Who Will Care For Me?HIV-Positive Mothers of Color, Social Support, Family Factors, and Retention in Care.

HIV;Women of Color;Social Support;Retention in Care;Family Functioning;Public Health;Social Sciences;Health Behavior and Health Education

Harris, Kanika A.Griffith, Derek ;

University of Michigan

关键词: HIV;    Women of Color;    Social Support;    Retention in Care;    Family Functioning;    Public Health;    Social Sciences;    Health Behavior and Health Education;   

Others  :  https://deepblue.lib.umich.edu/bitstream/handle/2027.42/110350/kanikah_1.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: The Illinois Digital Environment for Access to Learning and Scholarship

【 摘 要 】

The purpose of the dissertation was to explore the relationship between dimensions of enacted social support, parenting stress, family factors (adaptability and cohesion), and medical appointment adherence for HIV-positive Black and Latina mothers. HIV-positive Black and Latina women demonstrate poor adherence to medical appointments and are at increased risk for dying from HIV. The analyses from this dissertation found that emotional support was predictive of 100% adherence to medical appointments for the sample of mothers in this study. Also, mothers who had a mental health diagnosis were two times less likely to attend medical appointments. Additionally, the results of this dissertation revealed that higher rates of family adaptability were predictive of attending 100% of medical appointments. Higher rates of family cohesion were significantly associated with not attending all medical appointments. In addition, having a partner was significantly associated with not attending 100% of medical appointments. This dissertation contributes to the literature on HIV retention in care by demonstrating through quantitative analysis that types of social support and family functioning matter and may influence mother’s ability to adhere to medical appointments and stay in HIV care. The findings from this dissertation are useful to support initiatives that create more intervention programs for HIV positive mothers of color. Integrating family services and medical care and having comprehensive medical services for HIV positive mothers will help them address competing family and personal needs that may interrupt their ability to remain in care.