This cross-sectional study examined the relationships between social support, HIV-related stigma, HIV-disclosure, and depression among 340 rural HIV-positive African-American women living in the Southeastern United States. Two aspects of HIV-related stigma (perceived stigma and internalized stigma), HIV-disclosure, and three aspects of social support (types of support, sources of available support, and satisfaction with support) were measured. Perceived stigma (p<0.0001), internalized stigma (p<0.0001), perceived social support (p<0.0001), available support (p=0.03), satisfaction with support (p=0.003), and HIV-disclosure (p=0.05) were significantly correlated with depression. HIV-disclosure and the social support variables were negatively correlated with depression whereas the stigma variables were positively correlated with depression. HIV-related perceived stigma and internalized stigma were found to mediate the effect of available social support on depression. Perceived social support and satisfaction with support were found to mediate the effect of HIV-disclosure on depression. The study findings have implications for designing, implementing, and testing interventions to increase social support and rates of disclosure of HIV-positive status, and decrease HIV-related stigma. This, in long run, may decrease depression while improving the quality of life among rural African-American women with HIV disease.
|Advisor:||Corwin, Sara J.|
|Commitee:||Annang, Lucy, Moneyham, Linda, Saunders, Ruth|
|School:||University of South Carolina|
|Department:||Health Prom Edu & Bhv|
|School Location:||United States -- South Carolina|
|Source:||DAI-B 69/11, Dissertation Abstracts International|
|Subjects:||Black studies, Mental health, Public health|
|Keywords:||African-American, Depression, Disclosure, HIV, Rural, Social support, Stigma|
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