title: One year after ART initiation: psychosocial factors associated with stigma among HIV-positive Mozambicans.
abstract: 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.
authors.affiliation: School of Social Work, Indigenous Wellness Research Institute, University of Washington, Seattle, WA, 98105-1525, USA. pearsonc@u.washington.edu
authors.forename: C R
authors.initials: CR
authors.lastname: Pearson
authors.forename: M A
authors.initials: MA
authors.lastname: Micek
authors.forename: J
authors.initials: J
authors.lastname: Pfeiffer
authors.forename: P
authors.initials: P
authors.lastname: Montoya
authors.forename: E
authors.initials: E
authors.lastname: Matediane
authors.forename: T
authors.initials: T
authors.lastname: Jonasse
authors.forename: A
authors.initials: A
authors.lastname: Cunguara
authors.forename: D
authors.initials: D
authors.lastname: Rao
authors.forename: S S
authors.initials: SS
authors.lastname: Gloyd
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D023241:Antiretroviral Therapy, Highly Active; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D015497:HIV-1; D006801:Humans; D008132:Loneliness; D008297:Male; D008875:Middle Aged; D009073:Mozambique; D011287:Prejudice; D011610:Psychosocial Deprivation; D012044:Regression Analysis; D012649:Self Concept; D012650:Self Disclosure; D013240:Stereotyping; D011795:Surveys and Questionnaires; D055815:Young Adult