THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY
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Case Western Reserve University School of Graduate Studies / OhioLINK
2014
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ndltd-OhioLink-oai-etd.ohiolink.edu-case13966494162021-08-03T06:23:19Z THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY Balthazar, Monique Stephanie Nursing HIV AIDS Health Behaviors Immune Function There are an estimated 56,000 new human immune deficiency virus (HIV) infections diagnosed nationally each year. Research has indicated that restored immunologic function results in a reduction in HIV transmission rates by more than 96%. Treatment adherence is instrumental in reducing HIV transmission rates as well as in preventing the progression of HIV to acquired immune deficiency syndrome (AIDS) and in improving health outcomes. However, depressive symptoms and psychological stress have been linked to poor treatment adherence. Poor sleep quality has been directly and indirectly associated with elevated HIV viral load and increased mortality in this population. The purpose of this study was to explore the relationships among population characteristics (demographic data, HIV/AIDS classification, psychological stress, and depressive symptoms), health behaviors (treatment adherence, sleep, and the use of health services), and health outcomes (immunologic function) in HIV-infected individuals. Andersen's Behavioral Model for Healthcare Utilization was the theoretical framework used to guide this study. It provided further clarification about factors that may impact immune function of people living with HIV/AIDS. The study sample consisted of 104 HIV-positive adults living in Northeast Ohio. This study was a descriptive, correlational secondary data analysis of a previously collected dataset. Descriptive statistics, Pearson's correlations and multiple linear regressions were used to identify the relationships among demographic data, HIV/AIDS classification, psychological stress, depressive symptoms, treatment adherence, sleep, missed clinic visits and immune function. Results found that population characteristics and health behaviors explained 23% of the variance in CD4+ T-lymphocyte count (R2= .227, F= 2.795, p= .009) and 24% of the variance in HIV viral load (R2= .244, F= 5.869, p< .001). More research is needed to identify what explains the additional variance in immune function among people living with HIV/AIDS. Understanding inter-relationship among factors such as psychological stress, depressive symptoms, and sleep and their impact the health status of people living with HIV/AIDS may allow for the development of interventions that may improve immune function and reduce HIV transmission rates. 2014-06-11 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1396649416 http://rave.ohiolink.edu/etdc/view?acc_num=case1396649416 unrestricted This thesis or dissertation is protected by copyright: some rights reserved. It is licensed for use under a Creative Commons license. Specific terms and permissions are available from this document's record in the OhioLINK ETD Center. |
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English |
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Nursing HIV AIDS Health Behaviors Immune Function |
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Nursing HIV AIDS Health Behaviors Immune Function Balthazar, Monique Stephanie THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY |
author |
Balthazar, Monique Stephanie |
author_facet |
Balthazar, Monique Stephanie |
author_sort |
Balthazar, Monique Stephanie |
title |
THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY |
title_short |
THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY |
title_full |
THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY |
title_fullStr |
THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY |
title_full_unstemmed |
THE IMPACT OF POPULATION CHARACTERISTICS AND HEALTH BEHAVIORS ON THE IMMUNOLOGIC FUNCTION OF PEOPLES LIVING WITH HIV/AIDS IN A MIDWESTERN CITY |
title_sort |
impact of population characteristics and health behaviors on the immunologic function of peoples living with hiv/aids in a midwestern city |
publisher |
Case Western Reserve University School of Graduate Studies / OhioLINK |
publishDate |
2014 |
url |
http://rave.ohiolink.edu/etdc/view?acc_num=case1396649416 |
work_keys_str_mv |
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