Title |
Depressive Symptoms Mediate the Effect of HIV-Related Stigmatization on Medication Adherence Among HIV-Infected Men Who Have Sex with Men
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Published in |
AIDS and Behavior, March 2015
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DOI | 10.1007/s10461-015-1038-6 |
Pubmed ID | |
Authors |
Luke D. Mitzel, Peter A. Vanable, Jennifer L. Brown, Rebecca A. Bostwick, Shannon M. Sweeney, Michael P. Carey |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Canada | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 100 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 17 | 17% |
Researcher | 14 | 14% |
Student > Master | 13 | 13% |
Student > Bachelor | 10 | 10% |
Student > Doctoral Student | 7 | 7% |
Other | 17 | 17% |
Unknown | 22 | 22% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 21 | 21% |
Social Sciences | 15 | 15% |
Nursing and Health Professions | 14 | 14% |
Psychology | 14 | 14% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 3% |
Other | 6 | 6% |
Unknown | 27 | 27% |