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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 6/2015

01-12-2015 | Original Article

Social Network Characteristics Moderate the Association Between Stigmatizing Attributions About HIV and Non-adherence Among Black Americans Living with HIV: a Longitudinal Assessment

Authors: Laura M. Bogart, PhD, Glenn J. Wagner, PhD, Harold D. Green Jr., PhD, Matt G. Mutchler, PhD, David J. Klein, MS, Bryce McDavitt, PhD

Published in: Annals of Behavioral Medicine | Issue 6/2015

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Abstract

Background

Stigma may contribute to HIV-related disparities among HIV-positive Black Americans.

Purpose

We examined whether social network characteristics moderate stigma’s effects.

Methods

At baseline and 6 months post-baseline, 147 HIV-positive Black Americans on antiretroviral treatment completed egocentric social network assessments, from which we derived a structural social support capacity measure (i.e., ability to leverage support from the network, represented by the average interaction frequency between the participant and each alter). Stigma was operationalized with an indicator of whether any social network member had expressed stigmatizing attributions of blame or responsibility about HIV. Daily medication adherence was monitored electronically.

Results

In a multivariate regression, baseline stigma was significantly related to decreased adherence over time. The association between stigma and non-adherence was attenuated among participants who increased the frequency of their interactions with alters over time.

Conclusions

Well-connected social networks have the potential to buffer the effects of stigma.
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Metadata
Title
Social Network Characteristics Moderate the Association Between Stigmatizing Attributions About HIV and Non-adherence Among Black Americans Living with HIV: a Longitudinal Assessment
Authors
Laura M. Bogart, PhD
Glenn J. Wagner, PhD
Harold D. Green Jr., PhD
Matt G. Mutchler, PhD
David J. Klein, MS
Bryce McDavitt, PhD
Publication date
01-12-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 6/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-015-9724-1

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