Bouncing Back: Resilience and Mastery Among HIV-Positive Older Gay and Bisexual Men

Adults with HIV infection are living into old age. It is critical we investigate positive constructs such as resilience and mastery to determine factors associated with psychological well-being. We examine HIV-related factors, adverse conditions, and psychosocial characteristics that are associated...

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Bibliographic Details
Published in:The Gerontologist 2017-02, Vol.57 (suppl 1), p.S40-S49
Main Authors: Emlet, Charles A, Shiu, Chengshi, Kim, Hyun-Jun, Fredriksen-Goldsen, Karen
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Aged
Aged, 80 and over
Aging
Aging - psychology
AIDS
Bisexuality
Demographics
Depression - psychology
Empowerment
Ethnic Groups
Health Status
HIV
HIV Infections - psychology
Homosexuality
Homosexuality, Male
Human immunodeficiency virus
Humans
Longitudinal Studies
Male
Males
Men - psychology
Mental Health
Middle Aged
Older people
Psychological aspects
Psychosocial factors
Quality of care
Quality of Life
Regression analysis
Resilience
Resilience, Psychological
Self esteem
Sexual and Gender Minorities - psychology
Sexuality
Social Support
Sociodemographics
United States
Victimization
Victims
Well being
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Summary:Adults with HIV infection are living into old age. It is critical we investigate positive constructs such as resilience and mastery to determine factors associated with psychological well-being. We examine HIV-related factors, adverse conditions, and psychosocial characteristics that are associated with resilience (the ability to bounce back) and mastery (sense of self-efficacy). We analyzed 2014 data from the longitudinal study Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS), focusing on a subsample of 335 gay and bisexual older men. Multivariate linear regression was used to identify factors that contributed or detracted from resilience and mastery in the sample recruited from 17 sites from across the United States. Resilience and mastery were independently associated with psychological health-related quality of life. In multivariate analysis, adjusting for demographic characteristics, previous diagnosis of depression was negatively associated with resilience. Time since HIV diagnosis was positively associated with mastery whereas victimization was negatively associated with mastery. Social support and community engagement were positively associated with both resilience and mastery. Individual and structural-environmental characteristics contributed to resilience and mastery. These findings can be used to develop interventions incorporating an increased understanding of factors that are associated with both resilience and mastery.
ISSN:0016-9013
1758-5341
DOI:10.1093/geront/gnw171