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. 2020 Jan 20;7(1):2055102919897384.
doi: 10.1177/2055102919897384. eCollection 2020 Jan-Jun.

Exploring pathways from violence and HIV disclosure without consent to depression, social support, and HIV medication self-efficacy among women living with HIV in Metro Vancouver, Canada

Kathleen N Deering  1   2 , Melissa Braschel  1 , Carmen Logie  3 , Flo Ranville  1 , Andrea Krüsi  1   2 , Putu Duff  1   2 , Kate Shannon  1   2
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Exploring pathways from violence and HIV disclosure without consent to depression, social support, and HIV medication self-efficacy among women living with HIV in Metro Vancouver, Canada

Kathleen N Deering et al. Health Psychol Open. .

Abstract

We used path analysis to investigate complex pathways from HIV status disclosure without consent, physical/verbal violence and depression, social support, and HIV medication self-efficacy through mediators of HIV stigma among women living with HIV in Canada. In the final model, internalized stigma fully mediated the relationship between physical/verbal violence and reduced medication self-efficacy. Enacted stigma fully mediated the relationship between HIV status disclosure without consent and depression. Internalized stigma (β = 0.252; p < 0.001) had a significant negative direct effect on medication self-efficacy. Enacted stigma had a significant direct effect on depression (β = 0.162; p = 0.037). Findings will help improve services and interventions to promote quality of life and well-being of women living with HIV.

Keywords: HIV; adherence; self-efficacy; social support; stigma; women’s health.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(a) Initial path diagram with hypothesized pathways. (b) Final path diagram including only pathways for relationships that were significant on a p < 0.05 level, with standardized coefficients and standard errors (parentheses).
See this image and copyright information in PMC

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