Factors Associated with Resilience Among Older People Living with HIV

AIDS Behav. 2022 May;26(5):1448-1455. doi: 10.1007/s10461-021-03499-z. Epub 2021 Oct 26.

Abstract

Resilience, a measure of stress coping ability, may be important in helping older people (age 50+) living with HIV (PLWH) age successfully, but limited data exist regarding factors that contribute to resilience for this group. This study uses the Connor-Davidson Resilience Scale 2 (CD-RISC2) to assess resilience, based on a cross-sectional analysis of 1047 older PLWH. Bivariate linear regression models were used to identify predictor variables that had a relationship with resilience. Those variables were then included in a multivariable linear regression model, which was pared using backward selection. In the multivariable model, higher income and greater interpersonal support were associated with greater resilience, whereas depression and anxiety were associated with lower resilience. Relevant interventions that address these issues, such as increasing opportunities for social support and increasing screening for and treatment of depression and anxiety, are identified as potential pathways to increase resilience among older PLWH.

Keywords: Coping; Distress; Older populations; Resilience; Stress.

MeSH terms

  • Adaptation, Psychological
  • Aged
  • Anxiety / diagnosis
  • Anxiety / epidemiology
  • Cross-Sectional Studies
  • HIV Infections*
  • Humans
  • Middle Aged
  • Resilience, Psychological*
  • Surveys and Questionnaires