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Journal of Community Health
Published in: Journal of Community Health 6/2018

01-12-2018 | Original Paper

Examining the Associations Between Immigration Status and Perceived Stress Among HIV-Infected and Uninfected Women

Authors: Yolene Gousse, Denise Bruno, Michael A. Joseph, Aimee Afable, Mardge H. Cohen, Kathleen M. Weber, Joel Milam, Rebecca M. Schwartz

Published in: Journal of Community Health | Issue 6/2018

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Abstract

Stress is associated with poor mental and physical health outcomes. In the United States (U.S.), little is known about perceived stress and associated factors among HIV-infected and immigrant women. Here, we examine these associations within a sample of 305 HIV-infected and uninfected, U.S.-born and non-U.S.-born women who were part of the Women’s Interagency HIV Study (WIHS) at three sites (New York, Chicago, and Los Angeles). Perceived stress was measured using the 10-item Perceived Stress Scale (PSS-10); HIV infection was serologically confirmed, and nativity status was self-reported. Bivariate and multivariable logistic regression were used to identify associations with perceived stress. The majority of participants were U.S.-born (232, 76.1%) and were HIV-infected (212, 68.5%). Mutlivariable analyses found the odds of perceived stress to be lower for those employed [adjusted odds ratio (AOR) = 0.31, 95% confidence interval (CI) = (0.15–0.63)], with high levels of social support (AOR = 0.45, 95% CI 0.26–0.79), and HIV-infected (AOR = 0.44, 95% CI 0.24–0.79). Perceived stress was positively associated with living in unstable housing (AOR = 2.54, 95% CI 1.17–5.51). Here, immigration status was not associated with perceived stress. We identified stress to be higher among women who were unemployed, unstably housed, or who had low social support. Community-based programs should tailor interventions to include stress reduction strategies for participants with identified risk factors to improve mental and physical health outcomes.
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Metadata
Title
Examining the Associations Between Immigration Status and Perceived Stress Among HIV-Infected and Uninfected Women
Authors
Yolene Gousse
Denise Bruno
Michael A. Joseph
Aimee Afable
Mardge H. Cohen
Kathleen M. Weber
Joel Milam
Rebecca M. Schwartz
Publication date
01-12-2018
Publisher
Springer US
Published in
Journal of Community Health / Issue 6/2018
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-018-0537-6

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