title: Ageism, resilience, coping, family support, and quality of life among older people living with HIV/AIDS in Nanning, China.
abstract: Although the HIV epidemic continues to spread among older adults over 50 years old in China, little empirical research has investigated the interrelationships among ageism, adaptability, family support, and quality of life among older people living with HIV/AIDS (PLWHAs). In this cross-sectional study, among 197 older PLWHAs over 50 years old, path analytic modelling was used to assess the interrelationships among ageism, resilience, coping, family support, and quality of life. Compared with female PLWHAs, male PLWHAs had a higher level of resilience and coping. There were no significant differences in the scores of quality of life, ageism, family support, HIV knowledge, and duration since HIV diagnosis between males and females. The following relationships were statistically significant in the path analysis: (1) family support → resilience [β (standardised coefficient) = 0.18], (2) resilience → ageism (β = -0.29), (3) resilience → coping (β = 0.48), and (4) coping → quality of life (β = 0.24). In addition, male PLWHAs were more resilient than female PLWHAs (β = 0.16). The findings indicate that older PLWHAs do not only negatively accept adversity, but build their adaptability to positively manage the challenges. Family-based interventions need take this adaptability to adversity into consideration.
authors.affiliation: a Nanning Center for Disease Control and Prevention , Nanning , People's Republic of China.
authors.forename: Yongfang
authors.initials: Y
authors.lastname: Xu
authors.affiliation: a Nanning Center for Disease Control and Prevention , Nanning , People's Republic of China.
authors.forename: Xinqin
authors.initials: X
authors.lastname: Lin
authors.affiliation: a Nanning Center for Disease Control and Prevention , Nanning , People's Republic of China.
authors.forename: Shiyi
authors.initials: S
authors.lastname: Chen
authors.affiliation: b Nanning 4th Hospital , Nanning , People's Republic of China.
authors.forename: Yanfen
authors.initials: Y
authors.lastname: Liu
authors.affiliation: c School of Public Health, University of Maryland , College Park , MD , USA.
authors.forename: Hongjie
authors.initials: H
authors.lastname: Liu
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D063506:Ageism / Q000523:psychology*; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D055500:Resilience, Psychological; D012944:Social Support
keywords: Ageism; adaptability; family support; older people living with HIV/AIDS; quality of life