Mastery Moderates the Negative Effect of Stigma on Depressive Symptoms in People Living with HIV

被引:0
作者
Sergio Rueda
Katherine Gibson
Sean B. Rourke
Tsegaye Bekele
Sandra Gardner
John Cairney
机构
[1] The Ontario HIV Treatment Network (OHTN),Department of Health Policy, Management and Evaluation
[2] University of Toronto,Faculty of Medicine
[3] University of Calgary,Department of Psychiatry
[4] University of Toronto,Centre for Research on Inner City Health and The Keenan Research Centre in the Li Ka Shing Knowledge Institute
[5] St. Michael’s Hospital,Dalla Lana School of Public Health
[6] University of Toronto,Department of Family Medicine and Department of Psychiatry & Behavioural Neurosciences
[7] McMaster University,undefined
来源
AIDS and Behavior | 2012年 / 16卷
关键词
HIV; Depressive symptoms; Stigma; Mastery; Social support; Cross-sectional study;
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中图分类号
学科分类号
摘要
Stigma continues to have a negative effect on the care, treatment, and support of people living with HIV. This study presents baseline data from 825 participants taking part in a cohort study that collects data on the clinical profile and social determinants of health of people with HIV. We performed multivariate regression analysis to evaluate whether mastery and social support moderated the negative effect of stigma on depressive symptoms. Stigma was associated with depressive symptoms after controlling for potential demographic and clinical confounders. In addition, higher levels of mastery and social support were associated with lower levels of depression. However, only mastery moderated the negative effects of stigma on depressive symptoms. For individuals with high levels of mastery, greater exposure to stigma does not translate into greater distress. Interventions targeting the mental health concerns of people with HIV should increase their focus on improving people’ sense of personal control.
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页码:690 / 699
页数:9
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