Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States

被引：0
作者：
Kartika Palar
Edward A. Frongillo
Jessica Escobar
Lila A. Sheira
Tracey E. Wilson
Adebola Adedimeji
Daniel Merenstein
Mardge H. Cohen
Eryka L. Wentz
Adaora A. Adimora
Ighovwerha Ofotokun
Lisa Metsch
Phyllis C. Tien
Janet M. Turan
Sheri D. Weiser
机构：
[1] University of California,Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, San Francisco General Hospital
[2] San Francisco (UCSF),Department of Health Promotion, Education, and Behavior
[3] University of South Carolina,Department of Community Health Sciences, School of Public Health
[4] State University of New York Downstate Medical Center,Department of Epidemiology and Population Health
[5] Albert Einstein College of Medicine,Department of Family Medicine
[6] Georgetown University Medical Center,Department of Medicine
[7] Stroger Hospital,Bloomberg School of Public Health, Department of Epidemiology
[8] Johns Hopkins University,School of Medicine and UNC Gillings School of Global Public Health
[9] University of North Carolina at Chapel Hill,School of Medicine
[10] Emory University,Department of Sociomedical Sciences, Mailman School of Public Health
[11] Grady Healthcare System,Department of Medicine
[12] Columbia University,Medical Service
[13] University of California,Department of Health Care Organization and Policy, School of Public Health
[14] San Francisco,undefined
[15] Department of Veteran Affairs Medical Center,undefined
[16] University of Alabama at Birmingham,undefined
[17] Center for AIDS Prevention Studies,undefined
[18] UCSF,undefined
来源：
AIDS and Behavior | 2018年 / 22卷
关键词：
Food insecurity; Internalized stigma; Women; United States; Depression; HIV;
D O I：
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学科分类号：
摘要：
Food insecurity, internalized HIV stigma, and depressive symptoms are independently associated with poor HIV outcomes. Food insecurity, stigma, and depression may be interrelated among women living with HIV (WLHIV). We hypothesized that food insecurity would be independently associated with internalized stigma and depressive symptoms among WLHIV in the United States (US), and would partially account for associations between stigma and depressive symptoms. We tested hypotheses using regression models and partial correlation analysis with cross-sectional data among 1317 WLHIV from the Women’s Interagency HIV Study. In adjusted models, greater food insecurity was associated with internalized HIV stigma and depressive symptoms (all p < 0.05), exhibiting dose–response relationships. Food insecurity accounted for 23.2% of the total shared variance between depressive symptoms and internalized stigma. Food insecurity is associated with depressive symptoms and internalized HIV stigma among US WLHIV, and may play a role in the negative cycle of depression and internalized stigma.
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页码：3869 / 3878
页数：9
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