{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T05:17:19Z","timestamp":1777785439362,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T00:00:00Z","timestamp":1590710400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","award":["RWJF-ENF-71968"],"award-info":[{"award-number":["RWJF-ENF-71968"]}],"id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>BACKGROUND: Among older adults, minority older women will account for 60% of the new HIV diagnoses. The psychosocial impact of living with HIV among this vulnerable population narrated by their own voices has been understudied. AIMS: The purpose of this study was to explore the psychosocial impact of living with HIV on minority older women. METHODS: In-depth interviews were conducted with 28 minority older women living with HIV at an Ambulatory Care Center HIV Clinic in South Florida. All interviews were audio-recorded and transcribed verbatim. Conventional content analysis was used to identify and define the major themes that emerged from the interviews. Questions included those concerning description of life after the HIV diagnosis, most challenging aspects of life after the diagnosis, and daily activities since the diagnosis. RESULTS: The analysis of the interview data led to five main themes: (I) Social Impact of HIV, (II) Threats to Health and Well-Being, (III) HIV as a Death Sentence, (IV) Spirituality, and (V) HIV Treatment Adherence. In their narratives, women described a myriad of psychosocial issues such as depressed mood, isolation, economic challenges, stigma, anhedonia of interest, fear of death, among others. CONCLUSIONS: There is a compelling empirical need for rapid implementation of a culturally tailored, holistic, low-cost, multistrategy intervention to early screen and reduce the psychosocial impact of HIV among minority older women.<\/jats:p>","DOI":"10.1177\/1078390320927462","type":"journal-article","created":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T10:15:45Z","timestamp":1590747345000},"page":"216-224","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Exploring the Psychosocial Impact of Living With HIV on Minority Older Women"],"prefix":"10.1177","volume":"28","author":[{"given":"Rosina","family":"Cianelli","sequence":"first","affiliation":[{"name":"Rosina Cianelli, PhD, MPH, RN, IBCLC, FAAN, University of Miami, Coral Gables, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Villegas","sequence":"additional","affiliation":[{"name":"Natalia Villegas, PhD, MSN, RN, IBCLC, University of Miami, Coral Gables, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4776-4342","authenticated-orcid":false,"given":"Giovanna De","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Giovanna De Oliveira, PhD, MSN, RN, ANP-C, PMHNP-BC, University of Miami, Coral Gables, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonique","family":"Sailsman","sequence":"additional","affiliation":[{"name":"Sonique Sailsman, PhD, RN, Barry University, Miami Shores, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilda Peragallo","family":"Montano","sequence":"additional","affiliation":[{"name":"Nilda Peragallo Montano, DrPH, RN, FAAN, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9753-2067","authenticated-orcid":false,"given":"Angel Solorzano","family":"Martinez","sequence":"additional","affiliation":[{"name":"Angel Solorzano Martinez DNP, MSN, MBA, RN, CNS, PMHNP-BC, Nova Southeastern University, Fort Lauderdale, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Toledo","sequence":"additional","affiliation":[{"name":"Christine Toledo, PhD, MSN, RN, University of Miami, Coral Gables, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muheriwha","family":"Sandalaula","sequence":"additional","affiliation":[{"name":"Muheriwha Sandalaula, PhDc, MScMid, RN, University of Miami, Coral Gables, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Heather Sanchez, RN, University of Miami, Coral Gables, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,5,29]]},"reference":[{"key":"bibr1-1078390320927462","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-1078390320927462","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr3-1078390320927462","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301161"},{"key":"bibr4-1078390320927462","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2017.1332159"},{"key":"bibr5-1078390320927462","unstructured":"Centers for Disease Control and Prevention. 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