Barcelona 2013
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| Abstract #462 - E-Posters English | ||||
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Session: 50.120: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Prof Martin Blais - Universite du Quebec a Montreal, Canada |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: To identify key factors associated to the quality of family life in families affected by HIV. | ||||
| Method / Issue: Data were collected among 97 women living with HIV (WHIV) through self-administered questionnaires. The dependant variables were the quality of family life and support by family members in the following 4 domains: 1) parenting (support of the children); 2) Emotional well-being (getting help from inside and outside the family); 3) Physical/Material Well-being (having the resources to take care of the family?s needs); and 4) Disability-Related Support (finding support within the family for members with special needs). The independent variables were: sociodemographic and children characteristics; mother?s health, physical functioning, psychological distress, resilience, HIV stigma, and satisfaction with social support. Multivariate linear regression (MLR) models were performed following bivariate exploration of the data. | ||||
| Results / Comments: MLR models revealed that: parenting was significantly higher among mothers reporting higher scores on resilience (B=.320; 95%CI: 0.149, 0.491); emotional well-being was significantly higher among women reporting higher scores on satisfaction toward social support (B=0.320; 95%CI: 0.050, 0.593) and on resilience (B=0.432; 95%CI: 0.161, 0.702), but lower among women reporting higher annual income (B=-0.078; 95%CI: -0.152, -0.004); physical/material well-being was higher among women reporting higher annual income (B=0.066; 95%CI: 0.011, 0.120), higher physical functioning (B=0.191; 95%CI: 0.070, 0.311), but lower among those reporting higher scores on religiosity (B= -0.101; 95%CI: -0.172, -0.030) and higher HIV stigma (B= -0.168; 95%CI: -.0326, -0.010); disability-related support was higher among women reporting higher score of satisfaction regarding social support (B= 0.229; 95%CI: 0.027, 0.429), and lower among immigrant women (B= -0.558; 95%CI: -0.915, -0.201) and those with a higher proportion of children knowing about their HIV infection (B= -0.478; 95%CI: -0.859, -0.098). | ||||
| Discussion: Results suggest that the mother?s resilience and social support significantly contribute to the capacity of the family to support its own members, particularly its children. The capacity of the family to provide physical/material support to its members was greater when the mother reported better physical functioning, suggesting a greater capacity to work and possibly a higher income. Lower material well-being was associated with the perception of more negative attitudes toward HIV in the environment and greater religiosity, which might reflect the negative impact of stigma and the importance of faith in precarious families. Family support toward members with specific needs was related to the support received by the mothers, illustrating the importance of supporting the mothers in order to help them take care of the special needs of the family members. In this regard, immigrant women were facing specific issues, possibly related to adjusting to the host society and its health services structure. Having a higher proportion of children knowing the mother?s serostatus impaired the disability-related family support which can result from emotional issues regarding disclosure and stigma management, among other hypotheses. Increasing resilience, coping skills as well as social and material support among mothers living with HIV is crucial for their quality of life. | ||||
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