Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study

Veronica P.S. Njie-Carr; Shijun Zhu; Kristen A. Stafford; Weiqun Tong; Michael Plankey; Anjali Sharma; Joel Milam; Mardge Cohen; Monica M. Diaz; Anna A. Rubtsova; Margaret A. Fischl; Deborah Konkle-Parker; Deborah Gustafson; Leah H. Rubin

doi:10.1097/JNC.0000000000000376

Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study

Veronica P.S. Njie-Carr, Shijun Zhu, Kristen A. Stafford, Weiqun Tong, Michael Plankey, Anjali Sharma, Joel Milam, Mardge Cohen, Monica M. Diaz, Anna A. Rubtsova, Margaret A. Fischl, Deborah Konkle-Parker, Deborah Gustafson, Leah H. Rubin

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

Abstract

Increased life expectancy of people with HIV has health implications including the intersection of the long-Term use of antiretroviral treatment, inflammatory events, and age-related immunosenescence. In a cross-sectional study utilizing using the Socio-Eecological Model, we identified pathways of cognitive function (CF) among 448 women with HIV, 50 years and older. A structural equation model showed the direct effects of mood (β =-0.25, p <.01), comorbidities (β =-0.13, p <.05), race (β =-0.13, p <.05), and abuse (β = 0.27, p <.001) on the latent variable CF. Substance and alcohol use, depressive symptoms, cigarette smoking, and the number of comorbidities are important considerations when designing interventions utilizing using a multi-level and intersectional lens to maximize positive CF outcomes.

Original language	English (US)
Pages (from-to)	83-95
Number of pages	13
Journal	Journal of the Association of Nurses in AIDS Care
Volume	34
Issue number	1
DOIs	https://doi.org/10.1097/JNC.0000000000000376
State	Published - Jan 1 2023
Externally published	Yes

Keywords

Abuse
African American
Black
Cognitive function
HIV
Mood disorders
Substance use
Women with HIV

ASJC Scopus subject areas

Advanced and Specialized Nursing

UN SDGs

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

Access to Document

10.1097/JNC.0000000000000376

Fingerprint

Dive into the research topics of 'Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study'. Together they form a unique fingerprint.

Cite this

Njie-Carr, V. P. S., Zhu, S., Stafford, K. A., Tong, W., Plankey, M., Sharma, A., Milam, J., Cohen, M., Diaz, M. M., Rubtsova, A. A., Fischl, M. A., Konkle-Parker, D., Gustafson, D., & Rubin, L. H. (2023). Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study. Journal of the Association of Nurses in AIDS Care, 34(1), 83-95. https://doi.org/10.1097/JNC.0000000000000376

Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study. / Njie-Carr, Veronica P.S.; Zhu, Shijun; Stafford, Kristen A. et al.
In: Journal of the Association of Nurses in AIDS Care, Vol. 34, No. 1, 01.01.2023, p. 83-95.

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

Njie-Carr, VPS, Zhu, S, Stafford, KA, Tong, W, Plankey, M, Sharma, A, Milam, J, Cohen, M, Diaz, MM, Rubtsova, AA, Fischl, MA, Konkle-Parker, D, Gustafson, D & Rubin, LH 2023, 'Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study', Journal of the Association of Nurses in AIDS Care, vol. 34, no. 1, pp. 83-95. https://doi.org/10.1097/JNC.0000000000000376

Njie-Carr VPS, Zhu S, Stafford KA, Tong W, Plankey M, Sharma A et al. Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study. Journal of the Association of Nurses in AIDS Care. 2023 Jan 1;34(1):83-95. doi: 10.1097/JNC.0000000000000376

Njie-Carr, Veronica P.S. ; Zhu, Shijun ; Stafford, Kristen A. et al. / Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States : A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study. In: Journal of the Association of Nurses in AIDS Care. 2023 ; Vol. 34, No. 1. pp. 83-95.

@article{ce95cd67a8714fa180ce23b618a456eb,

title = "Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study",

abstract = "Increased life expectancy of people with HIV has health implications including the intersection of the long-Term use of antiretroviral treatment, inflammatory events, and age-related immunosenescence. In a cross-sectional study utilizing using the Socio-Eecological Model, we identified pathways of cognitive function (CF) among 448 women with HIV, 50 years and older. A structural equation model showed the direct effects of mood (β =-0.25, p <.01), comorbidities (β =-0.13, p <.05), race (β =-0.13, p <.05), and abuse (β = 0.27, p <.001) on the latent variable CF. Substance and alcohol use, depressive symptoms, cigarette smoking, and the number of comorbidities are important considerations when designing interventions utilizing using a multi-level and intersectional lens to maximize positive CF outcomes.",

keywords = "Abuse, African American, Black, Cognitive function, HIV, Mood disorders, Substance use, Women with HIV",

author = "Njie-Carr, {Veronica P.S.} and Shijun Zhu and Stafford, {Kristen A.} and Weiqun Tong and Michael Plankey and Anjali Sharma and Joel Milam and Mardge Cohen and Diaz, {Monica M.} and Rubtsova, {Anna A.} and Fischl, {Margaret A.} and Deborah Konkle-Parker and Deborah Gustafson and Rubin, {Leah H.}",

year = "2023",

month = jan,

day = "1",

doi = "10.1097/JNC.0000000000000376",

language = "English (US)",

volume = "34",

pages = "83--95",

journal = "Journal of the Association of Nurses in AIDS Care",

issn = "1055-3290",

publisher = "Elsevier USA",

number = "1",

}

TY - JOUR

T1 - Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States

T2 - A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study

AU - Njie-Carr, Veronica P.S.

AU - Zhu, Shijun

AU - Stafford, Kristen A.

AU - Tong, Weiqun

AU - Plankey, Michael

AU - Sharma, Anjali

AU - Milam, Joel

AU - Cohen, Mardge

AU - Diaz, Monica M.

AU - Rubtsova, Anna A.

AU - Fischl, Margaret A.

AU - Konkle-Parker, Deborah

AU - Gustafson, Deborah

AU - Rubin, Leah H.

PY - 2023/1/1

Y1 - 2023/1/1

N2 - Increased life expectancy of people with HIV has health implications including the intersection of the long-Term use of antiretroviral treatment, inflammatory events, and age-related immunosenescence. In a cross-sectional study utilizing using the Socio-Eecological Model, we identified pathways of cognitive function (CF) among 448 women with HIV, 50 years and older. A structural equation model showed the direct effects of mood (β =-0.25, p <.01), comorbidities (β =-0.13, p <.05), race (β =-0.13, p <.05), and abuse (β = 0.27, p <.001) on the latent variable CF. Substance and alcohol use, depressive symptoms, cigarette smoking, and the number of comorbidities are important considerations when designing interventions utilizing using a multi-level and intersectional lens to maximize positive CF outcomes.

AB - Increased life expectancy of people with HIV has health implications including the intersection of the long-Term use of antiretroviral treatment, inflammatory events, and age-related immunosenescence. In a cross-sectional study utilizing using the Socio-Eecological Model, we identified pathways of cognitive function (CF) among 448 women with HIV, 50 years and older. A structural equation model showed the direct effects of mood (β =-0.25, p <.01), comorbidities (β =-0.13, p <.05), race (β =-0.13, p <.05), and abuse (β = 0.27, p <.001) on the latent variable CF. Substance and alcohol use, depressive symptoms, cigarette smoking, and the number of comorbidities are important considerations when designing interventions utilizing using a multi-level and intersectional lens to maximize positive CF outcomes.

KW - Abuse

KW - African American

KW - Black

KW - Cognitive function

KW - HIV

KW - Mood disorders

KW - Substance use

KW - Women with HIV

UR - http://www.scopus.com/inward/record.url?scp=85146682029&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85146682029&partnerID=8YFLogxK

U2 - 10.1097/JNC.0000000000000376

DO - 10.1097/JNC.0000000000000376

M3 - Article

AN - SCOPUS:85146682029

SN - 1055-3290

VL - 34

SP - 83

EP - 95

JO - Journal of the Association of Nurses in AIDS Care

JF - Journal of the Association of Nurses in AIDS Care

IS - 1

ER -

Intersectionality of Socioecological Factors Associated with Cognitive Function among Older Women with HIV in the United States: A Structural Equation Model Analysis Using Data from the Women's Interagency HIV Study

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this