Project Details


This prospective study will investigate the patterns, predictors and
consequences of family support provision for persons with symptomatic HIV
illness. Data from baseline and monthly followup interviews -- totalling
2502 interviews with 267 adult respondents -- will be used to model the
dynamics of family support both cross-sectionally and over the course of
illness, and their effect on depressed mood and other dimensions of
adaptation to illness. Data will be drawn from an existing cohort of
persons with HIV illness in New Jersey, who are being followed in a study
of cost and utilization of formal health care services; this cohort
includes good representation of minority group members, women, and
injection drug users as well as gay men. Cross-sectional analyses of
data from in-depth baseline interviews will be used to map the social
networks of respondents and the roles of families of origin and families
of commitment; measure the types, amounts, and sources of instrumental,
personal care, and emotional support received by respondents; evaluate
variations in patterns of family support by gender, ethnicity, risk
group, and other patient characteristics; and analyze the relationship of
support received and other covariates to measures of depression, anxiety,
optimism, anger, suicidal ideation, and other mental health measures.
Longitudinal analyses will use hazard methods for event histories and
random-effects and fixed-effects linear models for repeated events.
Predictors of instrumental, personal-care and emotional family support
over the course of illness will be modeled, using followup data which
provide an average of 10 interviews per respondent. These analyses will
evaluate the dynamics of family support over the course of illness in
relationship to health, functional status, and other time-varying
predictors. Further models will evaluate the effects of family support
on depressed mood and other adverse mental health outcomes over time,
controlling for health, functional status, and other covariates. Results
of these analyses will be used to provide an understanding of patterns of
family support across major subgroups of persons with HIV disease;
clarify the processes by which family support resources are mobilized or
overwhelmed; provide insight into the determinants of potentially
preventable adverse mental health outcomes and into possibilities for
secondary prevention; identify strengths of family systems and barriers
to more effective family support; and build a knowledge base to inform
interventions that can assist families in more effectively supporting
their members with HIV illness.
Effective start/end date4/1/933/31/97


  • National Institutes of Health
  • National Institutes of Health: $294,094.00


  • Medicine(all)

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