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Religiosity, social support and ethnic identity: Exploring 'resilience resources' for African-American women experiencing HIV-related stigma
- Source :
- J Acquir Immune Defic Syndr
- Publication Year :
- 2019
-
Abstract
- INTRODUCTION: African-American women living with HIV report substantial HIV-related stigma and depression. Resilience resources are strength-based resources that may moderate the effects of HIV-related stigma on poor psychosocial outcomes such as depression. OBJECTIVE: To evaluate whether religiosity, social support and ethnic identity moderate the effects of HIV-related stigma on depression among African-American women living with HIV. METHODS: We used baseline data (5/2013–10/2015) from a randomized controlled trial testing the efficacy of an HIV-related stigma reduction intervention among African-American women living with HIV in Chicago, IL and Birmingham, AL who were >18 years old and currently receiving HIV services. To assess whether religiosity (7-item Religious Beliefs and Behaviors survey, RBB), social support (select subscales from the Medical Outcomes Study Social Support Survey, MOS-SSS), and ethnic identity (Commitment subscale from the Multigroup Ethnic Identity Measure, MEIM-R) modified the relationship between HIV-related stigma (Stigma Scale for Chronic Illness, SSCI) and depression (8-item Patient Health Questionnaire, PHQ-8), we conducted three separate moderation analyses using linear regression with interactions between HIV-related stigma and each moderator of interest, adjusted for study site, age, time since diagnosis, and education. RESULTS: Among 226 African-American women living with HIV, greater levels of HIV-related stigma were associated with greater depression in all three models (p < 0.05). Only religiosity modified this association (p = 0.04), with a weaker association among women reporting higher levels of religiosity. CONCLUSIONS: The protective effects of religiosity may be leveraged in interventions for African-American women living with HIV struggling with HIV-related stigma.
- Subjects :
- Adult
Social stigma
Social Stigma
Ethnic group
Psychological intervention
HIV Infections
030312 virology
Article
Religiosity
03 medical and health sciences
Social support
Surveys and Questionnaires
Ethnicity
Humans
Pharmacology (medical)
Chicago
0303 health sciences
Depressive Disorder
Depression
Social Support
Middle Aged
Moderation
Health Surveys
Patient Health Questionnaire
Black or African American
Religion
Infectious Diseases
Alabama
Female
Psychology
Psychosocial
Clinical psychology
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- J Acquir Immune Defic Syndr
- Accession number :
- edsair.doi.dedup.....ee95df69de9403c4df5ee79a833d9dcb