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

Sae Takada; Sheri D. Weiser; Elias Kumbakumba; Conrad Muzoora; Jeffrey N. Martin; Peter W. Hunt; Jessica E. Haberer; Annet Kawuma; David R. Bangsberg; Alexander C. Tsai

doi:10.1007/s12160-013-9576-5

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

Sae Takada, Sheri D. Weiser, Elias Kumbakumba, Conrad Muzoora, Jeffrey N. Martin, Peter W. Hunt, Jessica E. Haberer, Annet Kawuma, David R. Bangsberg, Alexander C. Tsai

Research output: Contribution to journal › Article › peer-review

97 Scopus citations

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.

Original language	English (US)
Pages (from-to)	26-37
Number of pages	12
Journal	Annals of Behavioral Medicine
Volume	48
Issue number	1
DOIs	https://doi.org/10.1007/s12160-013-9576-5
State	Published - Aug 1 2014
Externally published	Yes

Keywords

HIV/AIDS
Social support
Stigma
Uganda

ASJC Scopus subject areas

General Medicine

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10.1007/s12160-013-9576-5

Cite this

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title = "The Dynamic Relationship Between Social Support and HIV-Related Stigma in Rural Uganda",

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.",

keywords = "HIV/AIDS, Social support, Stigma, Uganda",

author = "Sae Takada and Weiser, {Sheri D.} and Elias Kumbakumba and Conrad Muzoora and Martin, {Jeffrey N.} and Hunt, {Peter W.} and Haberer, {Jessica E.} and Annet Kawuma and Bangsberg, {David R.} and Tsai, {Alexander C.}",

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doi = "10.1007/s12160-013-9576-5",

language = "English (US)",

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T1 - The Dynamic Relationship Between Social Support and HIV-Related Stigma in Rural Uganda

AU - Takada, Sae

AU - Weiser, Sheri D.

AU - Kumbakumba, Elias

AU - Muzoora, Conrad

AU - Martin, Jeffrey N.

AU - Hunt, Peter W.

AU - Haberer, Jessica E.

AU - Kawuma, Annet

AU - Bangsberg, David R.

AU - Tsai, Alexander C.

PY - 2014/8/1

Y1 - 2014/8/1

N2 - 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.

AB - 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.

KW - HIV/AIDS

KW - Social support

KW - Stigma

KW - Uganda

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

Abstract

Keywords

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