of treatment in National Health system may be partly due to the stigma and discrimination. Many studies have found that social support and resilience can reduce the impact of stigmatization and discrimination. Additionally, it is also contributed to the quality of life of people living with HIV.

Objective : This study aimed to evaluate the resilience and social support among HIV/ AIDS clients at the HIV Netherlands Australia Thailand Research Collaboration Thai Red Cross AIDS Research Centre, Bangkok, Thailand.

Methods : This study was approved by the Institutional Review Board (IRB) at Chulalongkorn University and all clients gave their written consent prior entry to the study. The 3 self-report questionnaires (Demographic data form, Thai Resilience Scale by Wagnlid and Young, and Social support Questionnaire were administered during their visits from October to December 2016. Low, moderate and high level of resilience were defined as a score of <121, 121 - 146, 147 - 175 respectively. Low, moderate and high level of social support were defined as a score of 20 - 46, 47 - 73, gif.latex?\geq 74 respectively. The resilience scale was presented as proportion and percentage. The associated factors of resilience and social support of HIV/AIDS clients were analysed by Chi-square test, Pearson’s correlation. Statistical analysis was performed by IBM SPSS Statistics version 22.0. P <0.05 was used for statistically significant.

Results : One hundred and thirty HIV clients participated in this study. The median age was 43 (IQR: 36 - 49) years. Most of the participants are male (69% males vs. 31% female). Almost 47% of them were single and 43% reported bachelor degree education. Approximately 26% of them had monthly income 5,000 - 10,000 Baht All of them received antiretroviral therapy with the median duration of HIV treatment was 11.3 (IQR 5 - 16.6) years. Almost two-third (72%) of them had current CD4 cell count more than five-hundred cells/mm3. Median CD4 was 608.5 (IQR 484 - 782) cells/ mm3. Ninety-nine percent had viral suppressed (HIV RNA <50 copies/ml). Fifty-five percent had high level of resilience (mean = 142.2, S.D. = 24.2). Sixty-one percent had moderate to high level of social support (mean = 70, S.D. = 13.3).The factors related to resilience were social support (Pearson’s r = 0.25, P < 0.01). The factor related to social support were age (Pearson’s r = -0.348, P < 0.01) and education (Pearson’s r = 0.31, P < 0.01) and the duration of treatment (Pearson’s r = 0.26, P < 0.01, and monthly income (Pearson’s r = 0.32, P < 0.01)

Conclusion : In this study of well-suppressed viral load and high CD4, HIV infected adults, majority of them had high levels of resilience and moderate to high level of social support. The higher of social support were associated to higher resilience score. Additionally, the social support was related to older age, higher educational level and the longer duration of HIV treatment.

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References

เกียรติ รักษ์รุ่งธรรม, ธันยวีร์ ภูธนกิจ, โอภาส พุทธเจริญ, กุลกัญญา โชคไพบูลย์กิจ, วินัย รัตนสุวรรณ, ศศิโสภิณ เกียรติบูรณกุล, และคณะ. แนวทางการตรวจรักษา และป้องกันการติดเชื้อเอชไอวีประเทศไทย ปี 2560. กรุงเทพฯ: สำนักโรคเอดส์ วัณโรค และโรคติดต่อทางเพศสัมพันธ์กรมควบคุมโรค กระทรวงสาธารณสุข; 2560.

Arnold EA, Rebchook GM, Kegeles SM. 'Triply cursed': racism, homophobia and HIV-related stigma are barriers to regular HIV testing, treatment adherence and disclosure among young Black gay men. Cult Health Sex 2014;16:710-22. https://doi.org/10.1080/13691058.2014.905706

Nikus FN, Aman M, Brihnu Z. HIV stigma and associated factors among antiretroviral treatment clients in Jimma town, Southwest Ethiopia. HIV AIDS (Auckl) 2016;8:183-93. https://doi.org/10.2147/HIV.S114177

UNAIDS. On the fast-track to end AIDS by 2030: Focus on location and population [Internet]. 2015 [cited 2017 Jun 5]. Available from: http://www.unaids.org/en/resources/ documents/2015/FocusLocationPopulation/.

Earnshaw VA, Bogart LM, Dovidio JF, Williams DR. Stigma and racial/ethnic HIV disparities: moving toward resilience. Am Psychol 2013; 68:225-36. https://doi.org/10.1037/a0032705

Earnshaw VA, Lang SM, Lippitt M, Jin H, Chaudoir SR. HIV stigma and physical health symptoms: do social support, adaptive coping, and/or identity centrality act as resilience resources? AIDS Behav 2015;19: 41-9. https://doi.org/10.1007/s10461-014-0758-3

Fang X, Vincent W, Calabrese SK, Heckman TG, Sikkema KJ, Humphries DL, et al. Resilience, stress, and life quality in older adults living with HIV/AIDS. Aging Ment Health 2015;19: 1015-21.

https://doi.org/10.1080/13607863.2014.1003287

Carvalho FT, Morais NA, Koller SH, Piccinini CA. Protective factors and resilience in people living with HIV/AIDS. Cad Saude Publica 2007;23:2023-33. https://doi.org/10.1590/S0102-311X2007000900011

Thomas-Slayter BP, Fisher WF. Social capital and AIDS-resilient communities: strengthening the AIDS response. Glob Public Health 2011;6 Suppl 3:S323-43. https://doi.org/10.1080/17441692.2011.617380

Choowattanapakorn T, Alex L, Lundman B, Norberg A, Nygren B. Resilience among women and men aged 60 years and over in Sweden and in Thailand. Nurs Health Sci 2010;12:329-35.

https://doi.org/10.1111/j.1442-2018.2010.00534.x

ณภัควรรต บัวทอง .ความสัมพันธ์ระหว่างภาวะซึมเศร้าและปัจจัยร่วมในระดับบุคคลต่อความร่วมมือในการรับประทานยาต้านรีโทรไวรัสของผู้ป่วยผู้ใหญ่ที่ติดเชื้อเอชไอวี ณ โรงพยาบาลจุฬาลงกรณ์ [อินเทอร์เน็ต]. กรุงเทพฯ: จุฬาลงกรณ์ มหาวิทยาลัย , 2551 [เข้าถึงเมื่อ 2560 มิ.ย.19]. เข้าถึงได้จาก:http://doi.nrct.go.th/ListDoi/ listDetail?Resolve_DOI=10.14457/CU.the. 2008.1433.

Garrido-Hernansaiz H, Alonso-Tapia J. Associations Among Resilience, Posttraumatic Growth, Anxiety, and Depression and Their Prediction From Stress in Newly Diagnosed People Living With HIV. J Assoc Nurses AIDS Care 2017;28:289-94. https://doi.org/10.1016/j.jana.2016.12.005

Halkitis PN, Krause KD, Vieira DL. Mental health, psychosocial challenges and resilience in older adults living with HIV. Interdiscip Top Gerontol Geriatr 2017;42:187-203.

https://doi.org/10.1159/000448564

Subramaniam S, Camacho LM, Carolan MT, Lopez-Zeron G. Resilience in low-income African American women living and aging with HIV. J Women Aging 2016;1-8.

https://doi.org/10.1080/08952841.2016.1256735

Zhang L, Li X, Qiao S, Zhou Y, Shen Z, Tang Z, et al. The mediating role of individual resilience resources in stigma-health relationship among people living with HIV in Guangxi, China. AIDS Care 2015;27:1317-25. https://doi.org/10.1080/09540121.2015.1054338

Power J, Brown G, Lyons A, Thorpe R, Dowsett GW, Lucke J. HIV Futures 8: Protocol for a repeated cross-sectional and longitudinal survey of people living with HIV in Australia. Front Public Health 2017;5:50. https://doi.org/10.3389/fpubh.2017.00050

Furlotte C, Schwartz K. Mental health experiences of older adults living with HIV: uncertainty, stigma, and approaches to resilience. Can J Aging 2017;36:125-40. https://doi.org/10.1017/S0714980817000022

Chakrapani V, Newman PA, Shunmugam M, Logie CH, Samuel M. Syndemics of depression, alcohol use, and victimisation, and their association with HIV-related sexual risk among men who have sex with men and transgender women in India. Glob Public Health 2017;12:250-65.

https://doi.org/10.1080/17441692.2015.1091024

Warren-Jeanpiere L, Dillaway H, Hamilton P, Young M, Goparaju L. Life begins at 60: Identifying the social support needs of African American women aging with HIV. J Health Care Poor Underserved 2017;28: 389-405. https://doi.org/10.1353/hpu.2017.0030

Rubtsova AA, Kempf MC, Taylor TN, KonkleParker D, Wingood GM, Holstad MM. Healthy aging in older women living with HIV infection: a systematic review of psychosocial factors. Curr HIV /AIDS Rep 2017;14:17-30. https://doi.org/10.1007/s11904-017-0347-y

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Published

2023-08-21

How to Cite

1.
Muangma N, Lalitanantpong D. Resilience and social support in HIV/AIDS clients at the HIV Netherlands Australia Thailand Research Collaboration, Thai Red Cross AIDS Research Centre. Chula Med J [Internet]. 2023 Aug. 21 [cited 2024 Oct. 12];62(6). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/400