Exploring pathways from violence and HIV disclosure without consent to depression, social support, and HIV medication self-efficacy among women living with HIV in Metro Vancouver, Canada.

IF 1.7 Q3 PSYCHOLOGY, CLINICAL Health Psychology Open Pub Date : 2020-01-20 eCollection Date: 2020-01-01 DOI:10.1177/2055102919897384

Kathleen N Deering, Melissa Braschel, Carmen Logie, Flo Ranville, Andrea Krüsi, Putu Duff, Kate Shannon

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Abstract

We used path analysis to investigate complex pathways from HIV status disclosure without consent, physical/verbal violence and depression, social support, and HIV medication self-efficacy through mediators of HIV stigma among women living with HIV in Canada. In the final model, internalized stigma fully mediated the relationship between physical/verbal violence and reduced medication self-efficacy. Enacted stigma fully mediated the relationship between HIV status disclosure without consent and depression. Internalized stigma (β = 0.252; p < 0.001) had a significant negative direct effect on medication self-efficacy. Enacted stigma had a significant direct effect on depression (β = 0.162; p = 0.037). Findings will help improve services and interventions to promote quality of life and well-being of women living with HIV.

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探索加拿大大温哥华地区女性艾滋病感染者从暴力和未经同意披露艾滋病信息到抑郁、社会支持和艾滋病药物治疗自我效能的途径。

我们利用路径分析研究了加拿大女性艾滋病感染者在未经同意的情况下披露艾滋病病毒感染状况、身体/语言暴力和抑郁、社会支持以及艾滋病药物治疗自我效能之间的复杂路径。在最终模型中，内化的污名化完全介导了身体/言语暴力与药物治疗自我效能下降之间的关系。已实施的污名化完全调节了未经同意披露艾滋病病毒感染者身份与抑郁之间的关系。内化成见（β = 0.252; p p = 0.037）。研究结果将有助于改善服务和干预措施，提高感染艾滋病毒妇女的生活质量和福祉。

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来源期刊

Health Psychology Open Psychology-Clinical Psychology

CiteScore

5.90

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Health Psychology Open (HPO) is an international, peer-reviewed, open access, online-only journal providing rapid publication. HPO is dedicated to publishing cutting-edge research in health psychology from around the world. HPO seeks to provide a platform for both traditional empirical analyses and more qualitative and/or critically oriented approaches to health psychology. All areas of health psychology are covered, but these topics are of particular interest: Clinical health psychology Critical health psychology Community health psychology Health psychology practice Health psychology through a social, cultural or regional lens The journal particularly favours papers that focus on health psychology in practice, including submissions concerning community and/or clinical applications and interventions. Review articles are also welcomed. There is no fixed limit to the length of manuscripts, which is normally strictly limited in other journals, for example HPO’s sister journal, Journal of Health Psychology (JHP). Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.