Cited by 381HIV/AIDS Research and InterventionsHIV-related health complications and treatmentsHealth disparities and outcomes

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Loneliness and HIV-related stigma explain depression among older HIV-positive adults

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Grov, Christian, Golub, Sarit A., Parsons, Jeffrey T., Brennan, Mark, Karpiak, Stephen E.·2010·AIDS Care

DOI 10.1080/09540120903280901PMC PMC2936670

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Abstract

Advances in the treatment of HIV have resulted in a large growing population of older adults with HIV. These aging adults face added social, psychological, and physical challenges associated with the aging process. Correlations between depression, loneliness, health, and HIV/AIDS-related stigma have been studied, but there is little evaluation of these associations among HIV-positive adults over the age of 50. Data for these analyses were taken from the Research on Older Adults with HIV study of 914 New York City-based HIV-positive men and women over the age of 50. In total, 39.1% of participants exhibited symptoms of major depression (CES-D > 23). Multivariate modeling successfully explained 42% of the variance in depression which was significantly related to increased HIV-associated stigma, increased loneliness, decreased cognitive functioning, reduced levels of energy, and being younger. These data underscore the need for service providers and researchers to assert more aggressive and innovative efforts to resolve both psychosocial and physical health issues that characterize the graying of the AIDS epidemic in the USA. Data suggest that focusing efforts to reduce HIV-related stigma and loneliness may have lasting effects in reducing major depressive symptoms and improving perceived health.

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BackgroundResultInfluential
Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective
Bayes‐Marin, I., Egea‐Cortés, L., Vieira, J. A. P., Bruguera, A., Mesías-Gazmuri, J., Llibre, J. M., Fernández, E., Imaz, A., Forero, C. G., Agustí, C., et al. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043687 · Cited by 18
“Additional, overlapping risk factors include pre-existing mood disorders and harmful alcohol consumption [20,21], substance abuse [22], nicotine dependence [19], poor adherence to ART [18], risky sexual behaviors [22], structural barriers such as internalized stigma [18], experiences of discrimination [18,23], and soc…”
Background
Current Challenges and Solutions in Research and Clinical Care of Older Persons Living with HIV: Findings Presented at the 9th International Workshop on HIV and Aging
Sundermann, E. E., Erlandson, K. M., Pope, C. N., Rubtsova, A., Montoya, J. L., Moore, A. A., Marzolini, C., O’Brien, K. K., Pahwa, S. G., Payne, B. A. I., et al. (2019) · AIDS Research and Human Retroviruses · doi:10.1089/aid.2019.0100 · Cited by 18
Ageing and healthy sexuality among women living with HIV
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“While both loneliness and HIV stigma have been found to separately increase risk for depression, loneliness has been observed to have a much larger effect.(23) Social isolation, defined as living without support or social connection,(24) also directly effects health through mechanisms such as increasing cardiovascular…”
Background
Review of Recent Behavioral Interventions Targeting Older Adults Living with HIV/AIDS
Illa, L., Echenique, M., Bustamante-Avellaneda, V., & Sanchez-Martinez, M. (2014) · Current HIV/AIDS Reports · doi:10.1007/s11904-014-0231-y · Cited by 19
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“Studies consistently demonstrate high levels of depression, loneliness, anxiety, and chronic stress among HIV-positive adults across gender, race/ethnicity, and sexual orientation (Grov et al. 2010; Kalichman et al. 2000; Karpiak and Brennan 2009; Morrison et al., 2002; Rabkin, 2008; Stall et al., 2003).”
BackgroundSelf-citation
Resisting and disrupting HIV-related stigma: a photovoice study
Restall, G. J., Ukoli, P., Mehta, P., Hydesmith, E., & Payne, M. (2023) · BMC Public Health · doi:10.1186/s12889-023-16741-1 · Cited by 16
“Loneliness was a common outcome and previous research has suggested a complex relationship among HIV stigma, loneliness, and depres - sion [50], and reduced social support [7].”
Result
Review of the Literature: A Rural–Urban Comparison of Social Networks of Older Adults Living With HIV
Gannon, B. N., & Stacciarini, J. R. (2016) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/j.jana.2016.02.004 · Cited by 16
“Depression and suicidal ideation in this population has been associated with synergistic effects of stigma, emotional and social loneliness, decreased support, declining health, and financial distress (Grov et al., 2010; Shippy & Karpiak, 2005; Vance et al., 2008).”
BackgroundInfluential
„Lesbian, gay & grey“
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“Results from theResearchonOlderAdultswith HIVstudy indicated that efforts to reduce HIV-stigma and loneliness may be paramount to sustained improvements in successful aging [95].”
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Thoughts, Attitudes, and Feelings of HIV-Positive MSM Associated With High Transmission-Risk Sex
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“…tied to the discrepancy between one’s desired and experienced social relations (Perlman and Peplau 1981), is common among people with HIV (PWH) and is increasingly recognized as an important and understudied health determinant (Grov et al. 2010; Holt-Lunstad et al. 2015; Luo et al. 2012).”
BackgroundMethodResultInfluential
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“The existing literature on stigma in HIV-AIDS is predominantly from the West[6,14] and Africa.”
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Use of telehealth for HIV care in Italy: Are doctors and patients on the same page? A cross-sectional study
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“…consistently demonstrate high levels of depression, loneliness, anxiety, and chronic stress among HIV-positive adults across gender, race/ethnicity, and sexual orientation (Grov et al. 2010; Kalichman et al. 2000; Karpiak and Brennan 2009; Morrison et al. 2002; Rabkin 2008; Stall et al. 2003).”
BackgroundSelf-citation
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“mechanism to reduce depression, enhance function and adherence to antiretroviral therapy [59, 60] whereas, HIVrelated stigma is significantly associated with increased depression, decreased cognitive function, and decreased energy levels [61].”
Background
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“Prior studies have documented the prevalence of HIV and depression (Eaton et al., 2015; Brennan et al., 2011, and Grov et al., 2010).”
BackgroundResult
Assessment of Health-Related Quality of Life among People Living with HIV in Xinjiang, West China
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“Age, mean (range) 40 (20-84) 39 (21-61) ns Working 148 (36; 29.”
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“81 Loneliness and HIV-related stigma explain depression among older HIV-positive adults [103] Grov et al.”
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“…college freshmen, the elderly, and healthy adults (Cacioppo, Hawkley, & Thisted, 2010; Cacioppo, Hughes, Waite, Hawkley, & Thisted, 2006a; Grov, Golub, Parsons, Brennan, & Karpiak, 2010; Heikkinen & Kauppinene, 2004; Jaremka et al., 2013, 2014; Qualter, Brown, Munn, & Rotenberg, 2010;…”
Background
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“In addition, PLWH have a high incidence of psychosocial risk for depression caused by early childhood trauma, sexual abuse, unsupportive communities, familial attitudes, exposure to violence, poverty, limited healthcare access, less education, and unemployment (31).”
Background
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“Further evidence from the Research on Older Adults with HIV (ROAH) study indicated that older adults living with HIV were living with a greater number of concurrent health challenges, depression, loneliness, and HIV-related stigma.(45) Older men and women have experienced the loss of friends and loved ones to HIV, res…”
Background
“We are becoming older women and then we have two stigmas”: voicing women’s biopsychosocial health issues as they age with HIV
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“…among older PLWH are likely linked to and worsened by high rates of social isolation and low levels of social support (Greene et al., 2018; Grov et al., 2010; Yoo-Jeong et al., 2019), both of which are related to fragile social networks among older PLWH, mostly consisting of friends…”
Background
The impact of social capital and mental health on medication adherence among older people living with HIV (PLWH)
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“Older PLWH may face more complex physical health and psychosocial challenges than young PLWH as they experience the dual impact of aging and HIV [19].”
Background
Current Knowledge and Future Directions on Aging and HIV Research
Emlet, C. A. (2014) · Behavioral Medicine · doi:10.1080/08964289.2014.935235 · Cited by 12
Health Outcomes for Older Hispanics With HIV in New York City Using the Oaxaca Decomposition Approach
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“E-mail: JDelaCruz@gc.cuny.edu Received: June 17, 2014 Accepted: July 28, 2014 Online Published: August 22, 2014 doi:10.5539/gjhs.v7n1p133 URL: http://dx.doi.org/10.5539/gjhs.v7n1p133”
InfluentialSelf-citation

Authors: Grov, C., Golub, S. A., Parsons, J. T., Brennan, M., & Karpiak, S. E.
Affiliations: City University of New York (US)
The Graduate Center, CUNY (US)
e AIDS Community Research Initiative of America (ACRIA) , New York , NY , USA
Corresponding author: Grov, Christian
ORCID: Grov, Christian
Golub, Sarit A.
Parsons, Jeffrey T.
Venue: AIDS Care
Publisher: Informa UK Limited
Published: 2010-04-16
Volume: 22
Issue: 5
Pages: 630-639
ISSN: 0954-0121 (ISSN-L)
1360-0451
DOI: 10.1080/09540120903280901
PMC: PMC2936670
OpenAlex: W2068901441
Cited by: 381
References: 52
Citations by year: 2026: 10 · 2025: 8 · 2024: 21 · 2023: 23 · 2022: 28 · 2021: 30 · 2020: 24 · 2019: 38 · 2018: 24 · 2017: 26 · 2016: 29 · 2015: 27 · 2014: 33 · 2013: 26 · 2012: 16
FWCI: 12.24
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: AIDS Care (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5t32da007233-40)
Centers for Disease Control and Prevention
National Institute on Drug Abuse (T32DA007233, T32DA07233)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Infectious Diseases › HIV-related health complications and treatments
Social Sciences › Health › Health disparities and outcomes
Keywords: HIV stigma, loneliness, depression, older adults, HIV-infected adults, aging, cognitive function, energy levels, psychosocial health
MeSH terms: Acquired Immunodeficiency Syndrome, Aged, Aged, 80 and over, Depression, Female, HIV Seropositivity, Humans, Loneliness, Male, Middle Aged, Social Isolation, United States, Logistic Models, Social Stigma

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Loneliness and HIV-related stigma explain depression among older HIV-positive adults

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