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Introduction: People living with HIV (PLHIV) are a high-risk group for depression. In particular, the prevalence and burden of depression is higher and more severe among PLHIV in developing and less-developed countries. There is evidence that perceived social support has a positive impact on reducing the occurrence of depression, and high stigma and low adherence self-efficacy are barriers to the effectiveness of social support for depressed PLHIV. However, how these risks affect the effect of social support on depression still needs further identification.

Methods: Between 2017 and 2018, a total of 1139 Chinese PLHIV (74.36% male, mean age = 43.91 years) from three provinces (Shanghai, Zhejiang and Henan) in China were enrolled in the study. Data were analyzed by multiple regression, mediation model, and moderation model.

Results: A total of 43.99% of PLHIV had mild to severe depression. There was a significant negative association between perceived social support and depression (B = -0.049, P < 0.05). Stigma and adherence self-efficacy played a chain mediating role (B = -0.058, 95% CI: -0.078 ~ 0.039) and a moderating role in the effect of perceived social support on depression (stigma: B = -0.003, P < 0.05; adherence self-efficacy: B = 0.004, P < 0.05).

Conclusion: Stigma and adherence self-efficacy indirectly predicted depression, and perceived social support was more effective in reducing depression among PLHIV with high stigma or low adherence self-efficacy. Enhancing multiple social support resources for PLHIV may reduce their risk of depression. Moreover, the need for social support is greater for those with high stigma or low adherence self-efficacy.

Titel:	Perceived social support and depression among people living with HIV in China: roles of stigma and adherence self-efficacy.
Autor/in / Beteiligte Person:	Wang, P ; Xiong, J ; Zheng, J ; Chai, C ; Wang, Y
Link:	Full Text Finder (Volltext)
Zeitschrift:	BMC psychiatry, Jg. 23 (2023-07-26), Heft 1, S. 544
Veröffentlichung:	London : BioMed Central, [2001-, 2023
Medientyp:	academicJournal
ISSN:	1471-244X (electronic)
DOI:	10.1186/s12888-023-04997-1
Schlagwort:	Humans Male Adult Female Self Efficacy China epidemiology Social Stigma Social Support Depression epidemiology HIV Infections complications HIV Infections epidemiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [BMC Psychiatry] 2023 Jul 26; Vol. 23 (1), pp. 544. <i>Date of Electronic Publication: </i>2023 Jul 26. MeSH Terms: Depression* / epidemiology ; HIV Infections* / complications ; HIV Infections* / epidemiology ; Humans ; Male ; Adult ; Female ; Self Efficacy ; China / epidemiology ; Social Stigma ; Social Support References: Aust N Z J Psychiatry. 2005 Sep;39(9):826-32. (PMID: 16168041) ; Int J Environ Res Public Health. 2021 Dec 11;18(24):. (PMID: 34948690) ; J Affect Disord. 2006 Aug;94(1-3):269-75. (PMID: 16764941) ; BMC Psychiatry. 2018 May 31;18(1):160. (PMID: 29855289) ; AIDS Care. 2017 Dec;29(12):1524-1528. (PMID: 28508665) ; AIDS Behav. 2017 Jan;21(1):292-299. (PMID: 27376900) ; Int J Infect Dis. 2014 Nov;28:147-52. (PMID: 25281441) ; Res Nurs Health. 2001 Dec;24(6):518-29. (PMID: 11746080) ; J Behav Med. 2007 Oct;30(5):359-70. (PMID: 17588200) ; J Assoc Nurses AIDS Care. 2010 Mar-Apr;21(2):144-52. (PMID: 19879778) ; J Nurs Scholarsh. 2012 Dec;44(4):403-10. (PMID: 23121723) ; Int J Ment Health Syst. 2022 Mar 4;16(1):17. (PMID: 35246211) ; AIDS Patient Care STDS. 2008 May;22(5):423-36. (PMID: 18373417) ; Eur J Psychotraumatol. 2021 Nov 25;12(1):1990527. (PMID: 34868481) ; Ann Behav Med. 2014 Aug;48(1):26-37. (PMID: 24500077) ; JAMA Psychiatry. 2018 Apr 1;75(4):379-385. (PMID: 29466531) ; BMJ Support Palliat Care. 2019 Dec;9(4):404-412. (PMID: 31537580) ; J Acquir Immune Defic Syndr. 2020 Apr 1;83(4):340-344. (PMID: 32097193) ; AIDS Patient Care STDS. 2021 Mar;35(3):75-83. (PMID: 33689457) ; Curr Psychiatry Rep. 2008 Jun;10(3):280-5. (PMID: 18652798) ; AIDS Behav. 2019 Aug;23(8):2037-2047. (PMID: 30535731) ; AIDS Behav. 2020 Jun;24(6):1752-1764. (PMID: 31720956) ; AIDS Patient Care STDS. 2020 Nov;34(11):491-497. (PMID: 33147084) ; J Glob Health. 2017 Dec;7(2):020403. (PMID: 29302315) ; AIDS Care. 2009 Aug;21(8):1007-13. (PMID: 20024757) ; Int J STD AIDS. 2017 Jul;28(8):829-837. (PMID: 27733706) ; Health Psychol. 1993 May;12(3):215-9. (PMID: 8500451) ; Int J STD AIDS. 2017 Oct;28(12):1247-1254. (PMID: 28632477) ; AIDS Care. 2014;26(8):996-1003. (PMID: 24423628) ; Int J Ment Health Syst. 2022 Jun 13;16(1):27. (PMID: 35698153) ; J Pers Assess. 1990 Winter;55(3-4):610-7. (PMID: 2280326) ; Psychol Assess. 2015 Jun;27(2):457-66. (PMID: 25419643) ; Health Psychol. 2016 Oct;35(10):1126-1134. (PMID: 27089459) ; AIDS Behav. 2017 Jan;21(1):274-282. (PMID: 27052843) Contributed Indexing: Keywords: Adherence self-efficacy; Depression; People living with HIV; Perceived social support; Stigma Entry Date(s): Date Created: 20230726 Date Completed: 20230728 Latest Revision: 20230729 Update Code: 20231215 PubMed Central ID: PMC10373273

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Perceived social support and depression among people living with HIV in China: roles of stigma and adherence self-efficacy.