Transportation Barriers and Health-Related Quality of Life in a Sample of Middle-Aged and Older Adults Living with HIV in the Deep South

Caitlin N. Pope; Despina Stavrinos; Pariya L. Fazeli; David E. Vance

doi:10.1007/s10461-021-03560-x

Transportation Barriers and Health-Related Quality of Life in a Sample of Middle-Aged and Older Adults Living with HIV in the Deep South

Caitlin N. Pope, Despina Stavrinos, Pariya L. Fazeli, David E. Vance

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Access to reliable transportation is a social determinant of health imperative for disease management for those aging with HIV/AIDS. To what degree transportation barriers are associated with health-related quality of life (HRQOL) in middle-aged and older people living with HIV (PWH) in the Deep South region of the United States is presently unknown. PWH (n = 261, age range = 39 to 73 years old, 80.1% African American, 64.4% male) were recruited from an academic medical center in the Deep South. Variables included sociodemographics, HIV characteristics, depressive symptoms, HRQOL, and perceived transportation barriers. Spearman rho correlations and linear regressions accounting for covariates were conducted. After accounting for covariates, greater perceived transportation barriers were associated with worse health perceptions, pain, social functioning, health distress, and health transitions. Access to reliable transportation is a key factor in improving health for PWH. Considerations for healthcare and traffic safety are discussed.

Original language	English
Pages (from-to)	2148-2158
Number of pages	11
Journal	AIDS and Behavior
Volume	26
Issue number	7
DOIs	https://doi.org/10.1007/s10461-021-03560-x
State	Published - Jul 2022

Bibliographical note

Funding Information:
This study was supported in part by a National Institutes of Health (NIH)/National Institute of Mental Health (NIMH) R01-award (R01 MH106366- 01A1; ClinicalTrials.gov; NCT02758093; An RCT of Speed of Processing Training in Middle-aged and Older Adults with HIV; PI: Vance); NIH/National Institute on Aging (NIA) R00-award (R00 AG048762; A Novel Neurorehabilitation Approach for Cognitive Aging with HIV; PI: Fazeli); NIH/NIA P30-award (Edward R. Roybal Center for Translational Research in Aging and Mobility; P30 AG022838; PI: Ball), NIH/NIMH R25-award (R25 MH108389; Sustained Training on Aging and HIV Research; PIs: Jeste, Letendre], ORWH and NIH/NIDA BIRCWH grant (#5K12DA035150; PI: Curry); and the U.S. Department of Transportation Dwight D. Eisenhower Graduate Fellowship Program (PI: Pope).

Funding Information:
A special thank you to the participants, the UAB Center for Research on Applied Gerontology, UAB School of Nursing, UAB Department of Psychology, UK Department of Health, Behavior & Society, and UK Graduate Center for Gerontology.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Aging
HIV/AIDS
Health status
Quality of life
Transportation

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s10461-021-03560-x

Cite this

@article{aafa6da2b8c4407cbe2185731e24c56f,

title = "Transportation Barriers and Health-Related Quality of Life in a Sample of Middle-Aged and Older Adults Living with HIV in the Deep South",

abstract = "Access to reliable transportation is a social determinant of health imperative for disease management for those aging with HIV/AIDS. To what degree transportation barriers are associated with health-related quality of life (HRQOL) in middle-aged and older people living with HIV (PWH) in the Deep South region of the United States is presently unknown. PWH (n = 261, age range = 39 to 73 years old, 80.1% African American, 64.4% male) were recruited from an academic medical center in the Deep South. Variables included sociodemographics, HIV characteristics, depressive symptoms, HRQOL, and perceived transportation barriers. Spearman rho correlations and linear regressions accounting for covariates were conducted. After accounting for covariates, greater perceived transportation barriers were associated with worse health perceptions, pain, social functioning, health distress, and health transitions. Access to reliable transportation is a key factor in improving health for PWH. Considerations for healthcare and traffic safety are discussed.",

keywords = "Aging, HIV/AIDS, Health status, Quality of life, Transportation",

author = "Pope, {Caitlin N.} and Despina Stavrinos and Fazeli, {Pariya L.} and Vance, {David E.}",

note = "Funding Information: This study was supported in part by a National Institutes of Health (NIH)/National Institute of Mental Health (NIMH) R01-award (R01 MH106366- 01A1; ClinicalTrials.gov; NCT02758093; An RCT of Speed of Processing Training in Middle-aged and Older Adults with HIV; PI: Vance); NIH/National Institute on Aging (NIA) R00-award (R00 AG048762; A Novel Neurorehabilitation Approach for Cognitive Aging with HIV; PI: Fazeli); NIH/NIA P30-award (Edward R. Roybal Center for Translational Research in Aging and Mobility; P30 AG022838; PI: Ball), NIH/NIMH R25-award (R25 MH108389; Sustained Training on Aging and HIV Research; PIs: Jeste, Letendre], ORWH and NIH/NIDA BIRCWH grant (#5K12DA035150; PI: Curry); and the U.S. Department of Transportation Dwight D. Eisenhower Graduate Fellowship Program (PI: Pope). Funding Information: A special thank you to the participants, the UAB Center for Research on Applied Gerontology, UAB School of Nursing, UAB Department of Psychology, UK Department of Health, Behavior & Society, and UK Graduate Center for Gerontology. Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2022",

month = jul,

doi = "10.1007/s10461-021-03560-x",

language = "English",

volume = "26",

pages = "2148--2158",

number = "7",

}

TY - JOUR

T1 - Transportation Barriers and Health-Related Quality of Life in a Sample of Middle-Aged and Older Adults Living with HIV in the Deep South

AU - Pope, Caitlin N.

AU - Stavrinos, Despina

AU - Fazeli, Pariya L.

AU - Vance, David E.

N1 - Funding Information: This study was supported in part by a National Institutes of Health (NIH)/National Institute of Mental Health (NIMH) R01-award (R01 MH106366- 01A1; ClinicalTrials.gov; NCT02758093; An RCT of Speed of Processing Training in Middle-aged and Older Adults with HIV; PI: Vance); NIH/National Institute on Aging (NIA) R00-award (R00 AG048762; A Novel Neurorehabilitation Approach for Cognitive Aging with HIV; PI: Fazeli); NIH/NIA P30-award (Edward R. Roybal Center for Translational Research in Aging and Mobility; P30 AG022838; PI: Ball), NIH/NIMH R25-award (R25 MH108389; Sustained Training on Aging and HIV Research; PIs: Jeste, Letendre], ORWH and NIH/NIDA BIRCWH grant (#5K12DA035150; PI: Curry); and the U.S. Department of Transportation Dwight D. Eisenhower Graduate Fellowship Program (PI: Pope). Funding Information: A special thank you to the participants, the UAB Center for Research on Applied Gerontology, UAB School of Nursing, UAB Department of Psychology, UK Department of Health, Behavior & Society, and UK Graduate Center for Gerontology. Publisher Copyright: © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2022/7

Y1 - 2022/7

N2 - Access to reliable transportation is a social determinant of health imperative for disease management for those aging with HIV/AIDS. To what degree transportation barriers are associated with health-related quality of life (HRQOL) in middle-aged and older people living with HIV (PWH) in the Deep South region of the United States is presently unknown. PWH (n = 261, age range = 39 to 73 years old, 80.1% African American, 64.4% male) were recruited from an academic medical center in the Deep South. Variables included sociodemographics, HIV characteristics, depressive symptoms, HRQOL, and perceived transportation barriers. Spearman rho correlations and linear regressions accounting for covariates were conducted. After accounting for covariates, greater perceived transportation barriers were associated with worse health perceptions, pain, social functioning, health distress, and health transitions. Access to reliable transportation is a key factor in improving health for PWH. Considerations for healthcare and traffic safety are discussed.

AB - Access to reliable transportation is a social determinant of health imperative for disease management for those aging with HIV/AIDS. To what degree transportation barriers are associated with health-related quality of life (HRQOL) in middle-aged and older people living with HIV (PWH) in the Deep South region of the United States is presently unknown. PWH (n = 261, age range = 39 to 73 years old, 80.1% African American, 64.4% male) were recruited from an academic medical center in the Deep South. Variables included sociodemographics, HIV characteristics, depressive symptoms, HRQOL, and perceived transportation barriers. Spearman rho correlations and linear regressions accounting for covariates were conducted. After accounting for covariates, greater perceived transportation barriers were associated with worse health perceptions, pain, social functioning, health distress, and health transitions. Access to reliable transportation is a key factor in improving health for PWH. Considerations for healthcare and traffic safety are discussed.

KW - Aging

KW - HIV/AIDS

KW - Health status

KW - Quality of life

KW - Transportation

UR - http://www.scopus.com/inward/record.url?scp=85123479412&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85123479412&partnerID=8YFLogxK

U2 - 10.1007/s10461-021-03560-x

DO - 10.1007/s10461-021-03560-x

M3 - Article

C2 - 35066731

AN - SCOPUS:85123479412

SN - 1090-7165

VL - 26

SP - 2148

EP - 2158

JO - AIDS and Behavior

JF - AIDS and Behavior

IS - 7

ER -

Transportation Barriers and Health-Related Quality of Life in a Sample of Middle-Aged and Older Adults Living with HIV in the Deep South

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this