Individual social capital and the HIV continuum of care in a rural setting of the southeast United States

Datos Bibliográficos

ID21833788
AutoresSeth C Kalichman (0000-0002-0912-5112, University of Connecticut), Ellen Banas (Mercer University), Harold Katner (0000-0002-2529-9817, Mercer University), Marnie Hill (0000-0002-9005-1527, Mercer University), Moira O Kalichman (0000-0003-4495-4140, University of Connecticut)
Año2020
Volumen44
Número2
Páginas75-86
Fecha de publicación2020-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaRural Mental Health (JOURNAL)
Identificadores de la revistaISSN: 1935-942X • E-ISSN: 2163-8969
EditorialAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/rmh0000134
PMID34017364
OpenAlexW3011338046
IdiomaEN
Citas recibidas5
Referencias citadas22

Social capital is associated with the health of people living with HIV, and yet few studies have examined social capital in relation to the HIV continuum of care in the United States. The current study assessed individual social capital within social networks of 251 people living with HIV and residing in a rural area of the southeastern United States. Participants completed computerized self-administered measures that included markers of social capital and disclosure of HIV status to network members. We estimated individual social capital for each relationship identified in the social network interviews and tested regression models at three points along the HIV continuum of care: receiving ART, ART adherence, and HIV viral suppression. Results indicated that one in four participants had not disclosed their HIV status to at least one member of their social network and disclosure was not associated with social capital. Regression models showed that participants with larger social networks and less social capital were more likely to be receiving ART and more likely to have HIV suppressed viral loads. Alcohol use, not social capital, was related to ART non-adherence. Participant's depressive symptomatology was unrelated to any HIV care continuum metrics assessed in this study. We conclude that social capital is drawn upon at critical points along the HIV continuum of care. Interventions should focus on building social capital within social networks and provide support to key network members when patients are transitioning into care, initiating ART and experiencing HIV unsuppressed viral loads

Political science · Psychiatry · Psychological intervention · Social capital · Social mobility · Social science · Social status · Social support · Sociology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Psychology · Social Psychology