Enacted HIV-Related Stigma’s Association with Anxiety &amp; Depression Among People Living with HIV (PLWH) in Florida

Algarin, Angel B.; Sheehan, Diana M.; Varas-Díaz, Nelson; Fennie, Kristopher; Zhou, Zehong; Spencer, Emma; Cook, Christa; Cook, Robert L.; Ibáñez, Gladys

doi:10.1007/s10461-020-02948-5

Cited by 23 publications

(13 citation statements)

References 34 publications

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“…Our findings are also consistent with what has been reported in the state of Florida, regarding significant correlations between HIV-related stigma (by healthcare workers) and ARV adherence (34), and HIV-related stigma and depression (35), although this is specific to a population of majority non-Hispanic Black men and women with HIV. Outside of the US, the relationship between HIV-related stigma and adherence has also been established among marginalized populations in the Dominican Republic, including men and women of Haitian descent (36).…”

Section: Quantitative Findingssupporting

confidence: 92%

Pills, PrEP, and Pals: Adherence, Stigma, Resilience, Faith and the Need to Connect Among Minority Women With HIV/AIDS in a US HIV Epicenter

Duthely

Sanchez‐Covarrubias

Brown

et al. 2021

Front. Public Health

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Background: Ending HIV/AIDS in the United States requires tailored interventions. This study is part of a larger investigation to design mCARES, a mobile technology-based, adherence intervention for ethnic minority women with HIV (MWH).Objective: To understand barriers and facilitators of care adherence (treatment and appointment) for ethnic MWH; examine the relationship between these factors across three ethnic groups; and, explore the role of mobile technologies in care adherence.Methods: Cross-sectional, mixed-methods data were collected from a cohort of African-American, Hispanic-American and Haitian-American participants. Qualitative data were collected through a focus group (n = 8) to assess barriers and facilitators to care adherence. Quantitative data (n = 48) surveyed women on depressive symptomology (PHQ-9), HIV-related stigma (HSS) and resiliency (CD-RISC25). We examined the relationships between these factors and adherence to treatment and care and across groups.Findings: Qualitative analyses revealed that barriers to treatment and appointment adherence were caregiver-related stressors (25%) and structural issues (25%); routinization (30%) and religion/spirituality (30%) promoted adherence to treatment and care. Caregiver role was both a hindrance (25%) and promoter (20%) of adherence to treatment and appointments. Quantitatively, HIV-related stigma differed by ethnic group; Haitian-Americans endorsed the highest levels while African-Americans endorsed the lowest. Depression correlated to stigma (R = 0.534; p < 0.001) and resiliency (R = −0.486; p < 0.001). Across ethnic groups, higher depressive symptomology and stigma were related to viral non-suppression (p < 0.05)—a treatment adherence marker; higher resiliency was related to viral suppression. Among Hispanic-Americans, viral non-suppression was related to depression (p < 0.05), and among African-Americans, viral suppression was related to increased resiliency (p < 0.04).Conclusion: Multiple interrelated barriers to adherence were identified. These findings on ethnic group-specific differences underscore the importance of implementing culturally-competent interventions. While privacy and confidentiality were of concern, participants suggested additional intervention features and endorsed the use of mCARES as a strategy to improve adherence to treatment and appointments.

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Section: Quantitative Findingssupporting

confidence: 92%

Pills, PrEP, and Pals: Adherence, Stigma, Resilience, Faith and the Need to Connect Among Minority Women With HIV/AIDS in a US HIV Epicenter

Duthely

Sanchez‐Covarrubias

Brown

et al. 2021

Front. Public Health

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Section: Potential Mediation Mechanism Between Perceived Hiv Stigma D...mentioning

confidence: 99%

“…Many studies have shown that PLWH who experience high levels of HIV stigma are more likely to develop depression [19,20]. For example, a cohort study from the US showed that HIV-related stigma could increase the odds of PLWH depression [20]. Moreover, depression is associated with various psychological negative outcomes, including suicidal ideation [21,22].…”

Section: Potential Mediation Mechanism Between Perceived Hiv Stigma D...mentioning

confidence: 99%

Perceived HIV Stigma, Depressive Symptoms, Self-esteem, and Suicidal Ideation Among People Living with HIV/AIDS in China: a Moderated Mediation Modeling Analysis

Wei

Yan

Guo

et al. 2022

J. Racial and Ethnic Health Disparities

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Objective Suicidal ideation is an important public health challenge among people living with HIV (PLWH) across the world and in China. HIV stigma, depression, and self-esteem have been associated with suicidal ideation. However, the underlying mechanisms remain not fully understood. Methods Study data were derived from a sample of 465 PLWH in China. Suicidal ideation after HIV diagnosis was used as outcome variable. HIV stigma, depressive symptoms, and self-esteem were measured using reliable instruments and used as predictor, mediator, and moderator, respectively. Mediation and moderated mediation model were used for data analysis. Results 31.6% of PLWH in China had suicidal ideation after HIV diagnosis. The association between perceived HIV stigma and suicidal ideation was partially mediated by depression (indirect effect = 0.02, 95% CI = [0.02, 0.03]) with the path from perceived HIV stigma to depressive symptoms being moderated by self-esteem (interaction effect = − 0.02, 95% CI [− 0.03, − 0.01]). Conclusions Study findings suggested a mediation mechanism of HIV stigma on suicidal ideation through depressive symptoms, and self-esteem might weaken the mediation mechanism by moderating the perceived HIV stigma-depressive symptoms pathway.

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“… 8 , 9 Furthermore, HIV-related stigma contributes to a high prevalence of mental disorders in PLWH. 10 …”

Section: Introductionmentioning

confidence: 99%

Predictors of an Active Lifestyle in Middle-Aged and Older Adults with HIV in the United States Deep South

Li¹,

Fazeli²,

Wang³

et al. 2023

HIV

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Background and Purpose An active lifestyle is important for health maintenance and disease prevention. This study was to examine what factors predict an active lifestyle in HIV+ and HIV- adults from the United States Deep South. Methods The sample included 279 participants (174 HIV+ and 105 HIV-) who completed a comprehensive assessment. An active lifestyle composite was created using variables of employment status, level of social support, level of physical activity, and diet. Correlations and regression analyses were conducted between the active lifestyle composite and possible predictors for all (HIV+ and HIV-), HIV+, and HIV- participants, respectively. Results Lower levels of depression, higher socioeconomic status (SES), and younger age were significant predictors of a more active lifestyle for the full sample, HIV+, and HIV- participants, respectively. Conclusion SES and depression represent important factors influencing engagement in an active lifestyle in PLWH. Such factors should be considered when developing and implementing lifestyle interventions.

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Enacted HIV-Related Stigma’s Association with Anxiety & Depression Among People Living with HIV (PLWH) in Florida

Cited by 23 publications

References 34 publications

Pills, PrEP, and Pals: Adherence, Stigma, Resilience, Faith and the Need to Connect Among Minority Women With HIV/AIDS in a US HIV Epicenter

Pills, PrEP, and Pals: Adherence, Stigma, Resilience, Faith and the Need to Connect Among Minority Women With HIV/AIDS in a US HIV Epicenter

Perceived HIV Stigma, Depressive Symptoms, Self-esteem, and Suicidal Ideation Among People Living with HIV/AIDS in China: a Moderated Mediation Modeling Analysis

Predictors of an Active Lifestyle in Middle-Aged and Older Adults with HIV in the United States Deep South

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