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. |
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| 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] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| 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] |
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| ISSN: | 09540121 |
| DOI: | 10.1080/09540121.2023.2195609 |
