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

*此作品的通信作者

研究成果: 雜誌貢獻期刊論文同行評審

1 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)557-577
頁數21
期刊British Journal of Social Work
48
發行號3
DOIs
出版狀態已發佈 - 2018 4月 1
對外發佈

ASJC Scopus subject areas

  • 健康(社會科學)
  • 社會科學(雜項)

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