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

AIDS Behav

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.

Published: December 2018

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 p < 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209540PMC
http://dx.doi.org/10.1007/s10461-018-2164-8DOI Listing

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