Mediators of HIV-related stigma and risk behavior in HIV infected young women

Stigma in HIV positive persons has been associated with numerous negative sequelae, including decreased social support, depressive symptoms, and engagement in risk behaviors. Few studies examined the interrelationships of these factors to facilitate understanding of the mechanisms by which HIV stigm...

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Bibliographic Details
Published in:AIDS care 2009-11, Vol.21 (11), p.1455-1462
Main Authors: Clum, Gretchen, Chung, Shang-En, Ellen, Jonathan M., The Adolescent Medicine Trials Network for HIV/AIDS Interventions
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Depression
Depressive Disorder - etiology
Female
Fundamental and applied biological sciences. Psychology
HIV
HIV Infections - psychology
Human immunodeficiency virus
Human viral diseases
Humans
Illness and personality
Infectious diseases
Medical sciences
Personality, behavior and health
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
risk behavior
Risk behaviour
Risk factors
Risk-Taking
Sexual behavior
Social Support
Stereotypes
Stereotyping
stigma
Stigmatization
Studies
Substance-Related Disorders - psychology
Unsafe Sex - psychology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Women
Young Adult
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Summary:Stigma in HIV positive persons has been associated with numerous negative sequelae, including decreased social support, depressive symptoms, and engagement in risk behaviors. Few studies examined the interrelationships of these factors to facilitate understanding of the mechanisms by which HIV stigma influences risk behavior, thus the current study focuses on identifying pathways between HIV-related stigma and risk behavior in 147 young HIV positive women. Depression and social support were hypothesized to mediate between HIV-related stigma and risk behavior. Structural equation modeling was used to test these hypothesized pathways, results suggested that depression was a significant mediator between HIV-related stigma and risk behavior. Implications for interventions with young HIV positive women who report high levels of HIV-related stigma include a focus on depression as a method of reducing engagement in risk behavior and improving mental health and health behaviors in persons living with HIV.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120902883069