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AIDS Behav. 2018 Dec;22(12):3869-3878. doi: 10.1007/s10461-018-2164-8.

Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States.

Author information

1
Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, San Francisco General Hospital, University of California, San Francisco (UCSF), 995 Potrero Avenue, Bldg 80, Ward 84, Campus Box 0874, San Francisco, CA, 94110, USA. Kartika.Palar@ucsf.edu.
2
Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA.
3
Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, San Francisco General Hospital, University of California, San Francisco (UCSF), 995 Potrero Avenue, Bldg 80, Ward 84, Campus Box 0874, San Francisco, CA, 94110, USA.
4
Department of Community Health Sciences, School of Public Health, State University of New York Downstate Medical Center, Brooklyn, NY, USA.
5
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
6
Department of Family Medicine, Georgetown University Medical Center, Washington, DC, USA.
7
Department of Medicine, Stroger Hospital, Chicago, IL, USA.
8
Bloomberg School of Public Health, Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA.
9
School of Medicine and UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
10
School of Medicine, Emory University, Atlanta, GA, USA.
11
Grady Healthcare System, Atlanta, GA, USA.
12
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
13
Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
14
Medical Service, Department of Veteran Affairs Medical Center, San Francisco, CA, USA.
15
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
16
Center for AIDS Prevention Studies, UCSF, San Francisco, CA, USA.

Abstract

Food insecurity, internalized HIV stigma, and depressive symptoms are independently associated with poor HIV outcomes. Food insecurity, stigma, and depression may be interrelated among women living with HIV (WLHIV). We hypothesized that food insecurity would be independently associated with internalized stigma and depressive symptoms among WLHIV in the United States (US), and would partially account for associations between stigma and depressive symptoms. We tested hypotheses using regression models and partial correlation analysis with cross-sectional data among 1317 WLHIV from the Women's Interagency HIV Study. In adjusted models, greater food insecurity was associated with internalized HIV stigma and depressive symptoms (all pā€‰<ā€‰0.05), exhibiting dose-response relationships. Food insecurity accounted for 23.2% of the total shared variance between depressive symptoms and internalized stigma. Food insecurity is associated with depressive symptoms and internalized HIV stigma among US WLHIV, and may play a role in the negative cycle of depression and internalized stigma.

KEYWORDS:

Depression; Food insecurity; HIV; Internalized stigma; United States; Women

PMID:
29948333
PMCID:
PMC6209540
[Available on 2019-12-01]
DOI:
10.1007/s10461-018-2164-8
[Indexed for MEDLINE]

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