A Social Ecological Approach to Understanding Life Satisfaction among Socio-Economically Disadvantaged People Living with HIV/AIDS in Taiwan: Implications for Social Work Practice

Ashley Lacombe-Duncan*, Deng Min Chuang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study was to assess multilevel correlates of life satisfaction among people living with HIV/AIDS (PLWHA) in Taiwan, with a specific focus on marginalised men who have sex with men (MSM) and people who use injection drugs (PWID) in order to inform contextually relevant social work interventions consistent with an ecological approach. In 2011, we conducted a cross-sectional survey among a convenience sample of Taiwanese PLWHA (n = 355). Three multiple linear regressions (1-full sample; 2-MSM; 3-PWID) were conducted with life satisfaction as the outcome and socio-demographic (e.g. age), health (e.g. medication adherence), individual/intra-personal (e.g. internalised HIV-related stigma), social/inter-personal (e.g. inter-personal empowerment) and community/structural (e.g. HIV community participation) correlates. The fully adjusted model accounted for 34.4 per cent of the variance in explaining life satisfaction (F(17, 302)=10.84, p<0.001). Higher personal empowerment, lower AIDS knowledge, higher inter-personal empowerment, higher HIV community participation and higher income were significantly associated with greater life satisfaction. For subgroup comparisons, PWID had a statistically significantly lower mean life satisfaction score compared to MSM (p<0.001). Social workers can implement empowerment-oriented interventions to promote life satisfaction among Taiwanese PLWHA. More research is necessary to understand the experiences of Taiwanese PWID that may influence life satisfaction.

Original languageEnglish
Pages (from-to)557-577
Number of pages21
JournalBritish Journal of Social Work
Volume48
Issue number3
DOIs
Publication statusPublished - 2018 Apr 1
Externally publishedYes

Keywords

  • empowerment
  • HIV-related stigma
  • Life satisfaction
  • men who have sex with men
  • people who use injection drugs

ASJC Scopus subject areas

  • Health(social science)
  • Social Sciences (miscellaneous)

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