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

doi:10.1007/s10461-020-02919-w

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

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	3482-3490
Number of pages	9
Journal	AIDS and behavior
Volume	24
Issue number	12
DOIs	https://doi.org/10.1007/s10461-020-02919-w
State	Published - Dec 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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10.1007/s10461-020-02919-w

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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. (2020). Internalized HIV Stigma and Pain among Women with HIV in the United States: The Mediating Role of Depressive Symptoms. AIDS and behavior, 24(12), 3482-3490. https://doi.org/10.1007/s10461-020-02919-w

Crockett, KB, Esensoy, TA, Johnson, MO, Neilands, TB, Kempf, MC, Konkle-Parker, D, Wingood, G, Tien, PC, Cohen, M, Wilson, TE, Logie, CH, Sosanya, O, Plankey, M, Golub, E, Adimora, AA, Parish, C, D. Weiser, S, Turan, JM & Turan, B 2020, 'Internalized HIV Stigma and Pain among Women with HIV in the United States: The Mediating Role of Depressive Symptoms', AIDS and behavior, vol. 24, no. 12, pp. 3482-3490. https://doi.org/10.1007/s10461-020-02919-w

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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{\textquoteright}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.",

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AU - Kempf, Mirjam Colette

AU - Konkle-Parker, Deborah

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AU - Wilson, Tracey E.

AU - Logie, Carmen H.

AU - Sosanya, Oluwakemi

AU - Plankey, Michael

AU - Golub, Elizabeth

AU - Adimora, Adaora A.

AU - Parish, Carrigan

AU - D. Weiser, Sheri

AU - Turan, Janet M.

AU - Turan, Bulent

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AB - 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.

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

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Keywords

ASJC Scopus subject areas

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