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Journal of Transcultural Nursing
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The Effect of HIV/AIDS Disease Progression on Spirituality and Self-Transcendence in a Multicultural Population

Lois Ramer, DNSC, FNP

Debra Johnson, MPAS, NP, PA-C

Linda Chan, PhD

Mary Theresa Barrett, MSN, RN, ACRN

Los Angeles County & University of Southern California Healthcare Network

This study examined the relationship of sociodemographic and clinical factors with spirituality and self-transcendence in people with HIV/AIDS. It involved 420 HIV/AIDS patients from an HIV clinic who were predominantly Hispanic (79%) and male (82%), with a mean age of 39 years. Subjects completed spirituality, self-transcendence, health status, and depression scales. Medical charts were reviewed to obtain demographics, current therapies, depression diagnosis, CD4 cells (sometimes called T-cells), and viral load levels. Self-transcendence was related to levels of energy (p < .05) and acculturation (p < .05). Spirituality was related to levels of energy (p < .001) and pain (p < .02). Neither disease progression nor severity was related to self-transcendence or spirituality. The findings suggest the concept of self-transcendence may not be culturally meaningful to Hispanic patients. The development of valid and reliable tools specific for this population is important for future research.

Key Words: multicultural • HIV/AIDS; Hispanic • Los Angeles • California • spirituality

Journal of Transcultural Nursing, Vol. 17, No. 3, 280-289 (2006)
DOI: 10.1177/1043659606288373
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