title: Depressive symptoms, stress and resources among adult immigrants living with HIV.
abstract: Investigation on the mental health of HIV-positive immigrants is severely limited. We examine the independent and combined effects of HIV symptom and coping resources on depressive symptoms among HIV-positive immigrants (n = 259). Ordinary Least Squares regression models were estimated with data from a survey of clinical and social-psychological outcomes in people receiving treatment for HIV infection. We tested for the impact of two HIV-related stressors, one life events stressor and three buffering resources on depressive symptoms, controlling for thirteen demographic, clinical and acculturative factors. HIV-related stressors were found to be positively related to depressive symptom severity. Coping resources, namely self-mastery, mediate the relationships between HIV-related stressors and depressive symptoms. Results from this study provide the first empirical assessment of stress processes for immigrants living with HIV. Although more research is needed to understand mental health among HIV-positive immigrants, the study results suggest that health care providers focus on self-mastery enhancement among HIV-positive immigrants.
authors.affiliation: Centre for Addiction and Mental Health, Social Equity and Health Research, Toronto, Canada. marianne_noh@camh.net
authors.forename: Marianne S
authors.initials: MS
authors.lastname: Noh
authors.forename: Sergio
authors.initials: S
authors.lastname: Rueda
authors.forename: Tsegaye
authors.initials: T
authors.lastname: Bekele
authors.forename: Haile
authors.initials: H
authors.lastname: Fenta
authors.forename: Sandra
authors.initials: S
authors.lastname: Gardner
authors.forename: Hayley
authors.initials: H
authors.lastname: Hamilton
authors.forename: Trevor A
authors.initials: TA
authors.lastname: Hart
authors.forename: Alan
authors.initials: A
authors.lastname: Li
authors.forename: Samuel
authors.initials: S
authors.lastname: Noh
authors.forename: Sean B
authors.initials: SB
authors.lastname: Rourke
mesh_terms: D000069:Acculturation; D000223:Adaptation, Psychological; D003863:Depression / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology*; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology*; D006295:Health Resources / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D011594:Psychometrics; D012044:Regression Analysis; D012944:Social Support; D013315:Stress, Psychological / Q000150:complications* / Q000453:epidemiology / Q000523:psychology