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Timing of diagnosis
 — understanding resilience narratives of HIV positive older adults diagnosed pre- and post-HAART
Author(s)Lesley M Harris, Charles A Emlet, Christina Pierpaoli Parker, Charles Furlotte
Journal titleJournal of Gerontological Social Work, vol 61, no 1, January 2018
PublisherTaylor and Francis, January 2018
Pagespp 78-103
Sourcehttp://www.tandfonline.com
KeywordsAIDS ; Diagnosis ; Ageing process ; Attitude ; Adjustment ; Therapeutics ; Drugs ; Canada.
AnnotationDespite the growing population of older adults living with HIV/AIDS, few studies have examined this population in terms of timing of HIV diagnosis. This study looked at resilience and protective factors among HIV-positive older adults, 17 of whom were diagnosed prior to the development of highly active antiretroviral therapy (HAART), and 13 of whom were diagnosed after the development of HAART. The study explored the concepts of resilience and protective factors in 30 older adults living with HIV in Ontario, Canada. A qualitative approach was used to conduct in-depth interviews and grounded theory techniques were used to analyse the interview transcripts. Having lived with HIV for nearly 30 years, the pre-HAART group had developed more personal strategies for enhancing resilience, including self-care behaviours. They were more regimented and dedicated to their daily health, and were more engaged in their medical care as opposed to the post-HAART group who viewed self-care as staying adherent and refraining from risky health behaviours. Although HAART has radically changed the prognosis of HIV there is limited information about the differences between those who were diagnosed before and after the development of HAART. In this study the authors present recommendations for addressing previous trauma and improving self-care. (JL).
Accession NumberCPA-180316212 A
ClassmarkCQTT: LK7: BG: DP: DR: LL: LLD: 7S

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