HIV-Related Stigma, Sexual Identity, and Depressive Symptoms Among MSM Living With HIV in China: A Moderated Mediation Modeling Analysis

Mi, Tianyue; Lan, Guanghua; Yang, Xueying; Li, Xiaoming; Qiao, Shan; Shen, Zhiyong; Zhou, Yuejiao

doi:10.1177/15579883221087531

Cited by 11 publications

(9 citation statements)

References 64 publications

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“…They were very active in recent years ( Figure 5B , colored yellow). They focused on the depression and social support among children affected by parental HIV in China ( Ezell et al, 2020 ; Wu et al, 2022 ; Jiang Y. et al, 2022 ; Jiang Y. P. et al, 2022 ), the relationship between depression, HIV stigma and sexual risk factors among men who have sex with men (MSM) in China ( Sun et al, 2020 ; Mi et al, 2022 ). Since the outbreak of the COVID-19, they also paid attention to the stress and coping strategies among HIV healthcare providers ( Mi et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Global trends in depression among patients living with HIV: A bibliometric analysis

Zhang

Hao

et al. 2023

Front. Psychol.

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BackgroundHuman immunodeficiency virus (HIV) related depression has seriously affected the quality of life and treatment outcomes of patients living with HIV (PLWH), which has become a hot topic in recent years. This study aims to discover the main keywords, predict frontier topics, and give meaningful suggestions for researchers by bibliometric analysis.MethodsPublications between 1999 and 2022 on depression in HIV/AIDS were searched in the Web of Science core collection. Microsoft Excel 2010 and VOSviewer were utilized to key contributors (e.g., authors, journals, institutions, and countries). VOSviewer and CiteSpace were used to analyze the knowledge evolution, collaborative maps, hot topics, and keywords trends in this field.ResultsIn total, 8,190 publications were included in the final analysis. From 1999 to 2021, the number of published articles roughly presents a steadily increasing trend. The United States, South Africa, and the United Kingdom were three key contributing countries/regions to this field. University Calif San Francisco (United States), University Calif Los Angeles (United States), and Johns Hopkins University (United States) were three key contributing institutions. Safren, Steven A. was the most productive and highest cited author. AIDS Care was the top prolific journal. Antiretroviral therapy and adherence, men has sex with men, mental health, substance abuse, stigma, and Sub-Saharan Africa were the central topics regarding the depression-related research in HIV/AIDS.ConclusionThis bibliometric analysis reported the publication trend, major contributing countries/regions, institutions, authors, journals and mapped the knowledge network of depression-related research on HIV/AIDS. In this field, topics such as “adherence,” “mental health,” “substance abuse,” “stigma,” “men who have sex with men” and “South Africa” have attracted considerable attention.

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Section: Discussionmentioning

confidence: 99%

Global trends in depression among patients living with HIV: A bibliometric analysis

Zhang

Hao

et al. 2023

Front. Psychol.

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“…HIV-related stigma is pervasive and compromises the mental health of PLHIV through social isolation and a lack of social support. 35 Although the relationship between stigma, social support, and mental health is well established, within the context of Chinese culture, it is relatively rare to examine the effect of both HIV-related and family-oriented stigma on mental health, and the underlying mechanisms that mediate the impact of social support require further exploration. Based on previous research, we propose three hypothesized models (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

“…HIV-related stigma is pervasive and compromises the mental health of PLHIV through social isolation and a lack of social support. 35…”

Section: Introductionmentioning

confidence: 99%

Social support as a mediator between mental health and stigma among newly HIV-positive men who have sex with men

Zhao,

Khoshnood,

Sheng

2024

Int J STD AIDS

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Objectives The sociocultural context of China gives rise to unique experiences of HIV-related stigma and adverse impacts on mental health among men who have sex with men (MSM) living with HIV. However, few studies have explored the stigma among families in the cultural context of China and the role of social support as a mediator to explain how HIV-related stigma results in poor psychological well-being. This study aims to test the mediating effect of social support between HIV-related stigma and family stigma on the mental health of MSM. Methods This cross-sectional study recruited newly MSM with HIV in two cities (Beijing and Wuhan) in China as participants from February 2021 to August 2022. A total of 257 MSM with HIV were recruited for the study. The mediating effects were examined using mediation models (SAS PROC CAUSALMED). Results The overall total effect of HIV-related stigma on mental health was β = −1.483 (bootstrap 95% CI = −1.881, −1.104 p < 0.001), and the mediating effect of social support was β = −0.321 (bootstrap 95% CI = −0.571, −0.167 p = .001). A higher level of stigma from family predicts lower mental health with an overall total effect of β = −1.487 (bootstrap 95% CI = −1.823, −1.101 p < 0.001), while the indirect effect (mediation effect) of social support on mental health is β = −0.281 (bootstrap 95% CI = −0.477, −0.142 p = .003). Conclusions Given the mediating effect of social support on mental health, programs enhancing social support and decreasing stigmatization should be designed to improve the mental health of MSM with HIV, the interventions are needed at both the family and community levels. Public health campaigns in China that frame HIV and same-sex behavior as chronic issues and normal phenomena can correct misinformation related to HIV and MSM that leads to stigma and negative emotional reactions.

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“…HIV-related stigma and discrimination permeate both the developed and developing regions, despite the tremendous success and evolution of antiretroviral therapy (ART) in prolonging the lives of people living with HIV (PLWH) [ 1 – 3 ]. For its recipients, HIV-related stigma can have significant negative consequences including depression, isolation, loss of marriage, childbearing options and occupational opportunities, financial constraints, and poor quality of life and health care [ 4 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Characterization of HIV-Related Stigma in Myanmar

et al. 2023

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Characterizing HIV-related stigma and its impacts are important for interventions toward their elimination. A cross-sectional study was conducted in 2016 to evaluate enacted and internalized stigma among adult people living with HIV (PLWH) across four cities in Myanmar using the India Stigma Index questionnaire. Multivariable regression analyses were performed to determine differences in measured enacted and internalized stigma outcomes. Among 1,006 participants, 89% reported any stigma indicator, 47% enacted stigma, and 87% internalized stigma. In regression analysis, city and duration of illness were associated with higher enacted stigma, and younger age was associated with higher internalized stigma. Those with HIV duration > 7.4 years had mean enacted stigma nearly 2 units higher than the overall mean. Internalized stigma increased with duration of illness and leveled off at 5 years. PLWH from smaller cities experienced lower stigma. In Myanmar, nearly 90% of PLWH experience stigma, results that reflect a unique transition point. Supplementary Information The online version contains supplementary material available at 10.1007/s10461-023-03998-1.

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HIV-Related Stigma, Sexual Identity, and Depressive Symptoms Among MSM Living With HIV in China: A Moderated Mediation Modeling Analysis

Cited by 11 publications

References 64 publications

Global trends in depression among patients living with HIV: A bibliometric analysis

Global trends in depression among patients living with HIV: A bibliometric analysis

Social support as a mediator between mental health and stigma among newly HIV-positive men who have sex with men

Characterization of HIV-Related Stigma in Myanmar

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