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An investigation of the impact of social capital on the health-related quality of life of urban populations living with HIV/AIDS

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TitleInfo
Title
An investigation of the impact of social capital on the health-related quality of life of urban populations living with HIV/AIDS
Name (type = personal)
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Ferguson
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Noel
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1965-
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Noel Ferguson
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author
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Zha
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Peijia
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Peijia Zha
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Advisory Committee
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chair
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Sabrina M
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Sabrina M Chase
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Advisory Committee
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internal member
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Porter
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Sallie
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Sallie Porter
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Advisory Committee
Role
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internal member
Name (type = personal)
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Stark
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Evan
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Evan Stark
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Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - Newark
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school
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Text
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theses
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DateCreated (qualifier = exact)
2017
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2017-05
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2017
Place
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xx
Language
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eng
Abstract (type = abstract)
The objective of this research is to study the impact of social capital on health-related quality of life (HRQOL) among low-income people living with HIV/AIDS (PLWHA). It measures three proposed proxies for social capital—provider engagement, socioeconomic status (SES), and HIV/AIDS stigma—and investigates their effects on HQROL using the indicators of overall health, mental health, and HIV/AIDS care. It also measures covariates that have been tied to HQROL among low-income, underserved PLWHA, such as race, sexual orientation, gender, and substance abuse. The theoretical framework is grounded in the social capital and health-related quality of life model. The survey “Positive Connections: Connecting HIV-Infected Patients to Care, 2004–2006 [United States]” is analyzed. The study sample included 103 low-income PLWHA. Using logistic regression models, the study explores provider engagement, SES, HIV/AIDS stigma, and their impact on HQROL (measured by overall health, mental health and HIV/AIDS care) with the covariates of race, gender, sexual orientation, and substance abuse. The results show that provider engagement is a significant predictor of HIV/AIDS care, meaning that a person’s likelihood of getting HIV/AIDS care, but not the person’s overall or mental health, is related to provider engagement. No direct associations were found between SES, HIV/AIDS stigma, and the indicators of HRQOL. Substance abuse is significantly associated with both overall and mental health, indicating that histories of substance abuse make participants more likely to have poor overall and mental health. The findings suggest that provider engagement is a better proxy than SES or HIV/AIDS stigma for conveying the effect of social capital on HRQOL. The findings also suggest that this effect is mediated by substance abuse and self- identification as bisexual and may not lead to improved overall or mental health. This suggests the importance of an increased focus on provider–patient engagement in HIV/AIDS care from a theoretical perspective; however, to date, little has been said about integrating this type of engagement into health policy. Hence, provider engagement and its implications for improved HIV/AIDS care must be included in future policy conversations at the national, state, and community levels.
Subject (authority = RUETD)
Topic
Urban Systems
RelatedItem (type = host)
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
Identifier
ETD_7973
PhysicalDescription
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electronic resource
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application/pdf
InternetMediaType
text/xml
Extent
1 online resource (x, 218 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Subject (authority = ETD-LCSH)
Topic
Quality of life
Subject (authority = ETD-LCSH)
Topic
AIDS (Disease)--Patients
Note (type = statement of responsibility)
by Noel Ferguson
RelatedItem (type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier (type = local)
rucore10002600001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/T3PZ5CSQ
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

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The author owns the copyright to this work.
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Name
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Ferguson
GivenName
Noel
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Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (point = start); (qualifier = exact)
2017-04-10 11:10:01
AssociatedEntity
Name
Noel Ferguson
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Affiliation
Rutgers University. Graduate School - Newark
AssociatedObject
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (point = start); (qualifier = exact)
2018-03-20
DateTime (encoding = w3cdtf); (point = end); (qualifier = exact)
2019-05-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2019.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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