6 research outputs found
Testing the investment model of relationship commitment and stability in a longitudinal study of married couples
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Sharing an Uncertain Future: Improved Survival and Stress Proliferation among Persons Living with HIV and their Caregivers
This chapter examines how the historically time-altered trajectory of HIV/AIDS in the United States has influenced the lives of persons living with HIV (PLH) and their midlife and older female caregivers. Our theoretical model integrates the concepts of linked lives, stress proliferation, and future uncertainty. We report on a study of 135 PLH and their caregiving wives or mothers. We find that, net of other stress covariates, future uncertainty is positively associated with depressive symptoms among PLH but not among caregivers. We identify “cross-person” effects in that the caregiver’s perceptions of future uncertainty are positively associated with PLH depressive symptoms
Perceived HIV stigma in AIDS caregiving dyads
This study examines perceived HIV stigma in AIDS caregiving dyads in the United States, assessing the measurement of and correlates of personal stigma (among care-recipients living with HIV), courtesy stigma (among caregivers), and dyadic stigma. Survey data from 135 dyads in which the caregiver is a midlife or older mother or wife, and the care-recipient is her HIV-infected adult son or husband, are analyzed with individual-level and multilevel regression models. Results indicate that: (1) perceived stigma can be reliably measured among both persons living with HIV (PLH) and caregivers; (2) personal stigma can be distinguished from courtesy stigma; (3) perceived stigma is relatively low in this sample, and is higher among PLH than caregivers, higher among caregiving wives than mothers, and similar between PLH who are husbands and sons; (4) dyadic stigma is influenced by the caregiver's HIV status, the ethnic composition of the dyad, caregiving duration, and household income; (5) stigma discrepancy within dyads is a function of health discrepancy within dyads; and (6) differences in multivariate correlates of perceived stigma at the individual-level, in comparison to the dyad-level, suggest that dyadic stigma is a unique construct. A recognition that perceived stigma bears its own unique influence on the caregiving dyad is important for understanding how best to allocate resources aimed at alleviating stigma among individuals and families impacted by HIV.USA Stigma Dyad AIDS caregiving HIV Multilevel