Evidence map›Paper›PMID 41214654›Full record

ArticleBMC public health2025

Psychological resilience and social support as determinants of HIV-related stress in older adults living with HIV in China: a moderated mediation analysis.

Huang Cong, Mo Juan, Lei Xianyang, Amy Micaela Montufar Mejia, Dama Faniriantsoa Henrio Marcellin, Chen Zhong

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Huang CongDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, 410013, China.
Mo JuanMedical Department, The First Hospital of Changsha, Changsha, Hunan, 410000, China.
Lei XianyangDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, 410013, China.
Amy Micaela Montufar MejiaDepartment of Clinical Medicine , The third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China.
Dama Faniriantsoa Henrio MarcellinDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, 410013, China. damafaniriantsoahenrio@gmail.com.ORCID http://orcid.org/0000-0002-5169-7077
Chen ZhongDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, 410013, China. chenzhong033@163.com.

Funding

Systematic Dual Intervention Model to strengthen social support for enhancing quality of life among HIV/AIDS patients in Changsha City, China. PERMA model [kq2502246]
6 · The paper itself

Abstract

backgroundThis cross-sectional study investigates the relationship between social support, psychological resilience, and HIV-related stress in older adults living with HIV in China. It further explores whether psychological resilience mediates the link between social support and stress and whether living arrangements moderate this relationship.

methodsFrom January to February 2024, 405 older adults aged 50 and above were selected from the outpatient Department of Infection and Immunology at Changsha Infectious Disease Hospital. Participants filled out a structured on-site questionnaire survey measuring the Chinese HIV/AIDS Stress Scale (CSS-HIV), the Connor-Davidson Resilience Scale (CD-RISC-10), and the Social Support Rating Scale (SSRS). Data were analyzed using SPSS 26.0, GraphPad Prism 10, and the PROCESS macro to test for mediation and moderation effects.

resultsThe mean HIV-related stress score was 24.84 ± 14.01, comprising instrumental (4.71 ± 4.74), social (14.23 ± 6.21), and emotional (5.91 ± 5.98) stress components. Social support had a significant total effect on HIV-related stress (β = -0.462, p < 0.001). The indirect effect via psychological resilience was statistically significant (β = -0.216, 95% CI [-1.044, -0.339], p < 0.001), and the direct effect remained significant (β = -0.246, p = 0.025), indicating partial mediation. Living with others showed a stronger moderating effect on psychological resilience against stress (β = -1.004, p < 0.001) than living alone (β = -0.586, p < 0.001).

conclusionIn this study, we found that psychological resilience and social support play critical roles in reducing HIV-related stress among older adults living with HIV in China. Our findings suggest that interventions designed to strengthen resilience and promote a supportive social environment have the potential to significantly improve mental health outcomes for this population. Future programs should consider the role of living arrangements by addressing privacy challenges and the dynamics of shared living, and by recognizing how these factors shape stress experiences and support needs in this vulnerable population.

trial registrationNot applicable. This study is a cross-sectional observation study and was therefore not registered as a clinical trial.

Indexed as

HIV InfectionsResilience, PsychologicalSocial SupportStress, PsychologicalAgedChinaCross-Sectional StudiesFemaleHumansMaleMediation AnalysisMiddle AgedSurveys and QuestionnairesHIV-related stressMediationModerationOlder adults living with HIVPsychological resilienceSocial support

Identifiers

PMID41214654
PMCPMC12599025

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