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Dissertation/Thesis Abstract

The relationships between depression and HIV-related stigma, disclosure of HIV-positive status, and social support among African -American women with HIV disease living in the rural southeastern United States
by Vyavaharkar, Medha, Ph.D., University of South Carolina, 2008, 173; 3336703
Abstract (Summary)

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.

Indexing (document details)
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, African American Studies
Keywords: African-American, Depression, Disclosure, HIV, Rural, Social support, Stigma
Publication Number: 3336703
ISBN: 978-0-549-90429-8
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