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Journal of Community Health
Published in: Journal of Community Health 5/2016

01-10-2016 | Original Paper

Exploring Pathways Between HIV+ Status and Excellent Overall Health Among Kenyan Women: Family Functioning, Meaningfulness of Life, Seroconcordance, Social Support and Considering the Need for Integrated Care

Authors: Michael L. Goodman, Hani Serag, Stanley Gitari, Philip H. Keiser, Matthew Dacso, Ben G. Raimer

Published in: Journal of Community Health | Issue 5/2016

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Abstract

As people living with HIV/AIDS (PLWHA) live longer, and HIV incidence declines, health systems are transitioning from vertical-only care delivery to horizontal integration with social and other services. This is essential to responding to the chronic nature of the disease, and health systems must respond to full-breadth of socio-economic conditions facing PLWHA. We use excellent self-rated health as a referent, and assess the role of non-biomedical conditions in mediating HIV+ status and excellent overall health among a large community sample of Kenyan women. After controlling for age and wealth, we found significant mediation by social support, partner HIV status, meaningfulness of life, family functioning, food sufficiency, and monthly income. If the goal of health systems is to help all people attain the highest level of health, integrating vertical HIV services with socio-economic support and empowerment may be required. Further investigation of the relative contribution of social support, family functioning, food and financial sufficiency should be conducted longitudinally, ideally in collaboration with HIV clinical services.
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Metadata
Title
Exploring Pathways Between HIV+ Status and Excellent Overall Health Among Kenyan Women: Family Functioning, Meaningfulness of Life, Seroconcordance, Social Support and Considering the Need for Integrated Care
Authors
Michael L. Goodman
Hani Serag
Stanley Gitari
Philip H. Keiser
Matthew Dacso
Ben G. Raimer
Publication date
01-10-2016
Publisher
Springer US
Published in
Journal of Community Health / Issue 5/2016
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-016-0181-y

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