What Factors Influence HIV Self-Management Over Time?

Managing HIV can be tough. It's about taking meds, tracking health, dealing with symptoms, and staying emotionally strong. Past studies mainly looked at these factors once, but this nine-year study in Hunan, China, focused on how they change over time. They followed 265 people with HIV, checking in with them at different points - one, five, and nine years later. They checked for things like stigma, depression, anxiety, and social support. The big goal was to see how these factors affected self-management over time. Everyone's journey was different. Most people saw a slight dip in depression (almost 80%) and a rise in social support (over 50%). But those who had a big drop in depressive feelings showed the lowest self-management scores. The study also found that exercise, depressive symptoms, and social support were strongly linked to how well people managed their HIV. In simple terms, being active, feeling less depressed, and having good social support helped people take better care of themselves. This is important because it shows that helping people feel supported and emotionally better can make a real difference in how they handle their health. It's like a reminder that continuous care and tailored support are super important for people living with HIV.

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