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AIDS Care. 2018 Aug;30(sup5):S6-S17. doi: 10.1080/09540121.2018.1515470. Epub 2019 Jan 11.

Resilience and HIV: a review of the definition and study of resilience.

Author information

1
a Center for Health Equity Research, Department of Behavioral and Social Sciences , Brown University School of Public Health , Providence , RI , USA.
2
b Department of Psychology , University of Miami , Coral Gables , FL , USA.
3
c Department of Human Development and Family Sciences , University of Delaware , Newark , DE , USA.
4
d Centers for Behavioral and Preventive Medicine , The Miriam Hospital , Providence , RI , USA.
5
e Division of Infectious Diseases, Department of Medicine, Center for AIDS Research , University of Alabama at Birmingham , Birmingham , AL , USA.
6
f Division of Infectious Diseases, Department of Medicine, School of Medicine, Department of Epidemiology, Gillings School of Global Public Health , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
7
g Center for Statistical Sciences, Department of Biostatistics , Brown University School of Public Health , Providence , RI , USA.
8
h Centers for Behavioral and Preventive Medicine, Department of Psychiatry and Human Behavior , The Miriam Hospital, Alpert Medical School of Brown University , Providence , RI , USA.
9
i Centers for Epidemiology and Environmental Health, Department of Epidemiology , Brown University School of Public Health , Providence , RI , USA.

Abstract

We use a socioecological model of health to define resilience, review the definition and study of resilience among persons living with human immunodeficiency virus (PLWH) in the existing peer-reviewed literature, and discuss the strengths and limitations of how resilience is defined and studied in HIV research. We conducted a review of resilience research for HIV-related behaviors/outcomes of antiretroviral therapy (ART) adherence, clinic attendance, CD4 cell count, viral load, viral suppression, and/or immune functioning among PLWH. We performed searches using PubMed, PsycINFO and Google Scholar databases. The initial search generated 14,296 articles across the three databases, but based on our screening of these articles and inclusion criteria, nā€‰=ā€‰54 articles were included for review. The majority of HIV resilience research defines resilience only at the individual (i.e., psychological) level or studies individual and limited interpersonal resilience (e.g., social support). Furthermore, the preponderance of HIV resilience research uses general measures of resilience; these measures have not been developed with or tailored to the needs of PLWH. Our review suggests that a socioecological model of health approach can more fully represent the construct of resilience. Furthermore, measures specific to PLWH that capture individual, interpersonal, and neighborhood resilience are needed.

KEYWORDS:

HIV; Resilience; multilevel; socioecological model

PMID:
30632778
PMCID:
PMC6436992
[Available on 2020-01-11]
DOI:
10.1080/09540121.2018.1515470

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