Depressive symptoms, HIV disclosure, and HIV-related stigma among migrant workers living with HIV in Chiang Mai, Thailand.

Autor: Aurpibul L; Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand., Tangmunkongvorakul A; Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand., Jirattikorn A; Faculty of Social Sciences, Chiang Mai University, Chiang Mai, Thailand., Ayuttacorn A; Faculty of Social Sciences, Chiang Mai University, Chiang Mai, Thailand., Musumari PM; Department of Global Health and Socio-epidemiology, Kyoto University School of Public Health, Kyoto, Japan., Srithanaviboonchai K; Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.; Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Jazyk: angličtina
Zdroj: AIDS care [AIDS Care] 2022 Dec; Vol. 34 (12), pp. 1565-1571. Date of Electronic Publication: 2022 May 22.
DOI: 10.1080/09540121.2022.2078770
Abstrakt: Currently migrant workers living with HIV (MWLHIV) in Thailand have access to antiretroviral treatment. We determined the frequency of depressive symptoms, HIV disclosure, and HIV-related stigma in this population. The cross-sectional study was conducted at 12 HIV clinics in community hospitals in Chiang Mai, Thailand. Data were collected from MWLHIV through face-to-face interviews. A 9-item Patient Health Questionnaire-9 (PHQ-9) and a Thai-validated HIV/AIDS stigma scales were used. A total of 316 MWLHIV participated; their median age was 39 years and 65% were female. Sixty (19%) had depressive symptoms, with higher frequency of depression in females (22.4% vs.12.6%, respectively; p  = .033). The overall HIV disclosure rate was 69.9%. Females were more likely than males to disclose HIV status to someone outside the clinic (72.2% vs. 65.8%, respectively; p  = .234). The most prevalent type of HIV-related stigma was internalized, followed by felt stigma. Enacted stigma had the lowest prevalence. Multiple linear regression revealed that being female ( β  = 0.125, p  = .029), enacted stigma ( β  = 0.152, p  = .011) and felt stigma ( β  = 0.248, p  < .001) were significantly associated with depressive scores. To ensure favorable HIV treatment outcomes, individual counseling, psychosocial support, and mental health screening should be integrated into HIV services.
Databáze: MEDLINE
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