IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v87y2013icp147-154.html
   My bibliography  Save this article

The impact of social context on self-management in women living with HIV

Author

Listed:
  • Webel, Allison R.
  • Cuca, Yvette
  • Okonsky, Jennifer G.
  • Asher, Alice K.
  • Kaihura, Alphoncina
  • Salata, Robert A.

Abstract

HIV self-management is central to the health of people living with HIV and is comprised of the daily tasks individuals employ to manage their illness. Women living with HIV are confronted with social context vulnerabilities that impede their ability to conduct HIV self-management behaviors, including demanding social roles, poverty, homelessness, decreased social capital, and limited access to health care. We examined the relationship between these vulnerabilities and HIV self-management in a cross-sectional secondary analysis of 260 women living with HIV from two U.S. sites. All social context variables were assessed using validated self-report scales. HIV Self-Management was assessed using the HIV Self-Management Scale that measures daily health practices, HIV social support, and the chronic nature of HIV. Data were analyzed using appropriate descriptive statistics and multivariable regression. Mean age was 46 years and 65% of participants were African–American. Results indicated that social context variables, particularly social capital, significantly predicted all domains of HIV self-management including daily health practices (F = 5.40, adjusted R2 = 0.27, p < 0.01), HIV social support (F = 4.50, adjusted R2 = 0.22, p < 0.01), and accepting the chronic nature of HIV (F = 5.57, adjusted R2 = 0.27, p < 0.01). We found evidence to support the influence of the traditional social roles of mother and employee on the daily health practices and the chronic nature of HIV domains of HIV self-management. Our data support the idea that women's social context influences their HIV self-management behavior. While social context has been previously identified as important, our data provide new evidence on which aspects of social context might be important targets of self-management interventions for women living with HIV. Working to improve social capital and to incorporate social roles into the daily health practices of women living with HIV may improve the health of this population.

Suggested Citation

  • Webel, Allison R. & Cuca, Yvette & Okonsky, Jennifer G. & Asher, Alice K. & Kaihura, Alphoncina & Salata, Robert A., 2013. "The impact of social context on self-management in women living with HIV," Social Science & Medicine, Elsevier, vol. 87(C), pages 147-154.
    • Handle: RePEc:eee:socmed:v:87:y:2013:i:c:p:147-154
    DOI: 10.1016/j.socscimed.2013.03.037
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953613002062
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2013.03.037?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Kawachi, I. & Kennedy, B.P. & Glass, R., 1999. "Social capital and self-rated health: A contextual analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1187-1193.
    2. Schuster, M.A. & Kanouse, D.E. & Morton, S.C. & Bozzette, S.A. & Miu, A. & Scott, G.B. & Shapiro, M.F., 2000. "HIV-infected parents and their children in the United States," American Journal of Public Health, American Public Health Association, vol. 90(7), pages 1074-1081.
    3. Lyles, C.M. & Kay, L.S. & Crepaz, N. & Herbst, J.H. & Passin, W.F. & Kim, A.S. & Rama, S.M. & Thadiparthi, S. & DeLuca, J.B. & Mullins, M.M., 2007. "Best-evidence interventions: Findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000-2004," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 133-143.
    4. Krieger, N., 2012. "Methods for the scientific study of discrimination and health: An ecosocial approach," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 936-945.
    5. Lochner, Kimberly A. & Kawachi, Ichiro & Brennan, Robert T. & Buka, Stephen L., 2003. "Social capital and neighborhood mortality rates in Chicago," Social Science & Medicine, Elsevier, vol. 56(8), pages 1797-1805, April.
    6. Simon Gregson & Phyllis Mushati & Harry Grusin & Mercy Nhamo & Christina Schumacher & Morten Skovdal & Constance Nyamukapa & Catherine Campbell, 2011. "Social Capital and Women's Reduced Vulnerability to HIV Infection in Rural Zimbabwe," Population and Development Review, The Population Council, Inc., vol. 37(2), pages 333-359, June.
    7. Eriksson, Malin & Ng, Nawi & Weinehall, Lars & Emmelin, Maria, 2011. "The importance of gender and conceptualization for understanding the association between collective social capital and health: A multilevel analysis from northern Sweden," Social Science & Medicine, Elsevier, vol. 73(2), pages 264-273, July.
    8. Poortinga, Wouter, 2006. "Social capital: An individual or collective resource for health?," Social Science & Medicine, Elsevier, vol. 62(2), pages 292-302, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tulloch, Olivia & Taegtmeyer, Miriam & Ananworanich, Jintanat & Chasombat, Sanchai & Kosalaraksa, Pope & Theobald, Sally, 2015. "What can volunteer co-providers contribute to health systems? The role of people living with HIV in the Thai paediatric HIV programme," Social Science & Medicine, Elsevier, vol. 145(C), pages 184-192.
    2. Yusuf Ransome & Meagan Zarwell & William T Robinson, 2019. "Participation in community groups increases the likelihood of PrEP awareness: New Orleans NHBS-MSM Cycle, 2014," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-11, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fiorillo, Damiano & Sabatini, Fabio, 2015. "Structural social capital and health in Italy," Economics & Human Biology, Elsevier, vol. 17(C), pages 129-142.
    2. Damiano Fiorillo, 2016. "Workers’ health and social relations in Italy," Journal of Economic Studies, Emerald Group Publishing Limited, vol. 43(5), pages 835-862, October.
    3. Engström, Karin & Mattsson, Fredrik & Järleborg, Anders & Hallqvist, Johan, 2008. "Contextual social capital as a risk factor for poor self-rated health: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(11), pages 2268-2280, June.
    4. Damiano Fiorillo & Nunzia Nappo, 2017. "Formal volunteering and self-perceived health. Causal evidence from the UK-SILC," Review of Social Economy, Taylor & Francis Journals, vol. 75(2), pages 112-138, April.
    5. Poortinga, Wouter, 2006. "Social relations or social capital? Individual and community health effects of bonding social capital," Social Science & Medicine, Elsevier, vol. 63(1), pages 255-270, July.
    6. Stavros Petrou & Emil Kupek, 2008. "Social capital and its relationship with measures of health status: evidence from the Health Survey for England 2003," Health Economics, John Wiley & Sons, Ltd., vol. 17(1), pages 127-143, January.
    7. Veeshan Rayamajhee & Alok K. Bohara, 2019. "Do voluntary associations reduce hunger? An empirical exploration of the social capital- food security nexus among food impoverished households in western Nepal," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 11(2), pages 405-415, April.
    8. Wang, Hongmei & Schlesinger, Mark & Wang, Hong & Hsiao, William C., 2009. "The flip-side of social capital: The distinctive influences of trust and mistrust on health in rural China," Social Science & Medicine, Elsevier, vol. 68(1), pages 133-142, January.
    9. Naoki Akaeda, 2021. "Welfare States and the Health Impact of Social Capital: Focusing on the Crowding-Out and Crowding-In Perspectives," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 157(3), pages 841-862, October.
    10. Melissa P L Chan & Robert S Weinhold & Reuben Thomas & Julia M Gohlke & Christopher J Portier, 2015. "Environmental Predictors of US County Mortality Patterns on a National Basis," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-25, December.
    11. Jae-Young Lim & Hyun-Hoon Lee & Yeon-Hee Hwang, 2011. "Trust on doctor, social capital and medical care use of the elderly," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(2), pages 175-188, April.
    12. Riumallo-Herl, Carlos Javier & Kawachi, Ichiro & Avendano, Mauricio, 2014. "Social capital, mental health and biomarkers in Chile: Assessing the effects of social capital in a middle-income country," Social Science & Medicine, Elsevier, vol. 105(C), pages 47-58.
    13. Xindong Xue & W. Robert Reed, 2015. "The Relationship Between Social Capital And Health In China," Working Papers in Economics 15/05, University of Canterbury, Department of Economics and Finance.
    14. Schultz, Jennifer & O'Brien, A. Maureen & Tadesse, Bedassa, 2008. "Social capital and self-rated health: Results from the US 2006 social capital survey of one community," Social Science & Medicine, Elsevier, vol. 67(4), pages 606-617, August.
    15. Poortinga, Wouter, 2006. "Social capital: An individual or collective resource for health?," Social Science & Medicine, Elsevier, vol. 62(2), pages 292-302, January.
    16. Jennings, Jacky M. & Hensel, Devon J. & Tanner, Amanda E. & Reilly, Meredith L. & Ellen, Jonathan M., 2014. "Are social organizational factors independently associated with a current bacterial sexually transmitted infection among urban adolescents and young adults?," Social Science & Medicine, Elsevier, vol. 118(C), pages 52-60.
    17. B. d'Hombres & L. Rocco & M. Suhrcke & M. McKee, 2010. "Does social capital determine health? Evidence from eight transition countries," Health Economics, John Wiley & Sons, Ltd., vol. 19(1), pages 56-74, January.
    18. Takeshi Hamamura & Liman Man Wai Li & Derwin Chan, 2017. "The Association Between Generalized Trust and Physical and Psychological Health Across Societies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 134(1), pages 277-286, October.
    19. Quintal, Carlota & Ramos, Luís Moura & Torres, Pedro, 2023. "Disentangling the complexities of modelling when high social capital contributes to indicating good health," Social Science & Medicine, Elsevier, vol. 320(C).
    20. Giordano, Giuseppe N. & Lindstrom, Martin, 2010. "The impact of changes in different aspects of social capital and material conditions on self-rated health over time: A longitudinal cohort study," Social Science & Medicine, Elsevier, vol. 70(5), pages 700-710, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:87:y:2013:i:c:p:147-154. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.