Internalized HIV Stigma and Pain among Women with HIV in the United States: The Mediating Role of Depressive Symptoms

Kaylee B. Crockett, T. Alinea Esensoy, Mallory O. Johnson, Torsten B. Neilands, Mirjam Colette Kempf, Deborah Konkle-Parker, Gina Wingood, Phyllis C. Tien, Mardge Cohen, Tracey E. Wilson, Carmen H. Logie, Oluwakemi Sosanya, Michael Plankey, Elizabeth Golub, Adaora A. Adimora, Carrigan Parish, Sheri D. Weiser, Janet M. Turan, Bulent Turan

Research output: Contribution to journalArticle

Abstract

Pain is common in women with HIV, though little research has focused on psychosocial experiences contributing to pain in this population. In the present study we examined whether internalized HIV stigma predicts pain, and whether depressive symptoms mediate this relationship among women with HIV. Data were drawn from the Women’s Interagency HIV Study (WIHS), for 1,364 women with HIV who completed three study visits between 2015 and 2016. We used a sequential longitudinal design to assess the relationship between internalized HIV stigma at time 1 on pain at time 3 through depressive symptoms at time 2. Analyses revealed internalized HIV stigma was prospectively associated with greater pain, B = 5.30, 95% CI [2.84, 7.60]. The indirect effect through depressive symptoms supported mediation, B = 3.68, 95% CI [2.69, 4.79]. Depression is a modifiable risk factor that can be addressed to improve pain prevention and intervention for women with HIV.

Original languageEnglish (US)
JournalAIDS and behavior
DOIs
StateAccepted/In press - 2020

Keywords

  • Depression
  • HIV
  • Internalized stigma
  • Pain
  • WIHS
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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  • Cite this

    Crockett, K. B., Esensoy, T. A., Johnson, M. O., Neilands, T. B., Kempf, M. C., Konkle-Parker, D., Wingood, G., Tien, P. C., Cohen, M., Wilson, T. E., Logie, C. H., Sosanya, O., Plankey, M., Golub, E., Adimora, A. A., Parish, C., D. Weiser, S., Turan, J. M., & Turan, B. (Accepted/In press). Internalized HIV Stigma and Pain among Women with HIV in the United States: The Mediating Role of Depressive Symptoms. AIDS and behavior. https://doi.org/10.1007/s10461-020-02919-w