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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
One year after ART initiation: Psychosocial factors associated with stigma among HIV-positive mozambicans
AIDS and Behavior, Volume 13, No. 6, Year 2009
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Description
The pathways through which stigma is associated with psychological distress remains understudied in Africa. This study evaluates stigma among 277 Mozambicans who were on an antiretroviral therapy (ART) regimens for a full year. Using bivariate and multiple regression analyses, we examine psychosocial factors (disclosure decisions, perceived social support, and depression) associated with stigma, at ART initiation and 1 year later. We found 1 year after initiating ART, participants reported no change in stigma, a decrease in perceived social support, and an increase in depressive symptomology. Disclosing HIV status to friends (versus family or partner) was associated with lower levels of stigma. These findings suggest that HIV care in comparable settings should include counselling, support groups, and peer support, that includes stigma and disclosure concerns prior to and during the first year following diagnosis. Most importantly, assessment and treatment of depression should be incorporated into ongoing HIV care. © 2009 Springer Science+Business Media, LLC.
Authors & Co-Authors
Pearson, Cynthia R.
United States, Seattle
University of Washington
Micek, Mark A.
United States, Seattle
University of Washington
Pfeiffer, James T.
United States, Seattle
University of Washington
Montoya, Pablo J.
United States, Seattle
Health Alliance International
Matediane, Eduardo
Mozambique, Maputo
Ministry of Health Mozambique
Jonasse, T.
United States, Seattle
Health Alliance International
Cunguara, A.
United States, Seattle
Health Alliance International
Rao, Deepa
United States, Evanston
Northwestern University
Gloyd, Stephen S.
United States, Seattle
University of Washington
Statistics
Citations: 82
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1007/s10461-009-9596-0
ISSN:
10907165
Research Areas
Infectious Diseases
Mental Health