Depressive Symptoms Mediate the Effect of HIV-Related Stigmatization on Medication Adherence Among HIV-Infected Men Who Have Sex with Men

被引:0
作者
Luke D. Mitzel
Peter A. Vanable
Jennifer L. Brown
Rebecca A. Bostwick
Shannon M. Sweeney
Michael P. Carey
机构
[1] Syracuse University,Department of Psychology
[2] Texas Tech University,Department of Psychological Sciences
[3] Syracuse University,Lerner Center for Public Health Promotion
[4] The Miriam Hospital and Brown University,Centers for Behavioral and Preventive Medicine
来源
AIDS and Behavior | 2015年 / 19卷
关键词
Stigma; Medication adherence; Depressive symptoms; MSM; HIV;
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摘要
This study tested the hypothesis that depressive symptoms would mediate the association of HIV-related stigma to medication adherence. We recruited HIV-infected men who have sex with men (MSM; N = 66; 66 % White, 23 % African-American) from an outpatient infectious disease clinic, and asked them to complete self-report measures. Mediational analyses showed that depressive symptoms fully mediated the association between HIV-related stigma and adherence. That is, stigma-related experiences were positively associated with depressive symptoms and negatively associated with adherence, and, in the final model, depressive symptoms remained a significant correlate of adherence while stigma did not. A test of the indirect effect of stigma on adherence through depressive symptoms was also significant (unstandardized b = −0.19; bootstrap 95 % CI −0.45 to −0.01). These results highlight the importance of treating depressive symptoms in interventions aiming to improve medication adherence among HIV-infected MSM.
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页码:1454 / 1459
页数:5
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