Journal Article

Depression in Older Black Women with HIV

THE BOTTOM LINE:

Among a selected sample of 118 older Black women with HIV almost 90% had moderate to severe depression.  This study assessed the contribution of social determinants at intrapersonal, interpersonal, and community levels. The major social determinants of this high frequency of depression were poor health status, lack of exercise, and low social support. These factors require primary attention to reduce the high frequency of debilitating depression in this vulnerable subgroup.  

ABSTRACT

BACKGROUND: The prevalence of depression spans age-groups, but it can be particularly destructive for older people with chronic illness. Among older Black women living with HIV (OBWLH), multiple social determinants have been associated with the prevalence and severity of depression. A greater understanding of the impact of the social determinants at the individual, interpersonal, and community levels is needed.

AIMS: To explore social determinants of depression among OBWLH at the intrapersonal, interpersonal, and community levels.

METHOD: Cross-sectional descriptive design.

RESULTS: A total of 118 OBWLH were analyzed in the study. Depression was prevalent among the participants. Approximately 89.8% of the participants had moderate to severe depressive symptoms. Health status, exercise, and social support were significant predictors of depression in the sample.

CONCLUSION: Social determinants at multiple levels play a significant role in the occurrence and management of depression among OBWLH. Implications for practice, education, and research can be drawn from these findings.

Purpose of this Program: The AAHIVM, ACRIA and AGS (collectively, the “Sponsors,” “we” or “us”) are sponsors of this Website and through it seek to address the unique needs and challenges that older adults of diverse populations living with HIV face as they age. However, the information in this Website is not meant to supplant the advice provided in a doctor-patient relationship.

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The American Academy of HIV Medicine is a professional organization that supports the HIV practitioner and promotes accessible, quality care for all Americans living with HIV disease. Our membership of HIV practitioners and credentialed HIV Specialists™, HIV Experts™, and HIV Pharmacists™ provide direct care to the majority of HIV patients in the US.