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Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi.

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Title: Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi.
Authors: Mpinga, Kondwani, Lee, Sarita D., Mwale, Owen, Kamwiyo, Myrrah, Nyirongo, Revelation, Ruderman, Todd, Connolly, Emilia, Kayira, Waste, Munyaneza, Fabien, Matanje, Beatrice, Kachimanga, Chiyembekezo, Zaniku, Haules Robbins, Kulisewa, Kazione, Udedi, Michael, Wagner, Glenn, McBain, Ryan
Source: AIDS Care. Nov2023, Vol. 35 Issue 11, p1775-1785. 11p.
Subjects: HIV infections, Social support, Rural conditions, Age distribution, Economic status, Social stigma, Attitudes toward illness, Mental depression, Disease prevalence, Research funding, Descriptive statistics, Comorbidity, Educational attainment, Psychosocial factors, Adults
Geographic Terms: Malawi
Abstract: Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: more than half of respondents (54%) endorsed negative perceptions associated with each health condition. Internalized HIV-related stigma was higher among those with no education (p = 0.04), younger adults (p = 0.03), and those with less social support (p = 0.001). Mental illness-related stigma was elevated among those with no source of income (p = 0.001), and it was also strongly associated with HIV-related stigma (p < 0.001). Our findings highlight potential avenues for reducing internalized stigma associated with high-prevalence health conditions in Malawi. Trial registration: ClinicalTrials.gov identifier: NCT04777006. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mpinga%2C+Kondwani%22&quot;&gt;Mpinga, Kondwani&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lee%2C+Sarita+D%2E%22&quot;&gt;Lee, Sarita D.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mwale%2C+Owen%22&quot;&gt;Mwale, Owen&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kamwiyo%2C+Myrrah%22&quot;&gt;Kamwiyo, Myrrah&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Nyirongo%2C+Revelation%22&quot;&gt;Nyirongo, Revelation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ruderman%2C+Todd%22&quot;&gt;Ruderman, Todd&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Connolly%2C+Emilia%22&quot;&gt;Connolly, Emilia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kayira%2C+Waste%22&quot;&gt;Kayira, Waste&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Munyaneza%2C+Fabien%22&quot;&gt;Munyaneza, Fabien&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Matanje%2C+Beatrice%22&quot;&gt;Matanje, Beatrice&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kachimanga%2C+Chiyembekezo%22&quot;&gt;Kachimanga, Chiyembekezo&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zaniku%2C+Haules+Robbins%22&quot;&gt;Zaniku, Haules Robbins&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kulisewa%2C+Kazione%22&quot;&gt;Kulisewa, Kazione&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Udedi%2C+Michael%22&quot;&gt;Udedi, Michael&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wagner%2C+Glenn%22&quot;&gt;Wagner, Glenn&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McBain%2C+Ryan%22&quot;&gt;McBain, Ryan&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Nov2023, Vol. 35 Issue 11, p1775-1785. 11p.
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  Data: Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: more than half of respondents (54%) endorsed negative perceptions associated with each health condition. Internalized HIV-related stigma was higher among those with no education (p = 0.04), younger adults (p = 0.03), and those with less social support (p = 0.001). Mental illness-related stigma was elevated among those with no source of income (p = 0.001), and it was also strongly associated with HIV-related stigma (p &lt; 0.001). Our findings highlight potential avenues for reducing internalized stigma associated with high-prevalence health conditions in Malawi. Trial registration: ClinicalTrials.gov identifier: NCT04777006. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=172806143
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2023.2195609
    Languages:
      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 1775
    Subjects:
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Economic status
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Attitudes toward illness
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Comorbidity
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      – SubjectFull: Educational attainment
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      – SubjectFull: Adults
        Type: general
      – SubjectFull: Malawi
        Type: general
    Titles:
      – TitleFull: Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi.
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