The combination of HIV and alcohol use internalized stigmas are associated with greater symptoms of depression in a South African sample living with HIV
Bibliographic Data
| ID | 15743500 |
|---|---|
| Authors | Morgan S Anvari (0000-0003-0732-2574, University of Maryland, College Park, corresponding author), Jennifer M Belus (0000-0003-4091-4889, Swiss Tropical and Public Health Institute), Kristen S Regenauer (0000-0001-6463-967X, University of Maryland, College Park), Bronwyn Myers (0000-0003-0235-6716, South African Medical Research Council), John A Joska (0000-0003-4260-1181, Groote Schuur Hospital), Jessica F Magidson (0000-0002-3513-3255, University of Maryland, College Park) |
| Year | 2022 |
| Volume | 7 |
| Issue | 3 |
| Pages | 370-373 |
| Publication date | 2022-06-06 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Stigma and Health (JOURNAL) |
| Journal identifiers | ISSN: 2376-6964 • E-ISSN: 2376-6972 |
| Publisher | American Psychological Association (PUBLISHER • US) |
| DOI | 10.1037/sah0000394 |
| PMID | 36311353 |
| OpenAlex | W4282018399 |
| Language | EN |
| Citations received | 2 |
| References cited | 8 |
Approximately one-third of people living with human immunodeficiency virus (HIV) in South Africa (SA) present to HIV care with unhealthy alcohol use (UA); depression is highly prevalent among this population. Internalized HIV and UA stigma have been associated with greater depressive symptoms when examined in isolation. Yet, prior research has rarely examined how internalized HIV and UA stigmas together relate to depressive symptoms and related outcomes. This study examined how internalized stigma around HIV and UA together are associated with depressive symptoms, related social and work/school impairments, and cognitive and behavioral processes associated with depression (activation, rumination). Data were drawn from the baseline assessment ( N =64) of a behavioral intervention trial focused on improving UA and ART adherence. Participants were categorized based on combined internalized alcohol and HIV stigma scores (low vs. high on each). Regression models examined associations between each stigma category with the following outcomes: depressive symptoms, work/school impairment, and activation/rumination Compared to participants low in both stigmas, being high in both HIV and alcohol internalized stigmas was significantly associated with greater depressive symptoms ( B = .38, p = .01), lower activation ( B = -4.19, p = .04), greater rumination ( B = 5.72, p = .02), and greater work/school impairment ( B = 3.94, p = .01). High internalized alcohol ( B = -5.97, p = .009) or HIV stigma ( B = -5.25, p = .02) alone was significantly associated with lower activation. This study provides preliminary understanding how multiple layers of internalized stigma together relate to psychosocial outcomes among people living with HIV (PLWH) in SA
Cognition · Depression (economics · Depressive symptoms · Environmental health · Human immunodeficiency virus (HIV · Population · Psychiatry · Psychological intervention · Psychosocial · Rumination · Stigma (botany · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Mental Health Treatment and Access · Psychology · Immunology
The Perseverative Thinking Questionnaire (PTQ)
The PHQ-9
How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes
Biomarker-Measured Unhealthy Alcohol Use in Relation to CD4 Count Among Individuals Starting ART in Sub-Saharan Africa
Associations Between Patterns of Alcohol Use and Viral Load Suppression Amongst Women Living with HIV in South Africa
HIV Stigma Mechanisms and Well-Being Among PLWH
Factors Associated with Quality of Life Among Rural Women with HIV Disease
Intersectionality of internalized HIV stigma and internalized substance use stigma
| Citations per year | 0.67 |
|---|---|
| Citation span | 2023 - 2026 (4) |
| Highly cited | No |