FeatureSuccessful Coping in Urban, Community-Dwelling Older Adults With HIVDeGrezia, Mary G. PhD, RN, ACRN; Scrandis, Debra PhD, CRNP, PMHNP-BC Author Information Mary G. DeGrezia, PhD, RN, ACRN, is the Project Coordinator, University of Maryland, Baltimore School of Medicine, Baltimore, Maryland, USA, and Adjunct Faculty, Washington Adventist University, Takoma Park, Maryland, USA. Debra Scrandis, PhD, CRNP, PMHNP-BC, is an Assistant Professor, University of Maryland School of Nursing, Baltimore, Maryland, USA. Journal of the Association of Nurses in AIDS Care: March 2015 - Volume 26 - Issue 2 - p 151-163 doi: 10.1016/j.jana.2014.11.008 Buy Metrics Abstract By 2015, 50% of HIV-infected individuals in the United States will be 50 years of age and older. Examining successful coping in older adults with HIV could expand existing coping toolkits, enhance disease management, and improve overall outcomes. We explored how urban, community-dwelling older adults (N = 40) coped with HIV infection, comorbidities, and related stressors. Participants completed an individual or focus group interview session using open-ended questions formulated from extended participant observation. Data were analyzed for theme development using interpretive hermeneutics and qualitative content analysis. Stressors included HIV, comorbidities, fear, anger, stigma, and finances. Three themes for successful coping were identified: accessing support, helping selves and helping others, and tapping into spirituality. Participants engaged in active, meaning-based strategies to successfully cope with HIV and related stressors. These strategies can be adapted for other older adults with HIV, leading to holistic care and improved outcomes. © 2015Elsevier, Inc.