Exploring the importance of social networks in addressing issues of HIV and AIDS in African immigrant communities

Problem: The study examined the role of social networks in influencing access and utilization of healthcare services, and health outcomes in HIV positive immigrants from sub-Saharan Africa. Study hypotheses were: 1) Social networks of SSA immigrants are comprised of higher numbers of strong ties than weak ties; 2) Social networks comprised of weak ties facilitate greater access and utilization of healthcare services, and 3) Higher levels of social integration facilitate positive HIV/AIDS related health outcomes. Qualitative questions examined the types of activities participants engage in with their social networks, types of support systems their networks positive, influence of these activities and support systems on their access to care and health outcomes, and factors promoting engagement of participants in their care. Methodology: Berkman’s social network paradigm guided the mixed method study using a snowball sample of 97 HIV positive SSA immigrants residing in Philadelphia. Participants completed a survey consisting of a demographic questionnaire and two instruments (Medical Expenditure Panel Survey (2010) and Myer’s Social Network Scale). The qualitative sample comprised of 13 participants who completed the quantitative surveys and were interviewed individually. Results: Triangulation of findings from both quantitative and qualitative methods revealed that participants’ social networks comprised mostly of strong ties with kin and co-ethnics. Type of network ties and number of connected relationships were significant in accessing and utilizing healthcare services, as well as influencing HIV related health outcomes. Number of strong ties was significantly and positively correlated with CD4 levels. Weak ties were influential in maintaining engagement of participants in their care, access and utilization of healthcare services and understanding their illness. Conclusion: Social networks structures, including size, density, composition, and function contribute to positive health outcomes. Although participants’ social networks were predominantly comprised of strong ties, both strong and weak ties offered distinct and complementary support with profound influence on both the physical and psychosocial well-being of HIV positive African Sub-Saharan immigrants.Ph.D.Includes bibliographical referencesby Aramide Ayorind