HIV-Related Stigma and Viral Suppression Among African-American Women: Exploring the Mediating Roles of Depression and ART Nonadherence

We used baseline data from a sample of African-American women living with HIV who were recruited to participate in a stigma-reduction intervention in Chicago and Birmingham (2013–2015) to (1) evaluate the relationship between HIV-related stigma and viral suppression, and (2) assess the role of depre...

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Veröffentlicht in:	AIDS and behavior 2019-08, Vol.23 (8), p.2025-2036
Hauptverfasser:	Lipira, Lauren, Williams, Emily C., Huh, David, Kemp, Christopher G., Nevin, Paul E., Greene, Preston, Unger, Joseph M., Heagerty, Patrick, French, Audrey L., Cohn, Susan E., Turan, Janet M., Mugavero, Michael J., Simoni, Jane M., Andrasik, Michele P., Rao, Deepa
Format:	Artikel
Sprache:	eng
Schlagworte:	Acquired immune deficiency syndrome Adult African Americans African Americans - psychology AIDS Alabama Anti-Retroviral Agents - therapeutic use Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Chicago Chronic illnesses Cross-Sectional Studies Depression - psychology Depressive Disorder Female Female roles Gender roles Health Psychology HIV HIV - drug effects HIV Infections - drug therapy HIV Infections - ethnology HIV Infections - psychology Human immunodeficiency virus Humans Infectious Diseases Mediation Medication Adherence - ethnology Medication Adherence - psychology Medicine Medicine & Public Health Mental depression Middle Aged Original Paper Prescription drugs Public Health Regression analysis Secondary analysis Social Stigma Stigma Symptoms Viral Load - drug effects Women Womens health
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Zusammenfassung:	We used baseline data from a sample of African-American women living with HIV who were recruited to participate in a stigma-reduction intervention in Chicago and Birmingham (2013–2015) to (1) evaluate the relationship between HIV-related stigma and viral suppression, and (2) assess the role of depression and nonadherence to antiretroviral therapy (ART) as mediators. Data from women were included in this secondary analysis if they were on ART, had viral load data collected within 8-weeks of study entry and had complete covariate data. We used logistic regression to estimate the total effect of HIV-related stigma (14-item Stigma Scale for Chronic Illness) on viral suppression (
ISSN:	1090-7165 1573-3254
DOI:	10.1007/s10461-018-2301-4