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Internalized HIV Stigma and Pain among Women with HIV in the United States: The Mediating Role of Depressive Symptoms.
Crockett, Kaylee B; Esensoy, T Alinea; Johnson, Mallory O; Neilands, Torsten B; Kempf, Mirjam-Colette; Konkle-Parker, Deborah; Wingood, Gina; Tien, Phyllis C; Cohen, Mardge; Wilson, Tracey E; Logie, Carmen H; Sosanya, Oluwakemi; Plankey, Michael; Golub, Elizabeth; Adimora, Adaora A; Parish, Carrigan; D Weiser, Sheri; Turan, Janet M; Turan, Bulent.
Affiliation
  • Crockett KB; Department of Health Care Organization and Policy, School of Public Health, University of Alabama At Birmingham, 1665 University Blvd, Birmingham, AL, 35294-0022, USA. kburnham@uab.edu.
  • Esensoy TA; School of Medicine, University of Alabama At Birmingham, Birmingham, AL, USA.
  • Johnson MO; Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Neilands TB; Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Kempf MC; School of Medicine, University of Alabama At Birmingham, Birmingham, AL, USA.
  • Konkle-Parker D; Schools of Nursing and Public Health, University of Alabama At Birmingham, Birmingham, AL, USA.
  • Wingood G; Department of Medicine/Infectious Diseases, University of Mississippi Medical Center, Jackson, MS, USA.
  • Tien PC; Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
  • Cohen M; Department of Medicine, Department of Veterans Affairs Medical Center, San Francisco and Medical Service, University of California, San Francisco, CA, USA.
  • Wilson TE; Department of Medicine, Stroger Hospital of Cook County Bureau of Health and Hospital Systems, Chicago, IL, USA.
  • Logie CH; Department of Community Health Sciences, School of Public Health, State University of New York, Downstate Health Sciences University, Brooklyn, NY, USA.
  • Sosanya O; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
  • Plankey M; Montefiore Health System, Bronx, NY, USA.
  • Golub E; Department of Medicine, Division of Infectious Diseases, Georgetown University Medical Center, Washington, DC, USA.
  • Adimora AA; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
  • Parish C; Division of Infectious Diseases, Department of Medicine, and Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • D Weiser S; Mailman School of Public Health, Department of Sociomedical Sciences, Columbia University Miami Research Center, Miami, FL, USA.
  • Turan JM; Division of HIV, ID and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
  • Turan B; Department of Health Care Organization and Policy, School of Public Health, University of Alabama At Birmingham, 1665 University Blvd, Birmingham, AL, 35294-0022, USA.
AIDS Behav ; 24(12): 3482-3490, 2020 Dec.
Article in En | MEDLINE | ID: mdl-32418165
ABSTRACT
Pain is common in women with HIV, though little research has focused on psychosocial experiences contributing to pain in this population. In the present study we examined whether internalized HIV stigma predicts pain, and whether depressive symptoms mediate this relationship among women with HIV. Data were drawn from the Women's Interagency HIV Study (WIHS), for 1,364 women with HIV who completed three study visits between 2015 and 2016. We used a sequential longitudinal design to assess the relationship between internalized HIV stigma at time 1 on pain at time 3 through depressive symptoms at time 2. Analyses revealed internalized HIV stigma was prospectively associated with greater pain, B = 5.30, 95% CI [2.84, 7.60]. The indirect effect through depressive symptoms supported mediation, B = 3.68, 95% CI [2.69, 4.79]. Depression is a modifiable risk factor that can be addressed to improve pain prevention and intervention for women with HIV.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: HIV Infections / Depression / Social Stigma Type of study: Risk_factors_studies Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: America do norte Language: En Journal: AIDS Behav Journal subject: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2020 Type: Article Affiliation country: United States
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: HIV Infections / Depression / Social Stigma Type of study: Risk_factors_studies Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: America do norte Language: En Journal: AIDS Behav Journal subject: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2020 Type: Article Affiliation country: United States