| Title: |
Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi. |
| Authors: |
Mpinga, Kondwani; Lee, Sarita D; Mwale, Owen; Kamwiyo, Myrrah; Nyirongo, Revelation; Ruderman, Todd; Connolly, Emilia; Kayira, Waste; Munyaneza, Fabien; Matanje, Beatrice; Kachimanga, Chiyembekezo; Zaniku, Haules Robbins; Kulisewa, Kazione; Udedi, Michael; Wagner, Glenn; McBain, Ryan |
| Publisher Information: |
Taylor and Francis Group |
| Publication Year: |
2023 |
| Collection: |
London School of Hygiene & Tropical Medicine: LSHTM Research Online |
| Description: |
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: more than half of respondents (54%) endorsed negative perceptions associated with each health condition. Internalized HIV-related stigma was higher among those with no education (p = 0.04), younger adults (p = 0.03), and those with less social support (p = 0.001). Mental illness-related stigma was elevated among those with no source of income (p = 0.001), and it was also strongly associated with HIV-related stigma (p < 0.001). Our findings highlight potential avenues for reducing internalized stigma associated with high-prevalence health conditions in Malawi.Trial registration: ClinicalTrials.gov identifier: NCT04777006. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| ISSN: |
0954-0121 |
| Relation: |
https://researchonline.lshtm.ac.uk/id/eprint/4670225/1/Mpinga-etal-2023-Prevalence-and-correlates-of-internalized.pdf; Mpinga, Kondwani; Lee, Sarita D; Mwale, Owen; Kamwiyo, Myrrah; Nyirongo, Revelation; Ruderman, Todd; Connolly, Emilia ORCID logo; Kayira, Waste; Munyaneza, Fabien; Matanje, Beatrice; +6 more.Kachimanga, Chiyembekezo; Zaniku, Haules RobbinsORCID logo; Kulisewa, Kazione; Udedi, Michael; Wagner, Glenn; and McBain, RyanORCID logo (2023) Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi. AIDS care, 35 (11). pp. 1775-1785. ISSN 0954-0121 DOI:10.1080/09540121.2023.2195609 |
| DOI: |
10.1080/09540121.2023.2195609 |
| Availability: |
https://researchonline.lshtm.ac.uk/id/eprint/4670225/; https://doi.org/10.1080/09540121.2023.2195609 |
| Rights: |
cc_by_nc_nd_4 |
| Accession Number: |
edsbas.815F1D7 |
| Database: |
BASE |