Trends in the psychosocial and mental health of HIV‐positive women in China from 2015 to 2020: Results from two cross‐sectional surveys

Wang, Qian; Fong, Vivian W. I.; Qin, Qing Hua; Yao, Hui; Zheng, Jinping; Wang, Xiaoyan; Wang, Ailing; Qun, Gao; Mo, Phoenix K. H.

doi:10.1111/hex.13498

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…It may be that couples who have a fulfilling sex life anticipate less stigma from outside their relationships. Some PLHIV have reported that HIV limits or reduces sexual intimacy [ 84 – 86 ]. Thus, couples who report high sexual satisfaction despite living with HIV may have particularly healthy and resilient relationships, which also provide a buffer against stigma.…”

Section: Discussionmentioning

confidence: 99%

Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence

Gutin,

Ruark,

Darbes

et al. 2023

BMC Public Health

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Introduction HIV stigma can impact couple relationships through stress or bring partners closer through shared experiences. Conversely, couple relationships may protect against the harms of stigma, including anticipated stigma on negative health outcomes. Yet few studies have assessed the potential link between HIV stigma, relationship dynamics, and antiretroviral therapy (ART) adherence. Using dyadic data from a cross-sectional study of Malawian couples living with HIV, we tested associations between anticipated stigma and: 1) relationship dynamics (e.g., trust, sexual satisfaction, communication) and partner support; and 2) self-reported ART adherence. Methods Heterosexual couples (211 couples, 422 individuals) with at least one partner on ART were recruited from clinics in Zomba, Malawi. Partners completed separate surveys on anticipated stigma, relationship dynamics, and ART adherence. Linear mixed models evaluated associations between anticipated stigma and relationship dynamics, and whether associations varied by gender. Generalized estimating equation models tested for associations between anticipated stigma and high ART adherence (90–100% vs. < 90%) at the individual level, and whether they were moderated by relationship dynamics at the couple level. Results Couples' relationship length averaged 12.5 years, 66.8% were HIV sero-concordant, and 95.6% reported high ART adherence. In multivariable models, sexual satisfaction (β = -0.22, 95%CI = -0.41;-0.03, p = 0.020) and partner social support (β = -0.02, 95%CI = -0.04;-0.01, p < 0.01) were negatively associated with anticipated stigma. Significant interaction effects showed that adherence is moderated in couples with higher partner support and sexual satisfaction such that adherence is lowest when anticipated stigma is high and social support is low, and that adherence is lowest when anticipated stigma is high and sexual satisfaction is low. Conclusions Increased anticipated stigma is most associated with lower ART non-adherence at lower levels of social support and sexual satisfaction. Conversely, supportive and fulfilling relationships may buffer the negative association between stigma and ART adherence. Couples’ interventions that focus on improving communication and support systems within couples could reduce the negative impacts of anticipated stigma on couples living with HIV.

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Section: Discussionmentioning

confidence: 99%

Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence

Gutin,

Ruark,

Darbes

et al. 2023

BMC Public Health

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Trends in the psychosocial and mental health of HIV‐positive women in China from 2015 to 2020: Results from two cross‐sectional surveys

Wang

Fong

Qin

et al. 2022

Health Expectations

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Background: The human immunodeficiency virus (HIV) continues to be one of the major public health challenges in the world. Despite the advancement in medication and changes in views towards HIV in Chinese society, little is known about the changes in the psychosocial and mental health of HIV-positive women in recent years.Objectives: The present study examined the change in depression, anxiety, stigma, relationship with the child, intimacy with a partner, and social support from family, friends, and health professionals, for HIV-positive women in China from 2015 to 2020.

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Meta-Analysis of Disclosure Rates of Mothers Infected with HIV to Their Children: A Global Perspective (Preprint)

Cao,

Li,

et al. 2024

Preprint

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BACKGROUND With the advancement in HIV treatment, the quality of life of HIV-infected women has significantly improved, and HIV-infected women have been able to participate in childcare and assume social responsibilities. Research suggests that there are varying degrees of maternal HIV disclosure among HIV-infected mothers, and that these differences may be related to a variety of psycho-social factors. However, there is a lack of data on the overall disclosure rate. OBJECTIVE The objective of this study was to conduct a comprehensive review and meta-analysis of the global prevalence of disclosure of HIV status to children among HIV-infected mothers, with the aim of establishing a foundation for preventing mother-to-child transmission (PMTCT), enhancing ART adherence among HIV-infected mothers, and improving overall survival quality. METHODS We searched Pub Med, EMBASE, and Cochrane Library in English, and we also specifically searched CNKI, Wanfang Data, and VIP databases in Chinese for the studies of HIV women disclosure in China. Studies that published from January 1, 2003 to 2024 were located. Language restriction is English and Chinese. Key words include “HIV-infected”, “maternal” or “mother” or “women” or “parent”, “children” or “youth” or “adolescents”, and “disclosure” or “inform” . RESULTS Ultimately, 14 studies were included for review. Heterogeneity among the chosen studies was evaluated through chi-square tests and I2 statistics; and sensitivity analyses were conducted to assess the comparability of study results. The global HIV disclosure rate was 41% with a 95%confidence interval (CI) ranging from 30% to 52%. Subgroup analyses based on region and parental infection status showed that the HIV disclosure rate was 36% [95%CI:25%-49%] in 3 Chinese based study; 60% [95%CI:49%-70%] in 6 U.S. based studies; and 25% [95%CI:11%-43%] in 4 African based study. Furthermore, the HIV disclosure rate was 42%[95%CI:28%-57%] among families with only mother being infected with HIV across 9 studies; and 39%[95%CI:22%-59%] among families with both parents being infected across 5 studies. CONCLUSIONS Findings indicate that the disclosure rate of HIV-infected mothers to their children is higher in developed regions, and within families with only mother being infected with HIV. Further research efforts and policy development are imperative to support decision-making processes for HIV-infected mothers when considering disclosure of HIV infection status to their children. CLINICALTRIAL CRD42024531337

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Trends in the psychosocial and mental health of HIV‐positive women in China from 2015 to 2020: Results from two cross‐sectional surveys

Cited by 3 publications

References 47 publications

Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence

Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence

Trends in the psychosocial and mental health of HIV‐positive women in China from 2015 to 2020: Results from two cross‐sectional surveys

Meta-Analysis of Disclosure Rates of Mothers Infected with HIV to Their Children: A Global Perspective (Preprint)

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