This presentation applies latent profile analysis (LPA) to characterize heterogeneous patterns of discrimination related to race/ethnicity, sexual orientation, and HIV status among adults living with HIV. These intersectional discrimination profiles are examined in relation to substance use, HIV clinical indicators, psychosocial factors, and demographic characteristics. Profiles differed significantly in demographic composition and experiences of discrimination; however, individuals demonstrated comparable substance use and HIV-related outcomes across profiles, underscoring resilience among racially and sexually minoritized individuals living with HIV. The presentation conceptualizes resilience as a dynamic, contextually embedded process and introduces a qualitative component of the project that explores how resilience is developed, sustained, and enacted in the context of intersecting structural and interpersonal adversity.
We conducted a cross-sectional survey to examine various pathways of resilience among HIV-positive youth living within informal settlements outside of Nairobi, Kenya. Relationships between variables were modelled and evaluated using linear regression analysis and structural equational modelling. We identified unique pathways linking social support, adverse childhood experiences, and HIV stigma to general health and resilience. These results may provide valuable insights for developing targeted intervention strategies to improve treatment adherence and HIV management in this population.
Youth enrolled in several linked HIV prevention and treatment continua studies who participated in a telehealth coaching intervention completed a strengths assessment, and qualitative data on mental health strengths was analyzed using thematic analysis and a resilience lens. Youth self-described mental health strengths included intrapersonal resilience assets (protective traits, stress management activities, feeling positive despite current mental health challenges, and no current mental health challenges) and external resilience resources (social/emotional support, therapy/counseling, and use of mental health medication). These results highlight the utility of strengths-based intervention methods and resilience for youth at-risk for and living with HIV.
Oral Presentation at the CHIPTS HIV Next Generation Conference featuring Erik Storholm held in January 2022. The presentation examined the associations of multiple latent predictor variables known to be related to HIV outcomes such as socioeconomic distress, intimate partner violence, depression, resilience, and HIV related social support with HIV care engagement among. The presentation discusses test whether healthcare empowerment mediates the impact of these latent predictor variables have HIV care engagement.
Open plenary presentation at the CHIPTS HIV Next Generation Conference featuring Dr. Gary W. Harper held on January 2022. The presentation examines how resistant ecosystems show little impact due to repeated disturbances over time and resilient ecosystems are often immediately impacted by even low intensity disturbances.
Natalie Sanchez, Dr. Hilda Sandoval, Ramon Garcia
CHIPTS 2018 HIV Next Generation Conference