Document Type : Original Article

Authors

1 Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran

3 Department of Public Health, Urmia University of Medical Sciences, Urmia, Iran

4 Social Welfare Management Research Center, University of Social Welfare, and Rehabilitation Sciences, Tehran, Iran

5 Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran

6 Department of Social Welfare Management, Social Welfare Management Research Centre, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

7 Social Determinants of Health Research Center, Faculty of Health, Birjand University of Medical Sciences, Birjand, Iran

Abstract

BACKGROUND: Social resources help to adapt to stress and might positively affect the well‑being
of individuals with severe conditions like human immunodeficiency virus/acquired immunodeficiency
syndrome (HIV/AIDS). The present study investigates the effect of social support, social capital, and
coping in a positive state of mind of Iranian older people with HIV/AIDS.
MATERIALS AND METHODS: This cross‑sectional study was conducted on 160 older people with
HIV referred to AIDS clinics in Tehran in 2019. Samples were randomly selected from patients aged
50 years and older. Data were collected using a questionnaire, a positive state of mind, social capital,
coping, social support, and a checklist of demographical variables. Data analysis was performed
using SPSS software version 21.
RESULTS: A significant positive correlation was found between social support, social capital, coping,
education, and a positive state of mind. A significant negative correlation was also found between
age, several chronic diseases of the patient, and a positive state of mind. The linear regression results
showed that social support, social capital, coping, and education improved the positive state of mind.
CONCLUSIONS: Based on our findings, we believe that social and psychological interventions
effectively enhance patients’ positive state of mind with HIV and ultimately, improve their quality of life.

Keywords

  1. Frank TD, Carter A, Jahagirdar D, Biehl MH, Douwes‑Schultz D,
    Larson SL, et al. Global, regional, and national incidence,
    prevalence, and mortality of HIV, 1980–2017, and forecasts to
    2030, for 195 countries and territories: a systematic analysis for
    the Global Burden of Diseases, Injuries, and Risk Factors Study
    2017. lancet HIV 2019;6 (12):e831‑e59.
    2. Fang L, Chuang D‑M, Al‑Raes M. Social support, mental health
    needs, and HIV risk behaviors: a gender‑specific, correlation
    study. BMC Public Health 2019;19 (1):651‑9.
    3. Noroozi M, Rahimi E, Ghisvand H, Qorbani M, Sharifi H,
    Noroozi A, et al. Decomposition of economic inequality in needle
    and syringe programs utilization to its determinants among men
    who inject drugs in tehran using blinder–oaxaca decomposition
    method. Substance Use Misuse 2018;53 (7):1170‑6.
    4. Abbasi P, ZiapourA, ÖZDENK G, Kianipour N,. Study on the Role
    of Social Capital in Students’ Health at Kermanshah University
    of Medical Sciences: The Role of Demographic Variables. J Clin
    Diagn Res 2018;12 (11):JC01‑JC4.
    5. Ziapour A, Zokaei A, Kahrizy F. A Theoretical Study of the
    Standing of Social Investment in the Health Sector. Soc Sci
    2016;11(15):3682‑7.
    6. Khademi N, Saeidi S, Zangeneh A, Ghasem S, Ziapoor A,
    Saeidi FJH. Spatial patterns analysis and hotspots of HIV
    over 20 years using geographic information system. A case study
    of Kermanshah, West Iran. AIDS Rev 2019;18 (4):296‑304.
    7. Kalhori RP, Ziapour A, Kianipour N, Foroughinia A. A study of
    the relationship between lifestyle and happiness of students at
    Kermanshah University of Medical Sciences over 2015–2016. Ann
    Trop Med Public Health 2017;10:1004.
    8. Kisa A, Hay SI, Dwyer-Lindgren L, Cork, Henry NJ, Watson S,
    et al. HIV Collaborators, Croneberger, Baumann, Yang, Serfes.
    Mapping subnational HIV mortality in sixLatin American
    countries with incomplete vital registration systems. BMC Med
    2021;19(4): 1-25.
    9. Mohammadi M, Ziapoor A, Mahboubi M, Faroukhi A, Amani N,
    Hydarpour F, et al. Performance evaluation of hospitals under
    supervision of kermanshah medical sciences using pabonlasoty
    diagram of a five-year period (2008-2012). Life Sci J 2014;11:77-81.
    10. Reshadat SO, Zangeneh A, Saeidi S, Khademi NA, Izadi N,
    Ghasemi SR, et al. The spatial clustering analysis of HIV and
    poverty through GIS in the metropolis of Kermansha, western
    Iran. Acta Med Mediterranea 2016;32:1995-9.
    11. Gwadz M, Leonard NR, Honig S, Freeman R, Kutnick A,
    Ritchie AS. Doing battle with “the monster”: How high‑risk
    heterosexuals experience and successfully manage HIV stigma
    as a barrier to HIV testing. Int J Equity Health 2018;17(1):46.
    12. Sartorius B, VanderHeide JD, Yang M, Goosmann EA, Hon J,
    Haeuser E, et al. Subnational mapping of HIV incidence and
    mortality among individuals aged 15–49 years in sub-Saharan
    Africa, 2000–18: A modelling study. Lancet HIV 2021;8: e363-75.
    13. Zeligman M, Barden SM. A narrative approach to supporting
    clients living with HIV. J Construct Psychology 2015;28(1):67‑82.
    14. Noroozi M, Farhadi MH, Armoon B, Farhoudian A, Shushtari ZJ,
    Sharhani A, et al. Factors associated with time between using a
    drug and injection initiation among people who inject drugs in
    Kermanshah, Iran. Int J Adoles Med Health 2018; (ahead‑of‑print).
    15. Kaboudi M, Dehghan F, Ziapour A. The effect of acceptance and
    commitment therapy on the mental health of women patients
    with type II diabetes. AnnTrop Med Public Health 2017;10:1709.
    16. Burgoyne R. Exploring direction of causation between social
    support and clinical outcome for HIV‑positive adults in the
    context of highly active antiretroviral therapy. AIDS Care
    2005;17(1):111‑24.
    17. Hall VP. The relationship between social support and health in
    gay men with HIV/AIDS: an integrative review. J Associat Nurs
    AIDS Care 1999;10(3):74‑86.
    18. Abbamonte JM, McMahon RC, Stanforth ET, Rosenberg R,
    Jean‑Gilles M, Dévieux JG. Social Support, Relationship Power,
    and Knowledge of HIV+Serostatus in Sexual Risk Behavior
    Among Women in Psychiatric Treatment. J Clin Psychology Med
    Settin 2020:1‑9.
    19. Zangeneh A, Najafi F, Karimi S, Saeidi S, Izadi N. Spatial-temporal
    cluster analysis of mortality from road traffic injuries using
    geographic information systems in west of Iran during 2009–2014.
    J Foren Legal Med 2018; 55:15-22.
    20. Blieszner R, Ogletree AM. Close relationships in middle and late
    adulthood. The Cambridge handbook of personal relationships,
    2nd ed. New York, NY, US: Cambridge University Press; 2018.
    p. 148‑60.
    21. Karb RA, Elliott MR, Dowd JB, Morenoff JD. Neighborhood‑level
    stressors, social support, and diurnal patterns of cortisol:
    the Chicago Community Adult Health Study. Soc Sci Med
    2012;75(6):1038‑47.
  2. 22. Reshadat S, Zangeneh A, Saeidi S, Ghasemi SR, Rajabi Gilan N,
    Abbasi S. Investigating the economic, social and cultural factors
    influencing total fertility rate in Kermanshah. J Mazandaran Univ
    Med Sci 2015;25:108-12.
    23. Lauby JL, Marks G, Bingham T, Liu K‑L, Liau A, Stueve A, et al.
    Having supportive social relationships is associated with reduced
    risk of unrecognized HIV infection among black and Latino men
    who have sex with men. AIDS Behav 2012;16(3):508‑15.
    24. Zeligman M, Barden SM, Hagedorn WB. Posttraumatic growth
    and HIV: A study on associations of stigma and social support.
    J Counsel Develop 2016;94(2):141‑9.
    25. Akbari M, Najafi S, Nadrian H. The relationship between social
    capital perceived social support and the Women’s mental health
    in Sanandaj: a community‑based study. Iran J Health Educ Health
    Promot 2017;5(3):155‑63.
    26. Reshadat S, Saeidi S, Zangeneh A, Ziapour A, Choobtashani M,
    Saeidi F. A Study of Children's Geographic Access to Health
    Services (Health Care Centers and Clinical Laboratories) in
    Kermanshah City, Iran. Int J Pediatr 2018;6:7241-51.
    27. Tariq A, Beihai T, Ali S, Abbas N, Ilyas A. Mediating effect of
    cognitive social capital on the relationship between physical
    disability and depression in elderly people of rural Pakistan. Int
    J Environ Res Public Health 2019;16(21):4232‑39.
    28. Xiao Z, Li X, Qiao S, Zhou Y, Shen Z. Coping, social support,
    stigma, and gender difference among people living with HIV in
    Guangxi, China. Psychology, Health Med 2018;23 (1):18‑29.
    29. Matin BK, Ahmadi S, Irandoost SF, Babasafari N, Rezaei S. The
    prevalence of burnout and its association with types of capital
    among female nurses in west of Iran. Jundishapur J Health Sci
    2014;6(3):1‑6.
    30. Lazarus RS, Folkman S. Stress, Appraisal, and Coping. New York:
    Springer publishing company; 1984.
    31. Horowitz M, Adler N, Kegeles S. A scale for measuring the
    occurrence of positive states of mind: a preliminary report.
    Psychosomatic Med 1988;50(5):477‑83.
    32. GonzalezJS, PenedoFJ, AntoniMH, Durán RE, McPherson‑BakerS,
    Ironson G, et al. Social support, positive states of mind, and HIV
    treatment adherence in men and women living with HIV/AIDS.
    Health Psychology 2004;23(4):413–8.
    33. Turner‑Cobb JM, Gore‑Felton C, Marouf F, Koopman C, Kim P,
    Israelski D, et al. Coping, social support, and attachment style as
    psychosocial correlates of adjustment in men and women with
    HIV/AIDS. J Behav Med 2002;25(4):337‑53.
    34. Sherbourne CD, Stewart AL. The MOS social support survey. Soc
    Sci Med 1991;32(6):705‑14.
    35. Faraji E, Sardashti S, Firouzeh MM, Aminabad FJ, Alinaghi SAS,
    Hajiabdolbaghi M. Perceived social support affects disease coping
    among people living with HIV: a study in Tehran, Iran. Asian
    Pacific J Trop Disease 2015;5(5):412‑7.
    36. Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies:
    a theoretically based approach. J Person Soc Psychology
    1989;56(2): 267–83.
    37. Mohammadzadeh J, Sayehmiri K. Standardization of social
    support scale (MOS) of adults who have chronic diseases in Ilam,
    2015. Sci J Ilam Univ Med Sci 2016;23(7):69‑77.
    38. Rafiey H, Mousavi M, Qasemzadeh D. Construction and
    validation of intra‑group and extra‑group social capital
    assessment questionnaire. Soc Welfare Q 2016;16(61):141‑57.
    39. Bränström R. Frequency of positive states of mind as a moderator
    of the effects of stress on psychological functioning and perceived
    health. BMC psychology 2013;1 (1):1‑13.
    40. Brennan‑Ing M, Seidel L, Karpiak SE. Social support systems and
    social network characteristics of older adults with HIV. HIV and
    Aging. 42: New York: Karger Publishers; 2017. p. 159‑72.
    41. Kim S‑S, Chung Y, Perry MJ, Kawachi I, Subramanian S.
    Association between interpersonal trust, reciprocity, and
    depression in South Korea: a prospective analysis. Plos One
    2012;7(1):e30602.