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A Concept Mapping Study to Understand Multilevel Resilience Resources Among African American/Black Adults Living with HIV in the Southern United States.
AIDS and Behavior ( IF 4.852 ) Pub Date : 2020-09-17 , DOI: 10.1007/s10461-020-03042-6
Akilah J Dulin 1 , Valerie A Earnshaw 2 , Sannisha K Dale 3 , Michael P Carey 4 , Joseph L Fava 4 , Marta Wilson-Barthes 5 , Michael J Mugavero 6 , Sarah Dougherty-Sheff 6 , Bernadette Johnson 6 , Sonia Napravnik 7 , Chanelle J Howe 5
Affiliation  

Resilience may help people living with HIV (PLWH) overcome adversities to disease management. This study identifies multilevel resilience resources among African American/Black (AA/B) PLWH and examines whether resilience resources differ by demographics and neighborhood risk environments. We recruited participants and conducted concept mapping at two clinics in the southeastern United States. Concept Mapping incorporates qualitative and quantitative methods to represent participant-generated concepts via two-dimensional maps. Eligible participants had to attend ≥ 75% of their scheduled clinic appointments and did not have ≥ 2 consecutive detectable HIV-1 viral load measurements in the past 2 years. Of the 85 AA/B PLWH who were invited, forty-eight participated. Twelve resilience resource clusters emerged-five individual, two interpersonal, two organizational/policy and three neighborhood level clusters. There were strong correlations in cluster ratings for demographic and neighborhood risk environment comparison groups (r ≥ 0.89). These findings could inform development of theories, measures and interventions for AA/B PLWH.

中文翻译:

一项概念图研究,以了解美国南部感染 HIV 的非裔美国人/黑人成年人的多层次复原力资源。

复原力可以帮助艾滋病病毒感染者 (PLWH) 克服疾病管理的逆境。本研究确定了非裔美国人/黑人 (AA/B) PLWH 的多层次复原力资源,并检查复原力资源是否因人口统计和邻里风险环境而异。我们在美国东南部的两家诊所招募了参与者并进行了概念图绘制。概念图结合了定性和定量方法,通过二维图表示参与者生成的概念。符合条件的参与者必须参加 ≥ 75% 的预定诊所预约,并且在过去 2 年中没有≥ 2 次连续可检测到的 HIV-1 病毒载量测量。在受邀的 85 名 AA/B PLWH 中,有 48 人参加。出现了 12 个复原力资源集群——五个个体,两个人际,两个组织/政策和三个邻里级集群。人口统计和邻里风险环境比较组的集群评级存在很强的相关性(r ≥ 0.89)。这些发现可以为 AA/B PLWH 的理论、措施和干预措施的发展提供信息。
更新日期:2020-09-17
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