Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS.

Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. Abstract Text:

Magdalena Szaflarski,P Neal Ritchey,Anthony C Leonard,Joseph M Mrus,Amy H Peterman,Christopher G Ellison,Michael E McCullough,Joel Tsevat,

BACKGROUND: Spirituality/religion is an important factor in health and illness, but more work is needed to determine its link to quality of life in patients with HIV/AIDS. OBJECTIVE: To estimate the direct and indirect effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. DESIGN: In 2002 and 2003, as part of a multicenter longitudinal study of patients with HIV/AIDS, we collected extensive demographic, clinical, and behavioral data from chart review and patient interviews. We used logistic regression and path analysis combining logistic and ordinary least squares regression. SUBJECTS: Four hundred and fifty outpatients with HIV/AIDS from 4 sites in 3 cities. MEASURES: The dependent variable was whether patients felt that life had improved since being diagnosed with HIV/AIDS. Spirituality/religion was assessed by using the Duke Religion Index, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded, and Brief RCOPE measures. Mediating factors included social support, self-esteem, healthy beliefs, and health status/health concerns. RESULTS: Approximately one-third of the patients felt that their life was better now than it was before being diagnosed with HIV/AIDS. A 1-SD increase in spirituality/religion was associated with a 68.50% increase in odds of feeling that life has improved--29.97% due to a direct effect, and 38.54% due to indirect effects through healthy beliefs (29.15%) and health status/health concerns (9.39%). Healthy beliefs had the largest effect on feeling that life had improved; a 1-SD increase in healthy beliefs resulted in a 109.75% improvement in feeling that life changed. CONCLUSIONS: In patients with HIV/AIDS, the level of spirituality/religion is associated, both directly and indirectly, with feeling that life is better now than previously. Future research should validate our new conceptual model using other samples and longitudinal studies. Clinical education interventions should focus on raising awareness among clinicians about the importance of spirituality/religion in HIV/AIDS.

Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. Publishing Authors By Initials

M Szaflarski,PN Ritchey,AC Leonard,JM Mrus,AH Peterman,CG Ellison,ME McCullough,J Tsevat,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

PUBMED ID PMID:

MEDLINE DATE:

Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal of general internal medicine : official jo

VOLUME: 21 Suppl 5

Page Numbers: S28-38

Journal Abbreviation:

ISSN: 1525-1497

DAY: 3

MONTH: Dec

YEAR: 2006

Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8605834

Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: epidemiology

Chemical & Substance for Abstract: Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS.

AFFILIATION: Institute for the Study of Health, University of Cincinnati, Cincinnati, OH 45267-0840, USA. magdalena.szaflarski@uc.edu

Country: United States

AGENCY: United States NIAID

GRANT: U01 AI 25897

ACRONYM: AI

MEDLINETA: J Gen Intern Med

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS Related Publications

• Are aggressive treatment strategies less cost-effective for older patients? The case of ventilator support and aggressive care for patients with acute respiratory failure.
• Health-related quality of life in veterans and nonveterans with HIV/AIDS.
• Health-related quality of life--an introduction.
• Ineffectiveness of the SUPPORT intervention: review of explanations.
• Modeling the effects of spirituality/religion on patients' perceptions of living with HIV/AIDS.
• Patterns of responses on health-related quality of life questionnaires among patients with HIV/AIDS.
• Religion, spirituality, and depressive symptoms in patients with HIV/AIDS.
• Rethinking fundamental assumptions: SUPPORT's implications for future reform. Study to Understand Prognoses and Preferences and Risks of Treatment.
• Self-rated health of primary care house officers and its relationship to psychological and spiritual well-being.
• Spirituality and religion in patients with HIV/AIDS.
• The disutility of chronic gout.
• Willingness to pay for a cure in patients with chronic gout.