Skip to main content
Top
Published in: AIDS and Behavior 12/2018

01-12-2018 | Original Paper

Relationship Among HIV-Related Stigma, Mental Health and Quality of life for HIV-Positive Patients in Tehran

Authors: Mehrnaz Rasoolinajad, Nasrin Abedinia, Ahmad Ali Noorbala, Minoo Mohraz, Banafsheh Moradmand Badie, Abdulqader Hamad, Leyla Sahebi

Published in: AIDS and Behavior | Issue 12/2018

Login to get access

Abstract

People living with HIV/AIDS (PLHA) face several challenges in terms of the medical management of their disease. Alongside this are stigma, discrimination and psychosocial issues associated with HIV infection. In this study, the relationships associated with HIV-related stigma, mental health and quality of life for HIV-positive patients were investigated. This cross-sectional study examined a sample of 450 HIV positive patients from the Infectious Diseases and Behavioral Health Clinic of Imam Khomeini Hospital in the city of Tehran, Iran. PLWHA completed Socio-Demographic Characteristics, Berger Scale Stigma (BSS), General Health Questionnaire (GHQ-28), WHO Quality of life-BREF (WHOQOL-BREF) and Philips Social Support Appraisals (SSA). Stigma was significantly correlated with psychological variables, social support, and quality of life. A prevalence of psychiatric disorders was reported by 78.8%. Findings suggested that psychosocial interventions reduce HIV related stigma, address psychological disorders and build social support to improve quality of life for people living with HIV.
Literature
1.
go back to reference UNAIDS. Islamic Republic of Iran, AIDS Progress Report. UNAIDS, Tehran; 2015. UNAIDS. Islamic Republic of Iran, AIDS Progress Report. UNAIDS, Tehran; 2015.
3.
go back to reference Chan KY, Stoove MA, Sringernyuang L, Reidpath DD. Stigmatization of AIDS patients: disentangling Thai nursing students’ attitudes towards HIV/AIDS, drug use, and commercial sex. AIDS Behav. 2008;12(1):146–57.CrossRef Chan KY, Stoove MA, Sringernyuang L, Reidpath DD. Stigmatization of AIDS patients: disentangling Thai nursing students’ attitudes towards HIV/AIDS, drug use, and commercial sex. AIDS Behav. 2008;12(1):146–57.CrossRef
4.
go back to reference Valent SM. Depression and HIV disease. J Assoc Nurses AIDS Care. 2003;14:41–51.CrossRef Valent SM. Depression and HIV disease. J Assoc Nurses AIDS Care. 2003;14:41–51.CrossRef
5.
go back to reference Shakeri J, Parvizi Fard AA, Amin Zadeh S. Mental health HIV-positive patients who were referred to mental health counseling center Kermanshah in 2001. Bahbud Q J Kermanshah Univ Med Sci. 2008;10(1):31–9 (In Persian). Shakeri J, Parvizi Fard AA, Amin Zadeh S. Mental health HIV-positive patients who were referred to mental health counseling center Kermanshah in 2001. Bahbud Q J Kermanshah Univ Med Sci. 2008;10(1):31–9 (In Persian).
6.
go back to reference Sayyad B, Shakeri J, Hosseini M, Janbakhsh AR, Amini Javid F, Amydnyakan Z. Psychiatric disorders in patients with CD4 counts in HIV/AIDS in Sina Hospital, Kermanshah. Med J Fac Med Shahid Beheshti Univ Med Sci Health Serv. 2008;31(3):247–54 (In Persian). Sayyad B, Shakeri J, Hosseini M, Janbakhsh AR, Amini Javid F, Amydnyakan Z. Psychiatric disorders in patients with CD4 counts in HIV/AIDS in Sina Hospital, Kermanshah. Med J Fac Med Shahid Beheshti Univ Med Sci Health Serv. 2008;31(3):247–54 (In Persian).
7.
go back to reference Moradi A, Jabari H, Miraghayi AM, Parhoon H, Forooghi M, Moradmand Badiee B. Autobiographical Memory Performance among People with AIDS/HIV. Res Psychol Health. 2010;3(4):17–26 (In Persian). Moradi A, Jabari H, Miraghayi AM, Parhoon H, Forooghi M, Moradmand Badiee B. Autobiographical Memory Performance among People with AIDS/HIV. Res Psychol Health. 2010;3(4):17–26 (In Persian).
8.
go back to reference Garrido-Hernansaiz H, Heylen E, Bharat S, Ramakrishna J, Ekstrand ML. Stigmas, symptom severity and perceived social support predict quality of life for PLHIV in urban Indian context. Health Qual Life Outcomes. 2016;14(1):152.CrossRef Garrido-Hernansaiz H, Heylen E, Bharat S, Ramakrishna J, Ekstrand ML. Stigmas, symptom severity and perceived social support predict quality of life for PLHIV in urban Indian context. Health Qual Life Outcomes. 2016;14(1):152.CrossRef
12.
go back to reference Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry. 2004;184:70–3.CrossRef Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry. 2004;184:70–3.CrossRef
13.
go back to reference Nojomi M, Anbary K, Ranjbar M. Health-related quality of life in patients with HIV/AIDS. Arch Iran Med. 2008;11(6):608–12.PubMed Nojomi M, Anbary K, Ranjbar M. Health-related quality of life in patients with HIV/AIDS. Arch Iran Med. 2008;11(6):608–12.PubMed
15.
go back to reference Wu X, Chen J, Huang H, Liu Z, Li X, Wang H. Perceived stigma, medical social support and quality of life among people living with HIV/AIDS in Hunan. China Appl Nurs Res. 2015;28(2):169–74.CrossRef Wu X, Chen J, Huang H, Liu Z, Li X, Wang H. Perceived stigma, medical social support and quality of life among people living with HIV/AIDS in Hunan. China Appl Nurs Res. 2015;28(2):169–74.CrossRef
16.
go back to reference Li X, Huang L, Wang H, Fennie KP, He G, Williams AB. Stigma mediates the relationship between selfefficacy, medication adherence, and quality of among people living with HIV/AIDS in China. AIDS Patient Care STDS. 2011;25(11):665–71.CrossRef Li X, Huang L, Wang H, Fennie KP, He G, Williams AB. Stigma mediates the relationship between selfefficacy, medication adherence, and quality of among people living with HIV/AIDS in China. AIDS Patient Care STDS. 2011;25(11):665–71.CrossRef
17.
18.
go back to reference Lowther K, Selman L, Harding R, Higginson IJ. Experience of persistent psychological symptoms and perceived stigma among people with HIV on antiretroviral therapy (ART): a systematic review. Int J Nurs Stud. 2014;51(8):1171–89.CrossRef Lowther K, Selman L, Harding R, Higginson IJ. Experience of persistent psychological symptoms and perceived stigma among people with HIV on antiretroviral therapy (ART): a systematic review. Int J Nurs Stud. 2014;51(8):1171–89.CrossRef
20.
go back to reference Yang Y, Thai S, Choi J. An evaluation of quality of life among Cambodian adults living with HIV/AIDS and using antiretroviral therapy: a short report. AIDS Care. 2016;28(12):1546–50.CrossRef Yang Y, Thai S, Choi J. An evaluation of quality of life among Cambodian adults living with HIV/AIDS and using antiretroviral therapy: a short report. AIDS Care. 2016;28(12):1546–50.CrossRef
21.
go back to reference Vo QT, Hoffman S, Nash D, et al. Gender differences and psychosocial factors associated with quality of life among ART initiators in Oromia, Ethiopia. AIDS Behav. 2016;20(8):1682–91.CrossRef Vo QT, Hoffman S, Nash D, et al. Gender differences and psychosocial factors associated with quality of life among ART initiators in Oromia, Ethiopia. AIDS Behav. 2016;20(8):1682–91.CrossRef
22.
go back to reference Webel AR, Perazzo J, Decker M, Horvat-Davey C, Sattar A, Voss J. Physical activity is Associated with reduced fatigue in adults living with HIV/AIDS. J Adv Nurs. 2016;72(12):3104–12.CrossRef Webel AR, Perazzo J, Decker M, Horvat-Davey C, Sattar A, Voss J. Physical activity is Associated with reduced fatigue in adults living with HIV/AIDS. J Adv Nurs. 2016;72(12):3104–12.CrossRef
23.
go back to reference Mafirakureva N, Dzingirai B, Postma MJ, van Hulst M, Khoza S. Health-related quality of life in HIV/AIDS patients on antiretroviral therapy at a tertiary care facility in Zimbabwe. AIDS Care. 2016;28(7):904–12.CrossRef Mafirakureva N, Dzingirai B, Postma MJ, van Hulst M, Khoza S. Health-related quality of life in HIV/AIDS patients on antiretroviral therapy at a tertiary care facility in Zimbabwe. AIDS Care. 2016;28(7):904–12.CrossRef
24.
go back to reference Tzemis D, Forrest JI, Puskas CM, Zhang W, Orchard TR, Palmer AK, McInnes CW, Fernades KA, Montaner JS, Hogg RS. Identifying self-perceived HIV-related stigma in a population accessing antiretroviral therapy. AIDS Care. 2013;25(1):95–102.CrossRef Tzemis D, Forrest JI, Puskas CM, Zhang W, Orchard TR, Palmer AK, McInnes CW, Fernades KA, Montaner JS, Hogg RS. Identifying self-perceived HIV-related stigma in a population accessing antiretroviral therapy. AIDS Care. 2013;25(1):95–102.CrossRef
25.
go back to reference Casale M. The importance of family and community support for the health of HIV-affected populations in Southern Africa: what do we know and where to from here? Br J Health Psychol. 2015;20(1):21–35.CrossRef Casale M. The importance of family and community support for the health of HIV-affected populations in Southern Africa: what do we know and where to from here? Br J Health Psychol. 2015;20(1):21–35.CrossRef
26.
go back to reference Rao D, Chen WT, Pearson CR, Simoni JM, et al. Social support mediates the relationship between HIV stigma and depression/quality of life among people living with HIV in Beijing. China. Int J STD AIDS. 2012;23(7):481–4.CrossRef Rao D, Chen WT, Pearson CR, Simoni JM, et al. Social support mediates the relationship between HIV stigma and depression/quality of life among people living with HIV in Beijing. China. Int J STD AIDS. 2012;23(7):481–4.CrossRef
28.
go back to reference Logie C, Gadalla TM. Meta-analysis of health and demographic correlates of stigma towards people living with HIV. AIDS Care. 2009;21(6):742–53.CrossRef Logie C, Gadalla TM. Meta-analysis of health and demographic correlates of stigma towards people living with HIV. AIDS Care. 2009;21(6):742–53.CrossRef
Metadata
Title
Relationship Among HIV-Related Stigma, Mental Health and Quality of life for HIV-Positive Patients in Tehran
Authors
Mehrnaz Rasoolinajad
Nasrin Abedinia
Ahmad Ali Noorbala
Minoo Mohraz
Banafsheh Moradmand Badie
Abdulqader Hamad
Leyla Sahebi
Publication date
01-12-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 12/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-2023-z

Other articles of this Issue 12/2018

AIDS and Behavior 12/2018 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.