TY - JOUR
T1 - Religiosity, Social Support, and Ethnic Identity
T2 - Exploring "resilience Resources" for African-American Women Experiencing HIV-Related Stigma
AU - Lipira, Lauren
AU - Williams, Emily C.
AU - Nevin, Paul E.
AU - Kemp, Christopher G.
AU - Cohn, Susan E.
AU - Turan, Janet M.
AU - Simoni, Jane M.
AU - Andrasik, Michele P.
AU - French, Audrey L.
AU - Unger, Joseph M.
AU - Heagerty, Patrick
AU - Rao, Deepa
N1 - Funding Information:
Supported by the National Institute of Mental Health (NIMH) under grant R01-MH98675 (PI: D.R.) with additional support from Ms. Lipira’s Agency for Healthcare Research and Quality Health Services Training Award (T32 HS013853-13) and Dr. Williams’ VA Health Services Research & Development Career Development Award (CDA 12-276).
Publisher Copyright:
© 2019 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - Introduction:African-American women living with HIV report substantial HIV-related stigma and depression. Resilience resources are strength-based resources that may moderate the effects of HIV-related stigma on poor psychosocial outcomes such as depression.Objective:To evaluate whether religiosity, social support, and ethnic identity moderate the effects of HIV-related stigma on depression among African-American women living with HIV.Methods:We used baseline data (May 2013-October 2015) from a randomized controlled trial testing the efficacy of an HIV-related stigma-reduction intervention among African-American women living with HIV in Chicago, IL, and Birmingham, AL, who were older than 18 years and currently receiving HIV services. To assess whether religiosity (7-item Religious Beliefs and Behaviors survey), social support (select subscales from the Medical Outcomes Study Social Support Survey), and ethnic identity (Commitment subscale from the Multigroup Ethnic Identity Measure) modified the relationship between HIV-related stigma (Stigma Scale for Chronic Illness) and depression (8-item Patient Health Questionnaire), we conducted 3 separate moderation analyses using linear regression with interactions between HIV-related stigma and each moderator of interest, adjusted for study site, age, time since diagnosis, and education.Results:Among 226 African-American women living with HIV, greater levels of HIV-related stigma were associated with greater depression in all 3 models (P < 0.05). Only religiosity modified this association (P = 0.04), with a weaker association among women reporting higher levels of religiosity.Conclusions:The protective effects of religiosity may be leveraged in interventions for African-American women living with HIV struggling with HIV-related stigma.
AB - Introduction:African-American women living with HIV report substantial HIV-related stigma and depression. Resilience resources are strength-based resources that may moderate the effects of HIV-related stigma on poor psychosocial outcomes such as depression.Objective:To evaluate whether religiosity, social support, and ethnic identity moderate the effects of HIV-related stigma on depression among African-American women living with HIV.Methods:We used baseline data (May 2013-October 2015) from a randomized controlled trial testing the efficacy of an HIV-related stigma-reduction intervention among African-American women living with HIV in Chicago, IL, and Birmingham, AL, who were older than 18 years and currently receiving HIV services. To assess whether religiosity (7-item Religious Beliefs and Behaviors survey), social support (select subscales from the Medical Outcomes Study Social Support Survey), and ethnic identity (Commitment subscale from the Multigroup Ethnic Identity Measure) modified the relationship between HIV-related stigma (Stigma Scale for Chronic Illness) and depression (8-item Patient Health Questionnaire), we conducted 3 separate moderation analyses using linear regression with interactions between HIV-related stigma and each moderator of interest, adjusted for study site, age, time since diagnosis, and education.Results:Among 226 African-American women living with HIV, greater levels of HIV-related stigma were associated with greater depression in all 3 models (P < 0.05). Only religiosity modified this association (P = 0.04), with a weaker association among women reporting higher levels of religiosity.Conclusions:The protective effects of religiosity may be leveraged in interventions for African-American women living with HIV struggling with HIV-related stigma.
KW - African-American women
KW - HIV-related stigma
KW - depression
KW - ethnic identity
KW - religiosity
KW - social support
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U2 - 10.1097/QAI.0000000000002006
DO - 10.1097/QAI.0000000000002006
M3 - Article
C2 - 30865171
AN - SCOPUS:85066163851
VL - 81
SP - 175
EP - 183
JO - Journal of Acquired Immune Deficiency Syndromes
JF - Journal of Acquired Immune Deficiency Syndromes
SN - 1525-4135
IS - 2
ER -