title: The Impact of Mental Wellness on HIV Self-Management.
abstract: As people living with HIV age, they face increasing self-management work related to HIV infection plus the prevention and mitigation of multiple chronic health conditions, including daily health practices (i.e., physical activity, nutrition), engaging in a supportive community, and accepting the chronicity of HIV. Our purpose was to describe the relationship between HIV self-management practices and mental wellness (depressive symptoms, perceived stress). Ninety-three adult people living with HIV on antiretroviral therapy were enrolled and completed a survey. We used descriptive statistics to summarize variables, and Spearman rank correlation and quantile regression to study associations between variables. Participants' average age was 48.6 years, 56% were male, and 87% were African American. Daily self-management practices were associated with depressive symptoms (r = -0.19; p ≤ .01) and perceived stress (r = -0.14; p = .06); engaging with a supportive community and accepting the chronicity of HIV were not associated with mental wellness (all p > .05).
authors.forename: Allison R
authors.initials: AR
authors.lastname: Webel
authors.forename: Abdus
authors.initials: A
authors.lastname: Sattar
authors.forename: Nate
authors.initials: N
authors.lastname: Schreiner
authors.forename: Bruce
authors.initials: B
authors.lastname: Kinley
authors.forename: Shirley M
authors.initials: SM
authors.lastname: Moore
authors.forename: Robert A
authors.initials: RA
authors.lastname: Salata
mesh_terms: D000328:Adult; D000368:Aged; D023241:Antiretroviral Therapy, Highly Active; D003863:Depression / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D015438:Health Behavior; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008603:Mental Health; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012648:Self Care / Q000523:psychology*; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology
keywords: HIV; aging; mental wellness; self-management