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Title: Adjustment to an HIV diagnosis for recently diagnosed sub-Saharan Africans in the UK: are religion or spirituality related to post-diagnosis wellbeing or future thinking?
Author: Baxter, Holly
Awarding Body: University of London
Current Institution: University of London
Date of Award: 2012
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Sub-Saharan Africans (SSAs) are disproportionally affected by HIV in the UK. SSAs in the UK are also a group for whom religion is highly relevant, yet little is known about the possible associations between religion, spirituality and wellbeing or future thinking in this population. Previous studies have found associations between religion, spirituality and positive outcomes in the USA although much research to date has focused on levels of depression and depressive symptoms, to the neglect of positive aspects of wellbeing. Standardised self-report measures were used to measure wellbeing (psychological domain of the World Health Organisation Quality of Life HIV instrument), future thinking (The Future Thinking Task), HIV-related disability (overall function dimension of the HIV / AIDS targeted Quality of Life measure), Spirituality (Functional Assessment of Chronic Illness Therapy Spiritual Wellbeing Scale), and Religion (Duke University Religion Index). A cross-sectional design was used to explore correlations between variables. The relationships between HIV-related disability and ( a) wellbeing and (b) future positive thinking were explored to establish whether spirituality or religion would mediate relationships between variables. 25 SSAs recently diagnosed with HIV (in the last 3-24 months) were recruited from 4 different sites. Spirituality was significantly associated with wellbeing and in multivariate analyses, HIV-related disability was significantly associated with both wellbeing and FPT. No aspect of religiosity was significantly associated with wellbeing or FPT. All other relationships were non-significant, however, due to the relatively small sample size the study is underpowered and therefore medium effect sizes have been reported between: wellbeing and future positive thinking; and spirituality and FPT. Spirituality did not mediate the relationships between HIV- 3 related disability and wellbeing. Additionally, neither spirituality nor any aspect of religiosity mediated the relationship between Hl'V-related disability and FPT. The results may support interventions which aim to decrease RIV-related disability and enhance spirituality in SSAs adjusting to RIV diagnoses in the UK. 4
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available