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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2014

01-08-2014 | Original Article

The Dynamic Relationship Between Social Support and HIV-Related Stigma in Rural Uganda

Authors: Sae Takada, Ph.D., M.H.S., Sheri D. Weiser, M.D., M.A., M.P.H., Elias Kumbakumba, M.D., Conrad Muzoora, M.D., Jeffrey N. Martin, M.D., M.P.H., Peter W. Hunt, M.D., Jessica E. Haberer, M.D., M.S., Annet Kawuma, M.D., David R. Bangsberg, M.D., M.P.H., Alexander C. Tsai, M.D., Ph.D.

Published in: Annals of Behavioral Medicine | Issue 1/2014

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Abstract

Background

Cross-sectional studies show that human immunodeficiency virus (HIV) stigma is negatively correlated with social support.

Purpose

The purpose of this study is to examine the bidirectional relationship between social support and HIV stigma.

Methods

We collected quarterly data from a cohort of 422 people living with HIV in Uganda, followed for a median of 2.1 years. We used multilevel regression to model the contemporaneous and 3-month-lagged associations between social support and both enacted and internalized stigma.

Results

Lagged enacted stigma was negatively correlated with emotional and instrumental social support, and lagged instrumental social support was negatively correlated with enacted stigma. Internalized stigma and emotional social support had reciprocal lagged associations.

Conclusions

Interventions to reduce enacted stigma may strengthen social support for people living with HIV. Improved social support may in turn have a protective influence against future enacted and internalized stigma.
Appendix
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Metadata
Title
The Dynamic Relationship Between Social Support and HIV-Related Stigma in Rural Uganda
Authors
Sae Takada, Ph.D., M.H.S.
Sheri D. Weiser, M.D., M.A., M.P.H.
Elias Kumbakumba, M.D.
Conrad Muzoora, M.D.
Jeffrey N. Martin, M.D., M.P.H.
Peter W. Hunt, M.D.
Jessica E. Haberer, M.D., M.S.
Annet Kawuma, M.D.
David R. Bangsberg, M.D., M.P.H.
Alexander C. Tsai, M.D., Ph.D.
Publication date
01-08-2014
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 1/2014
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-013-9576-5

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