Citation

Deering KN, Braschel M, Logie C, Ranville F, Krüsi A, Duff P, Shannon K. Health Psychol Open 2020; 7(1): e2055102919897384.

Affiliation

The University of British Columbia, Canada.

Copyright

(Copyright © 2020, SAGE Publishing)

DOI

10.1177/2055102919897384

PMID

32010448

PMCID

PMC6971967

Abstract

We used path analysis to investigate complex pathways from HIV status disclosure without consent, physical/verbal violence and depression, social support, and HIV medication self-efficacy through mediators of HIV stigma among women living with HIV in Canada. In the final model, internalized stigma fully mediated the relationship between physical/verbal violence and reduced medication self-efficacy. Enacted stigma fully mediated the relationship between HIV status disclosure without consent and depression. Internalized stigma (β = 0.252; p < 0.001) had a significant negative direct effect on medication self-efficacy. Enacted stigma had a significant direct effect on depression (β = 0.162; p = 0.037).

FINDINGS will help improve services and interventions to promote quality of life and well-being of women living with HIV.

© The Author(s) 2020.

Language: en

Keywords

HIV; adherence; self-efficacy; social support; stigma; women’s health