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Published in: Prevention Science 3/2010

01-09-2010

Benefits of Family and Social Relationships for Thai Parents Living with HIV

Authors: Mary Jane Rotheram-Borus, Judith A. Stein, Chuleeporn Jiraphongsa, Siwaporn Khumtong, Sung-Jae Lee, Li Li

Published in: Prevention Science | Issue 3/2010

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Abstract

Family and social relationships are important structural supports in Thailand that are likely to influence the health and mental health of persons living with HIV (PLH). Structural equation modeling examined these relationships among 409 PLH in two communities in Thailand. Latent variables were constructed for most outcomes and mediators, with adherence to antiretroviral (ARV) therapy, depression, and disclosure represented by single-item indicators. All models controlled for gender, age, and education. Disclosure was significantly and positively associated with ARV adherence, and to both family functioning and social support. Family functioning and social support were significantly related to the PLH’s self-perceptions of health and mental health, as well as being significantly correlated with each other. Better family functioning was significantly associated with better quality of life, better perceived health, fewer symptoms of depression, and greater ARV adherence. Social support was significantly associated with better quality of life and fewer depressive symptoms. These results highlight the important role that an organized and structured family life and social support network can play in encouraging better health outcomes among PLH.
Literature
go back to reference Ammassari, A., Antinori, A., Aloisi, M. S., Trotta, M. P., Murri, R., Bartoli, L., et al. (2004). Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics, 45, 395–402.CrossRef Ammassari, A., Antinori, A., Aloisi, M. S., Trotta, M. P., Murri, R., Bartoli, L., et al. (2004). Depressive symptoms, neurocognitive impairment, and adherence to highly active antiretroviral therapy among HIV-infected persons. Psychosomatics, 45, 395–402.CrossRef
go back to reference Bennetts, A., Shaffer, N., Manopaiboon, C., Chaiyakul, P., Siriwasin, W., Mock, P., et al. (1999). Determinants of depression and HIV-related worry among HIV-positive women who have recently given birth, Bangkok, Thailand. Social Science & Medicine, 49, 737–749.CrossRef Bennetts, A., Shaffer, N., Manopaiboon, C., Chaiyakul, P., Siriwasin, W., Mock, P., et al. (1999). Determinants of depression and HIV-related worry among HIV-positive women who have recently given birth, Bangkok, Thailand. Social Science & Medicine, 49, 737–749.CrossRef
go back to reference Benotsch, E. G. & Kalichman, S. C. (2001). Mental health and quality of life for people with HIV. Focus, 16, 5–6.PubMed Benotsch, E. G. & Kalichman, S. C. (2001). Mental health and quality of life for people with HIV. Focus, 16, 5–6.PubMed
go back to reference Bentler, P. M. (2009). EQS 6 structural equations program manual. Encino, CA: Multivariate Software, Inc. Bentler, P. M. (2009). EQS 6 structural equations program manual. Encino, CA: Multivariate Software, Inc.
go back to reference Bouhnik, A. D., Preau, M., Vincent, E., et al. (2005). Depression and clinical progression in HIV-infected drug users treated with highly active antiretroviral therapy. Antiviral Therapy, 10, 53–61.PubMed Bouhnik, A. D., Preau, M., Vincent, E., et al. (2005). Depression and clinical progression in HIV-infected drug users treated with highly active antiretroviral therapy. Antiviral Therapy, 10, 53–61.PubMed
go back to reference Brown, D. R. & Sankar, A. (1998). HIV/AIDS and aging minority populations. Research on Aging, 20, 865–884.CrossRef Brown, D. R. & Sankar, A. (1998). HIV/AIDS and aging minority populations. Research on Aging, 20, 865–884.CrossRef
go back to reference Brown, T., Sittrai, V. S., Vanichseni, S., & Thisyahorn, U. (1994). The recent epidemiology of HIV and AIDS in Thailand. AIDS, 8, S131–S141.CrossRefPubMed Brown, T., Sittrai, V. S., Vanichseni, S., & Thisyahorn, U. (1994). The recent epidemiology of HIV and AIDS in Thailand. AIDS, 8, S131–S141.CrossRefPubMed
go back to reference Catz, S. L., Kelly, J. A., Bogart, L. M., et al. (2000). Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease. Health Psychology, 19, 124–133.CrossRefPubMed Catz, S. L., Kelly, J. A., Bogart, L. M., et al. (2000). Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease. Health Psychology, 19, 124–133.CrossRefPubMed
go back to reference Chou, C. P. & Bentler, P. M. (1990). Model modification in covariance structure modeling: A comparison among likelihood ratio, Lagrange Multiplier, and Wald tests. Multivariate Behavioral Research, 25, 115–136.CrossRef Chou, C. P. & Bentler, P. M. (1990). Model modification in covariance structure modeling: A comparison among likelihood ratio, Lagrange Multiplier, and Wald tests. Multivariate Behavioral Research, 25, 115–136.CrossRef
go back to reference Crane, D. R. & Marshall, E. S. (Eds). (2005). Handbook of families and health: Interdisciplinary perspectives. Thousand Oaks, CA: Sage. Crane, D. R. & Marshall, E. S. (Eds). (2005). Handbook of families and health: Interdisciplinary perspectives. Thousand Oaks, CA: Sage.
go back to reference Crepaz, N. & Marks, G. (2001). Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychology, 20, 291–299.CrossRefPubMed Crepaz, N. & Marks, G. (2001). Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review. Health Psychology, 20, 291–299.CrossRefPubMed
go back to reference Epstein, N., Baldwin, L., & Bishop, D. (1983). The McMaster Family Assessment Device. Journal of Marital & Family Therapy, 9, 171–180.CrossRef Epstein, N., Baldwin, L., & Bishop, D. (1983). The McMaster Family Assessment Device. Journal of Marital & Family Therapy, 9, 171–180.CrossRef
go back to reference Greene, K., Derlega, V. J., Yep, G. A., & Petronio, S. (2003). Privacy and the disclosure of HIV in interpersonal relationships: A sourcebook for researchers and practitioners. Mahwah, NJ: Erlbaum. Greene, K., Derlega, V. J., Yep, G. A., & Petronio, S. (2003). Privacy and the disclosure of HIV in interpersonal relationships: A sourcebook for researchers and practitioners. Mahwah, NJ: Erlbaum.
go back to reference Hartzell, J. D., Spooner, K., Howard, R., Wegner, S., & Wortmann, G., (2007). Race and mental health diagnosis are risk factors for highly active antiretroviral therapy failure in a military cohort despite equal access to care. Journal of Acquired Immune Deficiency Syndromes, 44, 411–416.CrossRefPubMed Hartzell, J. D., Spooner, K., Howard, R., Wegner, S., & Wortmann, G., (2007). Race and mental health diagnosis are risk factors for highly active antiretroviral therapy failure in a military cohort despite equal access to care. Journal of Acquired Immune Deficiency Syndromes, 44, 411–416.CrossRefPubMed
go back to reference Holt, R., Court, P., Vedhara, K., Nott, K. H., Holmes, J., & Snow, M. H. (1998). The role of disclosure in coping with HIV infection. AIDS Care, 10, 49–60.CrossRefPubMed Holt, R., Court, P., Vedhara, K., Nott, K. H., Holmes, J., & Snow, M. H. (1998). The role of disclosure in coping with HIV infection. AIDS Care, 10, 49–60.CrossRefPubMed
go back to reference Knodel, J., Chayovan, N., Graiurapong, S., & Suraratdecha, C. (2000). Ageing in Thailand: An overview of formal and informal support. In D. Phillips (Ed.), Ageing in the Asia Pacific region: Issues and policies (pp. 243–266). London, UK: Routledge. Knodel, J., Chayovan, N., Graiurapong, S., & Suraratdecha, C. (2000). Ageing in Thailand: An overview of formal and informal support. In D. Phillips (Ed.), Ageing in the Asia Pacific region: Issues and policies (pp. 243–266). London, UK: Routledge.
go back to reference Knodel, J. & Im-em, W. (2004). The economic consequences for parents of losing an adult child to AIDS: Evidence from Thailand. Social Science and Medicine, 59, 987–1001.CrossRefPubMed Knodel, J. & Im-em, W. (2004). The economic consequences for parents of losing an adult child to AIDS: Evidence from Thailand. Social Science and Medicine, 59, 987–1001.CrossRefPubMed
go back to reference Knodel, J., Im-em, W., Saengtienchai, C., VanLandingham, M., & Kespichayawattana, J. (2002). The impact of an adult child’s death due to AIDS on older-aged parents: Results from a direct interview survey. (Research Report 02-498). University of Michigan, Ann Arbor, MI: Population Studies Center. Knodel, J., Im-em, W., Saengtienchai, C., VanLandingham, M., & Kespichayawattana, J. (2002). The impact of an adult child’s death due to AIDS on older-aged parents: Results from a direct interview survey. (Research Report 02-498). University of Michigan, Ann Arbor, MI: Population Studies Center.
go back to reference Knodel, J., & Saengtienchai, C. (2002). AIDS and older persons: The view from Thailand. (Research Report 02-497). Ann Arbor, MI: Population Studies Center, University of Michigan. Knodel, J., & Saengtienchai, C. (2002). AIDS and older persons: The view from Thailand. (Research Report 02-497). Ann Arbor, MI: Population Studies Center, University of Michigan.
go back to reference Knodel, J. & VanLandingham, M. (2002). The impact of the AIDS epidemic on older persons. AIDS, 16, S77–S83.PubMed Knodel, J. & VanLandingham, M. (2002). The impact of the AIDS epidemic on older persons. AIDS, 16, S77–S83.PubMed
go back to reference Knodel, J., VanLandingham, M., Saengtienchai, C., & Im-em, W. (2001). Older people and AIDS: Quantitative evidence of the impact in Thailand. Social Science and Medicine, 52, 1313–1327.CrossRefPubMed Knodel, J., VanLandingham, M., Saengtienchai, C., & Im-em, W. (2001). Older people and AIDS: Quantitative evidence of the impact in Thailand. Social Science and Medicine, 52, 1313–1327.CrossRefPubMed
go back to reference Lee, S-J., Li, L., Jiraphongsa, C., Iamsirithaworn, S., Khumtong, S., & Rotheram-Borus, M. J. (in press). Regional variations in HIV disclosure in Thailand: Implications for future interventions. International Journal of STD and AIDS. Lee, S-J., Li, L., Jiraphongsa, C., Iamsirithaworn, S., Khumtong, S., & Rotheram-Borus, M. J. (in press). Regional variations in HIV disclosure in Thailand: Implications for future interventions. International Journal of STD and AIDS.
go back to reference Mullan, J. T. (1998). Aging and informal caregiving to people with HIV. Research on Aging, 20, 712–738.CrossRef Mullan, J. T. (1998). Aging and informal caregiving to people with HIV. Research on Aging, 20, 712–738.CrossRef
go back to reference Murphy, D. A., Greenwell, L., Resell, J., Brecht, M. L., & Schuster, M. A. (2008). Early and middle adolescents’ autonomy development: Impact of maternal HIV/AIDS. Clinical Child Psychology and Psychiatry, 13, 253–276.CrossRefPubMed Murphy, D. A., Greenwell, L., Resell, J., Brecht, M. L., & Schuster, M. A. (2008). Early and middle adolescents’ autonomy development: Impact of maternal HIV/AIDS. Clinical Child Psychology and Psychiatry, 13, 253–276.CrossRefPubMed
go back to reference Ncama, B. P., McInereney, P. A., Behngu, B. R., et al. (2008). Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa. International Journal of Nursing Studies, 45, 1757–1763.CrossRefPubMed Ncama, B. P., McInereney, P. A., Behngu, B. R., et al. (2008). Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa. International Journal of Nursing Studies, 45, 1757–1763.CrossRefPubMed
go back to reference Nelson, K. E., Celentano, D. D., Suprasert, S., Wright, N., Eiumtrakui, S., Tulvatana, S., et al. (1993). Risk factors for HIV infection among young adult men in northern Thailand. Journal of the American Medical Association, 270, 955–960.CrossRefPubMed Nelson, K. E., Celentano, D. D., Suprasert, S., Wright, N., Eiumtrakui, S., Tulvatana, S., et al. (1993). Risk factors for HIV infection among young adult men in northern Thailand. Journal of the American Medical Association, 270, 955–960.CrossRefPubMed
go back to reference Perry, S., Card, A. L., Moffatt, M., Ashman, T., Fishman, B., & Jacobsberg, L. (1994). Self–disclosure of HIV infection to sexual partners after repeated counseling. AIDS Education and Prevention, 6, 403–411.PubMed Perry, S., Card, A. L., Moffatt, M., Ashman, T., Fishman, B., & Jacobsberg, L. (1994). Self–disclosure of HIV infection to sexual partners after repeated counseling. AIDS Education and Prevention, 6, 403–411.PubMed
go back to reference Punpanich, W., Ungchusak, K., & Detels, R. (2004). Thailand’s response to the HIV epidemic: Yesterday, today, and tomorrow. AIDS Education and Prevention, 16, 119–136.CrossRefPubMed Punpanich, W., Ungchusak, K., & Detels, R. (2004). Thailand’s response to the HIV epidemic: Yesterday, today, and tomorrow. AIDS Education and Prevention, 16, 119–136.CrossRefPubMed
go back to reference Rabkin, J. G. & Ferrando, S. (1997). A‘second life’ agenda. Psychiatric research issues raised by protease inhibitor treatments for people with the human immunodeficiency virus or the acquired immunodeficiency syndrome. Archives of General Psychiatry, 54, 1049–1053.PubMed Rabkin, J. G. & Ferrando, S. (1997). A‘second life’ agenda. Psychiatric research issues raised by protease inhibitor treatments for people with the human immunodeficiency virus or the acquired immunodeficiency syndrome. Archives of General Psychiatry, 54, 1049–1053.PubMed
go back to reference Rolland, J. S. (1987). Chronic illness and the life cycle: A conceptual framework. Family Process, 26, 203–221.CrossRefPubMed Rolland, J. S. (1987). Chronic illness and the life cycle: A conceptual framework. Family Process, 26, 203–221.CrossRefPubMed
go back to reference Rotheram-Borus, M. J., Draimin, B. H., Reid, H. M., & Murphy, D. A. (1997). The impact of illness disclosure and custody plans on adolescents whose parents live with AIDS. AIDS, 11, 1159–1164.CrossRefPubMed Rotheram-Borus, M. J., Draimin, B. H., Reid, H. M., & Murphy, D. A. (1997). The impact of illness disclosure and custody plans on adolescents whose parents live with AIDS. AIDS, 11, 1159–1164.CrossRefPubMed
go back to reference Rotheram-Borus, M. J., Flannery, D., Lester, P., & Rice, E. (2004). Prevention for HIV positive families. Journal of Acquired Immune Deficiency Syndromes, 37, S133–S134.CrossRefPubMed Rotheram-Borus, M. J., Flannery, D., Lester, P., & Rice, E. (2004). Prevention for HIV positive families. Journal of Acquired Immune Deficiency Syndromes, 37, S133–S134.CrossRefPubMed
go back to reference Rotheram-Borus, M. J., Flannery, D., Rice, E., & Lester, P. (2005). Families living with HIV. AIDS Care, 17, 978–987.CrossRefPubMed Rotheram-Borus, M. J., Flannery, D., Rice, E., & Lester, P. (2005). Families living with HIV. AIDS Care, 17, 978–987.CrossRefPubMed
go back to reference Rotheram-Borus, M. J., Lee, M. B., Gwadz, M., & Draimin, B. (2001). An intervention for parents with AIDS and their adolescent children. American Journal of Public Health, 91, 1294–1302.CrossRefPubMed Rotheram-Borus, M. J., Lee, M. B., Gwadz, M., & Draimin, B. (2001). An intervention for parents with AIDS and their adolescent children. American Journal of Public Health, 91, 1294–1302.CrossRefPubMed
go back to reference Rotheram-Borus, M. J., Robin, L., Reid, H. M., & Draimin, B. H. (1998). Parent-adolescent conflict and stress when parents are living with AIDS. Family Process, 37, 83–94.CrossRefPubMed Rotheram-Borus, M. J., Robin, L., Reid, H. M., & Draimin, B. H. (1998). Parent-adolescent conflict and stress when parents are living with AIDS. Family Process, 37, 83–94.CrossRefPubMed
go back to reference Serovich, J. M. (2000). Helping HIV-positive persons to negotiate the disclosure process to partners, family members, and friends. Journal of Marital and Family Therapy, 26, 365–372.CrossRefPubMed Serovich, J. M. (2000). Helping HIV-positive persons to negotiate the disclosure process to partners, family members, and friends. Journal of Marital and Family Therapy, 26, 365–372.CrossRefPubMed
go back to reference Serovich, J. M., Brucker, P. S., & Kimberly, J. A. (2000). Barriers to social support for persons living with HIV/AIDS. AIDS Care, 12, 651–662.CrossRefPubMed Serovich, J. M., Brucker, P. S., & Kimberly, J. A. (2000). Barriers to social support for persons living with HIV/AIDS. AIDS Care, 12, 651–662.CrossRefPubMed
go back to reference Sherbourne, C. D. & Stewart, A. L. (1991). The MOS social support survey. Social Science Medicine, 32, 705–714.CrossRefPubMed Sherbourne, C. D. & Stewart, A. L. (1991). The MOS social support survey. Social Science Medicine, 32, 705–714.CrossRefPubMed
go back to reference Singh, N., Berman, S. M., Swindells, S., Justis, J. C., Mohr, J. A., Squier, C., et al. (1999). Adherence of human immunodeficiency virus-infected patients to antiretroviral therapy. Clinical Infectious Diseases, 29, 824–830.CrossRefPubMed Singh, N., Berman, S. M., Swindells, S., Justis, J. C., Mohr, J. A., Squier, C., et al. (1999). Adherence of human immunodeficiency virus-infected patients to antiretroviral therapy. Clinical Infectious Diseases, 29, 824–830.CrossRefPubMed
go back to reference Song, Y. S. & Ingram, K. M. (2002). Unsupportive social interactions, availability of social support, and coping: Their relationship to mood disturbance among African Americans living with HIV. Journal of Social and Personal Relationships, 19, 67–85.CrossRef Song, Y. S. & Ingram, K. M. (2002). Unsupportive social interactions, availability of social support, and coping: Their relationship to mood disturbance among African Americans living with HIV. Journal of Social and Personal Relationships, 19, 67–85.CrossRef
go back to reference Tucker, J. S., Burnam, M. A., Sherbourne, C. D., et al. (2003). Substance use and mental health correlates of nonadherence to antiretroviral medications in a sample of patients with human immunodeficiency virus infection. American Journal of Medicine, 114, 573–580.CrossRefPubMed Tucker, J. S., Burnam, M. A., Sherbourne, C. D., et al. (2003). Substance use and mental health correlates of nonadherence to antiretroviral medications in a sample of patients with human immunodeficiency virus infection. American Journal of Medicine, 114, 573–580.CrossRefPubMed
go back to reference VanLandingham, M., Knodel, J., Im-em, W., & Saengtienchai, C. (2000). The impacts of HIV on older populations in developing countries: Some observations based upon the Thai case. Journal of Family Issues, 21, 777–805.CrossRef VanLandingham, M., Knodel, J., Im-em, W., & Saengtienchai, C. (2000). The impacts of HIV on older populations in developing countries: Some observations based upon the Thai case. Journal of Family Issues, 21, 777–805.CrossRef
go back to reference Wachter, K., Knodel, J., & VanLandingham, M. (2002). AIDS and the elderly of Thailand: Projecting familial impacts. Demography, 39, 25–41.CrossRefPubMed Wachter, K., Knodel, J., & VanLandingham, M. (2002). AIDS and the elderly of Thailand: Projecting familial impacts. Demography, 39, 25–41.CrossRefPubMed
go back to reference Weisner, T. S. (1984). Ecocultural niches of middle childhood: A cross cultural perspective. In W. A. Collins (Ed.), Development during childhood: The years from six to twelve (pp. 335–369). Washington, DC: National Academy of Science Press. Weisner, T. S. (1984). Ecocultural niches of middle childhood: A cross cultural perspective. In W. A. Collins (Ed.), Development during childhood: The years from six to twelve (pp. 335–369). Washington, DC: National Academy of Science Press.
go back to reference Weisner, T. S., Gibson, C., Lowe, E. D., & Romich, J. (2002). Understanding working poor families in the New Home Program. Poverty Research Newsletter, September, pp. 1–4. Weisner, T. S., Gibson, C., Lowe, E. D., & Romich, J. (2002). Understanding working poor families in the New Home Program. Poverty Research Newsletter, September, pp. 1–4.
go back to reference Weisner, T. S. & Lowe, E. (2004). Globalization and the psychological anthropology of childhood and adolescence. In C. Casey & R. Edgerton (Eds.), A companion to psychological anthropology: Modernity and psychocultural change (pp. 318–336). Oxford, UK: Blackwell. Weisner, T. S. & Lowe, E. (2004). Globalization and the psychological anthropology of childhood and adolescence. In C. Casey & R. Edgerton (Eds.), A companion to psychological anthropology: Modernity and psychocultural change (pp. 318–336). Oxford, UK: Blackwell.
go back to reference Weisner, T. S. (2008). Understanding New Hope. A successful antipoverty program for working poor adults and their children. Anthropology Newsletter, April. Weisner, T. S. (2008). Understanding New Hope. A successful antipoverty program for working poor adults and their children. Anthropology Newsletter, April.
go back to reference Winstead, B. A., Derlega, V. J., Barbee, A. P., Sachdev, M., Antle, B., & Greene, K. (2002). Close relationships as sources of strength or obstacles for mothers coping with HIV. Journal of Loss and Trauma, 7, 157–184.CrossRef Winstead, B. A., Derlega, V. J., Barbee, A. P., Sachdev, M., Antle, B., & Greene, K. (2002). Close relationships as sources of strength or obstacles for mothers coping with HIV. Journal of Loss and Trauma, 7, 157–184.CrossRef
go back to reference Yuan, K.-H., Bentler, P. M., & Kano, Y. (1997). On averaging variables in a confirmatory factor analysis model. Behaviormetrika, 24, 71–83.CrossRef Yuan, K.-H., Bentler, P. M., & Kano, Y. (1997). On averaging variables in a confirmatory factor analysis model. Behaviormetrika, 24, 71–83.CrossRef
go back to reference Yun, L. W., Maravi, M., Kobayashi, J. S., Barton, P. L., & Davidson, A. J. (2005). Antidepressant treatment improves adherence to antiretroviral therapy among depressed HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes, 38, 432–438.CrossRefPubMed Yun, L. W., Maravi, M., Kobayashi, J. S., Barton, P. L., & Davidson, A. J. (2005). Antidepressant treatment improves adherence to antiretroviral therapy among depressed HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes, 38, 432–438.CrossRefPubMed
Metadata
Title
Benefits of Family and Social Relationships for Thai Parents Living with HIV
Authors
Mary Jane Rotheram-Borus
Judith A. Stein
Chuleeporn Jiraphongsa
Siwaporn Khumtong
Sung-Jae Lee
Li Li
Publication date
01-09-2010
Publisher
Springer US
Published in
Prevention Science / Issue 3/2010
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-009-0165-6

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