Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi.

Autor: Mpinga K; Partners In Health, Neno, Malawi., Lee SD; Healthcare Delivery, RAND Corporation, Washington, DC, USA., Mwale O; Partners In Health, Neno, Malawi., Kamwiyo M; Partners In Health, Neno, Malawi., Nyirongo R; Partners In Health, Neno, Malawi., Ruderman T; Partners In Health, Neno, Malawi., Connolly E; Partners In Health, Neno, Malawi., Kayira W; Partners In Health, Neno, Malawi., Munyaneza F; Partners In Health, Neno, Malawi., Matanje B; Partners In Health, Neno, Malawi., Kachimanga C; Partners In Health, Neno, Malawi., Zaniku HR; College of Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi.; Ministry of Health, Neno District Office, Neno, Malawi., Kulisewa K; College of Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi., Udedi M; Clinical Services, Ministry of Health, Lilongwe, Malawi., Wagner G; Healthcare Delivery, RAND Corporation, Washington, DC, USA., McBain R; Healthcare Delivery, RAND Corporation, Washington, DC, USA.
Jazyk: angličtina
Zdroj: AIDS care [AIDS Care] 2023 Nov; Vol. 35 (11), pp. 1775-1785. Date of Electronic Publication: 2023 Mar 31.
DOI: 10.1080/09540121.2023.2195609
Abstrakt: Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: more than half of respondents (54%) endorsed negative perceptions associated with each health condition. Internalized HIV-related stigma was higher among those with no education ( p  = 0.04), younger adults ( p  = 0.03), and those with less social support ( p  = 0.001). Mental illness-related stigma was elevated among those with no source of income ( p  = 0.001), and it was also strongly associated with HIV-related stigma ( p  < 0.001). Our findings highlight potential avenues for reducing internalized stigma associated with high-prevalence health conditions in Malawi. Trial registration: ClinicalTrials.gov identifier: NCT04777006.
Databáze: MEDLINE
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