{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T21:26:10Z","timestamp":1774301170239,"version":"3.50.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:00:00Z","timestamp":1544572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,16]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Older adults with HIV face greater health burden than HIV-uninfected counterparts. Little is known about resources that might mediate the influence of physiological health burden on psychological well-being. Informed by the stress process model, we assessed the influence of multifaceted health burden indicators on depressive symptoms and evaluated the mediating effects of social support adequacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Research Design and Methods<\/jats:title><jats:p>This cross-sectional study used structural equation modeling with data from 640 older men who participated in the Research on Older Adults with HIV study in the United States. Health burden assessment included number of age-related chronic conditions, multiple HIV-related chronic conditions, and self-rated health. Perceptions of instrumental and emotional support adequacy measured support as a coping resource. Depressed mood as assessed by the 10-item Center for Epidemiologic Studies Depression Scale was the indicator of psychological well-being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher incidence of age-related conditions and worse self-rated health was significantly associated with more depressed mood. Self-rated health and HIV-related conditions showed a significant indirect effect on depressed mood via emotional support adequacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Implications<\/jats:title><jats:p>Each dimension of health burden demonstrated a distinct pathway to psychological well-being for men with HIV, which should be considered when prioritizing care plans. Complementing research on medical interventions for people with HIV, these findings suggest that nonpharmacological interventions may be important for improving overall well-being.<\/jats:p><\/jats:sec>","DOI":"10.1093\/geront\/gny169","type":"journal-article","created":{"date-parts":[[2018,12,7]],"date-time":"2018-12-07T20:14:42Z","timestamp":1544213682000},"page":"1131-1140","source":"Crossref","is-referenced-by-count":9,"title":["Health Burden, Support Adequacy, and Depressive Symptoms in Older Men With HIV"],"prefix":"10.1093","volume":"59","author":[{"given":"Aaron M","family":"Ogletree","sequence":"first","affiliation":[{"name":"American Institutes for Research, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Brennan-Ing","sequence":"additional","affiliation":[{"name":"Brookdale Center for Healthy Aging, Hunter College, The City University of New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary","family":"Blieszner","sequence":"additional","affiliation":[{"name":"Center for Gerontology, Blacksburg, VA"},{"name":"Department of Human Development and Family Science, Virginia Tech, Blacksburg, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen E","family":"Karpiak","sequence":"additional","affiliation":[{"name":"ACRIA Center for HIV and Aging at GMHC, New York, New York"},{"name":"Rory Meyers College of Nursing, New York University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura P","family":"Sands","sequence":"additional","affiliation":[{"name":"Center for Gerontology, Blacksburg, VA"},{"name":"Department of Human Development and Family Science, Virginia Tech, Blacksburg, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,12,12]]},"reference":[{"key":"2019111609103776900_CIT0001","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4419-1021-9","volume-title":"Advances in the conceptualization of the stress process: Essays in honor of Leonard I. 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