HIV-related stigma, depression, and social support are associated with health-related quality of life among patients newly entering HIV care

Lambert, Crystal Chapman; Westfall, Andrew O.; Modi, Riddhi; Amico, Rivet; Golin, Carol E.; Keruly, Jeanne C.; Quinlivan, E. Byrd; Crane, Heidi M.; Zinski, Anne; Turan, Bülent; Turan, Janet M.; Mugavero, Michael J.

doi:10.1080/09540121.2019.1622635

Cited by 27 publications

(16 citation statements)

References 30 publications

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“…Chan et al 2020 Hong Kong Cross-sectional Self-Stigma Scale Life satisfaction (Satisfaction with Life Scale) N = 289; M = 277, F = 12; Age mean = 41.80 HM = 220, HT = 60, B = 9 100% Asian 46.5% higher education; 26.4% stable relationship; 63.3% employed 5.4 years since diagnosis/ treatment Education (higher education associated with lower stigma and higher life satisfaction) 57. Chapman-Lambert et al 2020 USA Cross-sectional HIV Stigma Framework Scale Quality of life (physical and psychological aspects; EuroQol) N = 335; M = 267, F = 68; Age mean = 37.60 HM = 221, HT = 114 51.9% African, 27.8% Caucasian, 20.3% other 34.2% employed Mean CD4: 380.6; 71.7% detectable viral load; <1 year since diagnosis/ treatment Gender (lower quality of life and higher stigma in women) and ethnicity (higher stigma and lower quality of life in non-Caucasian participants compared to other studied ethnicities) 58. Doric 2020 Serbia Cross-sectional HIV Stigma Scale Subjective well-being (Satisfaction with Life Scale and Positive and Negative Affect Scale) N = 90; M = 79, F = 11; Age mean = 41.64 HM = 42, HT = 41, B = 7 100% Caucasian 37.3% higher education; 33.9% stable relationship; 44.1% employed 7.88 years since diagnosis/ treatment No significant covariates 59.…”

Section: Resultsmentioning

confidence: 99%

HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis

Rzeszutek

Gruszczyńska

Pięta

et al. 2021

European Journal of Psychotraumatology

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Section: Resultsmentioning

confidence: 99%

HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis

Rzeszutek

Gruszczyńska

Pięta

et al. 2021

European Journal of Psychotraumatology

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“…Due to the nature of disease, including the long incubation period (during which there are no signs of the disease), results in delays in the diagnosis of HIV/AIDS and initiation of preventive measures. During this period, patients may unwittingly spread the virus to others [1]. The most common and known antiretroviral medication regimen is highly active antiretroviral therapy (HAART), that considerably limits the spread of the virus in the body [2].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the scale for non-adherence to antiretroviral medication (NAME) among HIV-infected patients

et al. 2019

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BackgroundAdherence to HIV medication is necessary for long-term HIV disease management. The objective of this study was to develop and examine the psychometric properties of a scale for measuring the barriers of antiretroviral medication adherence among Iranian Patients.MethodThis was a sequential, exploratory mixed methods investigation composed of two phases. In the qualitative phase, item pool generation and questionnaire designing was carried out through in-depth individual interviews and group discussions; in the quantitative phase, psychometric properties of the questionnaire were assessed. In both phases, the participants were people who were living with HIV/AIDS and were taking antiretroviral medications.ResultsIn the first phase, an item pool containing 181 statements related to barriers of adherence to antiretroviral medication was generated. In the second phase, item reduction was applied, and a questionnaire containing 30 items was developed. The psychometric properties of the questionnaire were assessed, which indicated good validity and reliability of the instrument. In exploratory factor analysis, the items were loaded on six factors that altogether explain for 61.98 of the variance. The Cronbach’s alpha and the intra class correlation coefficient of the questionnaire was 0.91 and 0.80, respectively.ConclusionThis study provided a reliable and valid instrument to identify the barriers of adherence to antiretroviral medication in patients with HIV/AIDS. Identify these barriers and design of interventions to eliminate or reduce of barriers can be an effective means of enhancing adherence to antiretroviral medication among these patients.

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“… 16 Several recent studies that have noted the stigma related to HIV use this measure. 17 18 The HSS was first designed to measure the stigma perceived by individuals who were HIV-positive. 19 The HSS-R, which was used in this study, has been shortened from the original 40 items to 32.…”

Section: Methodsmentioning

confidence: 99%

“… 20 Several studies that assessed depression in HIV-positive individuals have used this measure. 17 18 The PHQ-9 scale is half the length of many other depression measures and consists of nine criteria upon which the diagnosis of 4th Edition of Diagnostic and Statistical Manual of Mental Disorders major depressive disorder is based. It assesses how often the participants are bothered by symptoms related to depression in a two-week period.…”

Section: Methodsmentioning

confidence: 99%

Predictors Associated With HIV Status Non-Disclosure in Korea

Kim

Woo

2022

J Korean Med Sci

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Background Human immunodeficiency virus (HIV) disclosure provides personal support to people living with HIV/acquired immunodeficiency syndrome (PLWH). In addition, it has important implications for disease prevention and treatment. Research on disclosure has been conducted worldwide; however, data from South Korea are insufficient. The purpose of this study was to examine whether certain demographic, medical, and psychosocial factors act as predictors of HIV serostatus non-disclosure among PLWH in South Korea. Methods Participants consisted of 147 PLWH who visited the outpatient infection clinic between June 2020 and January 2021. Demographics, medical factors, HIV-related stigma, and depressive and anxiety symptoms were measured. Results The overall disclosure rate among participants was 61.2%. Logistic regression analysis showed that lower depression (odds ratio [OR], 0.918; P = 0.021) and higher disclosure concerns (OR, 1.133; P = 0.004) were significant predictors of non-disclosure. Further, married state was a major predictor of non-disclosure when single referred (OR, 3.002; P = 0.024); however, divorce, separation, and widowed status had no significant consequences. Conclusion In South Korea, the rate of HIV disclosure is lower than in other countries. The higher disclosure concerns, lower depression and married state were suggested to be important predictors of HIV non-disclosure. High level of perceived stigma and experienced discrimination of PLWH may have affected the results. The social atmosphere linking sexual promiscuity and disease may also have influenced these results. Nationwide efforts should continue to reduce the overall stigma and create a social environment where PLWH can feel safe to disclose their disease conditions.

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HIV-related stigma, depression, and social support are associated with health-related quality of life among patients newly entering HIV care

Cited by 27 publications

References 30 publications

HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis

HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis

Psychometric properties of the scale for non-adherence to antiretroviral medication (NAME) among HIV-infected patients

Predictors Associated With HIV Status Non-Disclosure in Korea

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