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 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

doi:10.1007/s10461-018-2164-8

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 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

Epidemiology & Population Health

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

43 Scopus citations

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 language	English (US)
Pages (from-to)	3869-3878
Number of pages	10
Journal	AIDS and Behavior
Volume	22
Issue number	12
DOIs	https://doi.org/10.1007/s10461-018-2164-8
State	Published - Jan 1 2018

Keywords

Depression
Food insecurity
HIV
Internalized stigma
United states
Women

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-018-2164-8

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Palar, K., Frongillo, E. A., Escobar, J., Sheira, L. A., Wilson, T. E., Adedimeji, A., Merenstein, D., Cohen, M. H., Wentz, E. L., Adimora, A. A., Ofotokun, I., Metsch, L., Tien, P. C., Turan, J. M., & Weiser, S. D. (2018). Food insecurity, internalized stigma, and depressive symptoms among women living with HIV in the United States. AIDS and Behavior, 22(12), 3869-3878. https://doi.org/10.1007/s10461-018-2164-8

Palar, K, Frongillo, EA, Escobar, J, Sheira, LA, Wilson, TE, Adedimeji, A, 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, vol. 22, no. 12, pp. 3869-3878. https://doi.org/10.1007/s10461-018-2164-8

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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{\textquoteright}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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AU - Wilson, Tracey E.

AU - Adedimeji, Adebola

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.

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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.

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Food insecurity, internalized stigma, and depressive symptoms among women living with HIV in the United States

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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