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Global Public Health
An International Journal for Research, Policy and Practice
Volume 13, 2018 - Issue 5
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Original Articles

Ageism, resilience, coping, family support, and quality of life among older people living with HIV/AIDS in Nanning, China

, , , &
Pages 612-625 | Received 31 Oct 2015, Accepted 19 Sep 2016, Published online: 19 Oct 2016
 

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.

Additional information

Funding

This work was supported by Nanning Department of Science and Technology: [grant number 20133169].

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