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Factors Associated with Resilience Among Older People Living with HIV

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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.

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Data Availability

The data are not currently publically available. The authors may agree to share data on a case-by-case basis.

Code Availability

The Stata code used for the analyses can be made available for review on a case-by-case basis.

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Funding

This study was funded by ViiV Healthcare. Jeff Berko, Peter Mazonson, and Theoren Loo have received research funding from ViiV Healthcare to develop ADHOC and collect data. Philip Grant has received research support from ViiV Healthcare. Andrew Zolopa, Frank Spinelli, and Duncan Short are employees of ViiV Healthcare.

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Authors and Affiliations

  1. Mazonson & Santas, Inc., 15 Hillcrest Ave., Larkspur, CA, 94939, USA

    Jeff Berko, Peter Mazonson & Theoren Loo

  2. Stanford University, Palo Alto, CA, USA

    Philip Grant & Andrew Zolopa

  3. ViiV Healthcare, Raleigh, NC, USA

    Andrew Zolopa & Frank Spinelli

  4. ViiV Healthcare, London, UK

    Duncan Short

Authors
  1. Jeff Berko
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  2. Peter Mazonson
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  7. Duncan Short
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Contributions

All authors made substantial contributions to the conception or design of the work. JB, PM and TL drafted the work. PG, AZ, FS and DS each revised it critically for important intellectual content. All authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Corresponding author

Correspondence to Jeff Berko.

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Conflict of interest

All authors declare that they have no conflict of interest to declare.

Ethical Approval

The ADHOC study protocol was approved by Ethical and Independent Review Services (E&I #17130).

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Written informed consent was collected from all participants.

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Not applicable.

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Berko, J., Mazonson, P., Loo, T. et al. Factors Associated with Resilience Among Older People Living with HIV. AIDS Behav 26, 1448–1455 (2022). https://doi.org/10.1007/s10461-021-03499-z

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  • DOI: https://doi.org/10.1007/s10461-021-03499-z

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