Other Titles

Rising Star Poster/Presentation - Rapid Presentation Round

Abstract

Background: According to the Joint United Nations Programme on HIV/AIDS (UNAIDS, 2023), 39 million people globally were living with HIV, and 1.3 million people became infected in 2022. Of those, 27% were young people (ages 15-24), including 210,000 young women and 140,000 young men. HIV is an expanding epidemic despite an overall reduction in the annual incidence percentage and the significant strides that have been made towards prevention of transmission and treatment with antiretroviral therapy (ART). Low to middle-income countries (LMICs) are especially vulnerable to the HIV/AIDs epidemic. The identification and promotion of resilience factors could play a crucial role in both decreasing infections as well as enhancing strengths and coping in those already living with HIV.

Purpose of the Review: To investigate guiding definitions of resilience, describe resilience measurements, and identify factors associated with resilience within qualitative, quantitative, and mixed-methods studies of young people living with HIV (YPLHIV) in LMIC settings.

Search Strategy: Qualitative, quantitative, and mixed method studies published in English from April 2014 to September 19, 2023, focused on resilience in YPLHIV in LMICs, were included and reviewed for quality using the Mixed Methods Appraisal Tool (MMAT).

Results: Most articles had an operating definition of resilience and related it to overcoming an adverse event. Measurement of resilience varied from study to study and within the method categories. Many resilience factors overlapped with a strong emphasis on social support, including family, friends, loved ones, spiritual, cultural, and institutional support.

Conclusion: This critical review successfully appraised the various definitions of resilience, evaluated resilience measurements, and noted similarities in factors associated with resilience in YPLHIV in LMICs. The state of science needs a more precise grasp and understanding of resilience, as it is nuanced. There needs to be a uniform definition of resilience, standardized questionnaires, and defined resilience factors that support YPLHIV. This growing body of research focused on strength-based approaches to understand resilience better enhances research and clinical care, will positively support YPLHIV in LMICs, and must be continued.

Notes

Presenter notes available in attached slide deck.

Reference list included in attached slide deck.

Description

This review investigated guiding definitions of resilience, described resilience measurements, and identified factors associated with resilience within qualitative, quantitative, and mixed-methods studies of young people living with HIV (YPLHIV) in low to middle-income settings.

Author Details

Lily R. Bastian, PhD(c), MSN, APRN, CNM

Sigma Membership

Alpha Alpha Zeta

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

HIV-Positive Persons -- In Adolescence -- Developing Countries, HIV/AIDs, Low to Middle-Income Countries, Resilience, Young People Living with HIV

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Washington, DC, USA

Conference Year

2024

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-02-17

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Resilience in Young People Living with HIV in Low to Middle-Income Countries: A Critical Review

Washington, DC, USA

Background: According to the Joint United Nations Programme on HIV/AIDS (UNAIDS, 2023), 39 million people globally were living with HIV, and 1.3 million people became infected in 2022. Of those, 27% were young people (ages 15-24), including 210,000 young women and 140,000 young men. HIV is an expanding epidemic despite an overall reduction in the annual incidence percentage and the significant strides that have been made towards prevention of transmission and treatment with antiretroviral therapy (ART). Low to middle-income countries (LMICs) are especially vulnerable to the HIV/AIDs epidemic. The identification and promotion of resilience factors could play a crucial role in both decreasing infections as well as enhancing strengths and coping in those already living with HIV.

Purpose of the Review: To investigate guiding definitions of resilience, describe resilience measurements, and identify factors associated with resilience within qualitative, quantitative, and mixed-methods studies of young people living with HIV (YPLHIV) in LMIC settings.

Search Strategy: Qualitative, quantitative, and mixed method studies published in English from April 2014 to September 19, 2023, focused on resilience in YPLHIV in LMICs, were included and reviewed for quality using the Mixed Methods Appraisal Tool (MMAT).

Results: Most articles had an operating definition of resilience and related it to overcoming an adverse event. Measurement of resilience varied from study to study and within the method categories. Many resilience factors overlapped with a strong emphasis on social support, including family, friends, loved ones, spiritual, cultural, and institutional support.

Conclusion: This critical review successfully appraised the various definitions of resilience, evaluated resilience measurements, and noted similarities in factors associated with resilience in YPLHIV in LMICs. The state of science needs a more precise grasp and understanding of resilience, as it is nuanced. There needs to be a uniform definition of resilience, standardized questionnaires, and defined resilience factors that support YPLHIV. This growing body of research focused on strength-based approaches to understand resilience better enhances research and clinical care, will positively support YPLHIV in LMICs, and must be continued.