RESEARCH PAPER
Relationships of social capital with health status and mental health in people living with HIV: structural equation modeling
1
Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
2
Ministry of Health and Medical Education, Tehran, Iran
3
Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
4
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
5
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
Submission date: 2021-07-02
Final revision date: 2021-07-20
Acceptance date: 2021-07-20
Publication date: 2022-07-05
HIV & AIDS Review 2022;21(3):208-214
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Acquired immunodeficiency syndrome is a unique social phenomenon that affects nearly all dimensions of socio-economic life of patients. The present study presented structural equation modeling to determine relationships of social capital with psycho-social health in people living with human immunodeficiency virus (HIV).
Material and methods:
This descriptive-analytical study recruited 321 people living with HIV presenting to the Center for Behavioral Diseases of West Tehran Health Center, Tehran, Iran between 2020 and 2021. Data were collected using social capital questionnaire, general health questionnaire (GHQ), socio-economic status questionnaire, and demographic checklist containing self-rated items on health status, and were analyzed in SPSS version 25 and Lisrel 8.8.
Results:
According to the results obtained from path analysis, with variables related to health status, duration of HIV in years (β = –0.20) most significantly and negatively affected health status in direct path, economic status (β = 0.08) positively influenced health status in indirect path, and social capital (β = 0.29) most significantly and positively affected health status in both direct and indirect paths. Among variables related to mental health status, mental health problems were most significantly and negatively related with health status (β = –0.26) in direct path, and with social capital (β = –0.54) in both direct and indirect paths. Duration of HIV in years (β = 0.05) was also most significantly and positively related with mental health problems in patients in indirect path.
Conclusions:
The present findings suggest both direct and indirect relationships of social capital with health status and mental health of the patients. It is therefore recommended that more attention should be paid to this dimension of health, especially among these vulnerable patients.
Acquired immunodeficiency syndrome is a unique social phenomenon that affects nearly all dimensions of socio-economic life of patients. The present study presented structural equation modeling to determine relationships of social capital with psycho-social health in people living with human immunodeficiency virus (HIV).
Material and methods:
This descriptive-analytical study recruited 321 people living with HIV presenting to the Center for Behavioral Diseases of West Tehran Health Center, Tehran, Iran between 2020 and 2021. Data were collected using social capital questionnaire, general health questionnaire (GHQ), socio-economic status questionnaire, and demographic checklist containing self-rated items on health status, and were analyzed in SPSS version 25 and Lisrel 8.8.
Results:
According to the results obtained from path analysis, with variables related to health status, duration of HIV in years (β = –0.20) most significantly and negatively affected health status in direct path, economic status (β = 0.08) positively influenced health status in indirect path, and social capital (β = 0.29) most significantly and positively affected health status in both direct and indirect paths. Among variables related to mental health status, mental health problems were most significantly and negatively related with health status (β = –0.26) in direct path, and with social capital (β = –0.54) in both direct and indirect paths. Duration of HIV in years (β = 0.05) was also most significantly and positively related with mental health problems in patients in indirect path.
Conclusions:
The present findings suggest both direct and indirect relationships of social capital with health status and mental health of the patients. It is therefore recommended that more attention should be paid to this dimension of health, especially among these vulnerable patients.
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