Factors Associated with Mental Health Care Satisfaction Among Rural, Older Adults Living with HIV in the United States: A Cross-Sectional Study.

This study examined potential sociodemographic predictors, mental health and quality of life (QOL) outcomes of mental health care satisfaction in a national sample of rural, older (50+) people living with HIV (PLHIV). We used a sub-sample (N = 102) from a survey of individuals that received mental health services within the past two years. Linear regressions examined associations between sociodemographic characteristics and mental health care satisfaction. Associations between mental health care satisfaction and mental health-related QOL, depressive symptoms, and perceived stress was also examined. STROBE guidelines were used. Multiple regression analyses found individuals with lower education levels (B = -0.21, SE = 0.08, p = .01), who identified as a sexual minority (B = 0.39, SE = 0.15, p = .01), lived in the Midwest (B = 0.52, SE = 0.22, p = .02) or West, (B = 0.59, SE = 0.22, p = .01), and reported fewer barriers to care (B = -0.38, SE = 0.10, p < .001) were more satisfied with care. Further, individuals who were older (B = 0.05, SE = 0.02, p = .04), African American (B = 0.59, SE = 0.26, p = .03), and more satisfied with their care (B = 0.39, SE = 0.14, p = .01) reported higher mental health related QOL. Individuals less satisfied with care reported more depressive symptoms (B = -2.53, SE = 0.97, p = .01) and more perceived stress (B = -0.21, SE = 0.09, p = .02). These findings highlight important targets for improving mental health care satisfaction.