4.2 Article

Influences of Social Determinants of Health on African Americans Living With HIV in the Rural Southeast: A Qualitative Meta-synthesis

Journal

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jana.2015.03.004

Keywords

African American; HIV; meta-synthesis; rural; social determinants of health

Categories

Ask authors/readers for more resources

Social determinants of health influence health outcomes and contribute to health disparities in diverse populations. A meta-synthesis was conducted to provide emic perspectives of the experiences of African Americans living with HIV in the rural southeastern United States. Analysis of qualitative literature revealed patterns among social determinants of health as upstream factors contributing to health care barriers, poor health outcomes, decreased quality of life, and health disparities. The purpose of our meta-synthesis was the illumination and synthesis of themes describing characteristics of social determinants of health in selected qualitative articles. The nine themes that emerged included living in poverty, enduring unemployment, missing work, lacking transportation, sustaining stress, feeling socially excluded, needing social support, battling substance use, and lacking adequate health care. Copyright (C) 2015 Association of Nurses in AIDS Care

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Geriatrics & Gerontology

Preliminary study of a communication intervention for family caregivers and spouses with dementia

Christine L. Williams, David Newman, Lena Marmstal Hammar

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY (2018)

Article Geriatrics & Gerontology

Rural stakeholder perceptions about cognitive screening

Lisa Kirk Wiese, James. E. Galvin, Christine L. Williams

AGING & MENTAL HEALTH (2019)

Article Geriatrics & Gerontology

An updated measure for investigating basic knowledge of Alzheimer's disease in underserved rural settings

Lisa Kirk Wiese, Christine L. Williams, Ruth M. Tappen, David Newman

AGING & MENTAL HEALTH (2020)

Article Nursing

Story-Sharing Intervention to Improve Depression and Well-Being in Older Adults Transitioning to Long-Term Care

Gail J. Sullivan, Debra J. Hain, Christine Williams, David Newman

RESEARCH IN GERONTOLOGICAL NURSING (2019)

Review Geriatrics & Gerontology

Does ethnicity matter-Cultural factors underlying older adults' end-of-life care preferences: A systematic review

Zahra Rahemi, Christine Lisa Williams

GERIATRIC NURSING (2020)

Article Geriatrics & Gerontology

Discerning rural Appalachian stakeholder attitudes toward memory screening

Lisa Kirk Wiese, Ishan Williams, Christine L. Williams, James. E. Galvin

Summary: This study aimed to examine Appalachian stakeholder attitudes toward routine memory screening and compared results with a similar study in a rural Florida cohort. The findings showed that the majority of participants supported earlier dementia detection through routine screening, but also had doubts about the adequacy of care and assistance for this illness.

AGING & MENTAL HEALTH (2021)

Article Geriatrics & Gerontology

The value of us-Expressions of togetherness in couples where one spouse has dementia

Anna Swall, Christine Williams, Lena Marmstal Hammar

INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING (2020)

Article Geriatrics & Gerontology

Detecting dementia among older, ethnically diverse residents of rural subsidized housing

Lisa Kirk Wiese, Christine L. Williams, Debra Hain, David Newman, Christina P. Houston, Carolina Kaack, James. E. Galvin

Summary: Rural, ethnically diverse residents have a higher risk of Alzheimer's disease compared to urban residents, partly due to the prevalence of chronic diseases and lack of access to specialty providers in rural areas. A home-based approach for dementia management among rural residents has shown promising results in increasing detection and treatment rates, ultimately reducing costly institutionalizations.

GERIATRIC NURSING (2021)

Article Nursing

When an Aging Spouse Has Dementia: Impact of a Home-Based Intervention on Marital Communication

Christine L. Williams, David Newman, Bandana Neupane Poudel

Summary: The study found that an increase in caregiver words could escalate misunderstandings, but through the intervention of Communicating About Relationships and Emotions (CARE), misunderstandings in marital communication between spouses affected by dementia can be improved.

ISSUES IN MENTAL HEALTH NURSING (2021)

Article Geriatrics & Gerontology

A comparison of spouse and non-spouse carers of people with dementia: a descriptive analysis of Swedish national survey data

Marcus F. Johansson, Kevin J. McKee, Lena Dahlberg, Christine L. Williams, Martina Summer Meranius, Elizabeth Hanson, Lennart Magnusson, Bjoern Ekman, Lena Marmstal Hammar

Summary: This study compared spouse carers to other informal carers of persons with dementia regarding their care provision, support received, and psychosocial impact of care. The findings showed that spouse carers provided more care more frequently, with less support, and experienced negative impacts on their social life and health. It also revealed that spouse carers received more support and experienced a closer relationship with the care-recipient, highlighting the need for tailored support based on individual needs.

BMC GERIATRICS (2021)

Article Environmental Sciences

Negative Impact and Positive Value of Caregiving in Spouse Carers of Persons with Dementia in Sweden

Marcus F. Johansson, Kevin J. McKee, Lena Dahlberg, Martina Summer Meranius, Christine L. Williams, Lena Marmstal Hammar

Summary: This study examines factors associated with the positive value and negative impact of caregiving in spouse carers of persons with dementia in Sweden. The results show that mutuality, change in emotional closeness following dementia, and quality of support are significant factors for positive value, while years in relationship, years as carer, behavioral stress, self-rated health, emotional loneliness, and change in physical intimacy following dementia are significant factors for negative impact.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Article Public, Environmental & Occupational Health

Redlining and Neighborhood Walking in Older Adults: The 2017 National Household Travel Survey

Lilah M. Besser, Diana Mitsova, Christine L. Williams, Lisa Wiese

Summary: This study examines the impact of historic redlining on neighborhood walking among older adults. The results show that individuals living in neighborhoods with a historically declining or hazardous redlining score reported less neighborhood walking. Among those living in poverty, living in declining and hazardous neighborhoods was associated with less neighborhood walking.

AMERICAN JOURNAL OF PREVENTIVE MEDICINE (2022)

Review Clinical Neurology

Global rural health disparities in Alzheimer's disease and related dementias: State of the science

Lisa Ann Kirk Wiese, Allison Gibson, Marc Aaron Guest, Amy R. Nelson, Raven Weaver, Aditi Gupta, Owen Carmichael, Jordan P. Lewis, Allison Lindauer, Samantha Loi, Rachel Peterson, Kylie Radford, Elizabeth K. Rhodus, Christina G. Wong, Megan Zuelsdorff, Ladan Ghazi Saidi, Esmeralda Valdivieso-Mora, Sanne Franzen, Caitlin N. Pope, Timothy S. Killian, Hom L. Shrestha, Patricia C. Heyn, Ted Kheng Siang Ng, Beth Prusaczyk, Samantha John, Ambar Kulshreshtha, Julia L. Sheffler, Lilah Besser, Valerie Daniel, Magdalena I. Tolea, Justin Miller, Christine Musyimi, Jon Corkey, Veronica Yank, Christine L. Williams, Zahra Rahemi, JuYoung Park, Sheryl Magzamen, Robert L. L. Newton Jr, Candace Harrington, Jason D. Flatt, Sonakshi Arora, Sarah Walter, Percy Griffin, Ganesh M. Babulal

Summary: Individuals living in rural communities are at increased risk for Alzheimer's disease and related dementias (ADRD), and it is essential to identify the specific risk factors in rural areas in order to understand the complex interplay of barriers and facilitators. An interdisciplinary, international group of ADRD researchers explored the influences of biology, behavior, sociocultural factors, and environment on ADRD disparities in rural settings. The findings identified various individual, interpersonal, and community factors, as well as the strengths of rural residents in promoting healthy aging.

ALZHEIMERS & DEMENTIA (2023)

Article Gerontology

Being 'alone' striving for belonging and adaption in a new reality - The experiences of spouse carers of persons with dementia

Lena Marmstal Hammar, Christine L. Williams, Martina Summer Meranius, Kevin McKee

Summary: The study aimed to explore spouse carers' experiences of caring for partners with dementia, their support needs, and personal well-being, resulting in the overall theme of facing loneliness and adapting to a new reality. The findings suggest that care professionals need to be better trained to understand the unique needs of spouse carers, focusing on considering them as individuals separate from their caregiving role and emphasizing the importance of the couple's relationship for their well-being.

DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE (2021)

Article Nursing

Health-Related Decisions for Serious Illness Among Ethnically Diverse Older Adults

Zahra Rahemi, Christine Lisa Williams, Ruth Marchand Tappen, Gabriella Anna Engstrom

ADVANCES IN NURSING SCIENCE (2018)

No Data Available