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

Kartika Palar, Edward A. Frongillo, Jessica Escobar, Lila A. Sheira, Tracey E. Wilson, Adebola A. Adedimeji, Daniel Merenstein, Mardge H. Cohen, Eryka L. Wentz, Adaora A. Adimora, Ighovwerha Ofotokun, Lisa Metsch, Phyllis C. Tien, Janet M. Turan, Sheri D. Weiser

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jun 8 2018

Fingerprint

Food Supply
HIV
Depression
Cross-Sectional Studies

Keywords

  • Depression
  • Food insecurity
  • HIV
  • Internalized stigma
  • United States
  • Women

ASJC Scopus subject areas

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

Cite this

Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States. / Palar, Kartika; Frongillo, Edward A.; Escobar, Jessica; Sheira, Lila A.; Wilson, Tracey E.; Adedimeji, Adebola A.; Merenstein, Daniel; Cohen, Mardge H.; Wentz, Eryka L.; Adimora, Adaora A.; Ofotokun, Ighovwerha; Metsch, Lisa; Tien, Phyllis C.; Turan, Janet M.; Weiser, Sheri D.

In: AIDS and Behavior, 08.06.2018, p. 1-10.

Research output: Contribution to journalArticle

Palar, K, Frongillo, EA, Escobar, J, Sheira, LA, Wilson, TE, Adedimeji, AA, Merenstein, D, Cohen, MH, Wentz, EL, Adimora, AA, Ofotokun, I, Metsch, L, Tien, PC, Turan, JM & Weiser, SD 2018, 'Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States', AIDS and Behavior, pp. 1-10. https://doi.org/10.1007/s10461-018-2164-8
Palar, Kartika ; Frongillo, Edward A. ; Escobar, Jessica ; Sheira, Lila A. ; Wilson, Tracey E. ; Adedimeji, Adebola A. ; Merenstein, Daniel ; Cohen, Mardge H. ; Wentz, Eryka L. ; Adimora, Adaora A. ; Ofotokun, Ighovwerha ; Metsch, Lisa ; Tien, Phyllis C. ; Turan, Janet M. ; Weiser, Sheri D. / Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States. In: AIDS and Behavior. 2018 ; pp. 1-10.
@article{4717d7608c8d4bfe872e4e5c1c1fab0d,
title = "Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States",
abstract = "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.",
keywords = "Depression, Food insecurity, HIV, Internalized stigma, United States, Women",
author = "Kartika Palar and Frongillo, {Edward A.} and Jessica Escobar and Sheira, {Lila A.} and Wilson, {Tracey E.} and Adedimeji, {Adebola A.} and Daniel Merenstein and Cohen, {Mardge H.} and Wentz, {Eryka L.} and Adimora, {Adaora A.} and Ighovwerha Ofotokun and Lisa Metsch and Tien, {Phyllis C.} and Turan, {Janet M.} and Weiser, {Sheri D.}",
year = "2018",
month = "6",
day = "8",
doi = "10.1007/s10461-018-2164-8",
language = "English (US)",
pages = "1--10",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",

}

TY - JOUR

T1 - Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States

AU - Palar, Kartika

AU - Frongillo, Edward A.

AU - Escobar, Jessica

AU - Sheira, Lila A.

AU - Wilson, Tracey E.

AU - Adedimeji, Adebola A.

AU - Merenstein, Daniel

AU - Cohen, Mardge H.

AU - Wentz, Eryka L.

AU - Adimora, Adaora A.

AU - Ofotokun, Ighovwerha

AU - Metsch, Lisa

AU - Tien, Phyllis C.

AU - Turan, Janet M.

AU - Weiser, Sheri D.

PY - 2018/6/8

Y1 - 2018/6/8

N2 - 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.

AB - 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.

KW - Depression

KW - Food insecurity

KW - HIV

KW - Internalized stigma

KW - United States

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=85048274050&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048274050&partnerID=8YFLogxK

U2 - 10.1007/s10461-018-2164-8

DO - 10.1007/s10461-018-2164-8

M3 - Article

C2 - 29948333

AN - SCOPUS:85048274050

SP - 1

EP - 10

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -