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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.
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.