Partners In Health, Neno, Malawi.
Healthcare Delivery, RAND Corporation, Washington, DC, USA.
AIDS Care. 2023 Nov;35(11):1775-1785. doi: 10.1080/09540121.2023.2195609. Epub 2023 Mar 31.
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 ( = 0.04), younger adults ( = 0.03), and those with less social support ( = 0.001). Mental illness-related stigma was elevated among those with no source of income ( = 0.001), and it was also strongly associated with HIV-related stigma ( < 0.001). Our findings highlight potential avenues for reducing internalized stigma associated with high-prevalence health conditions in Malawi. ClinicalTrials.gov identifier: NCT04777006.
内在污名在患有性传播感染（如 HIV）和患有精神健康状况（如重度抑郁症（MDD））的个体中很常见。作为一项集群随机试验的一部分，我们调查了马拉维农村地区患有合并 HIV 和 MDD 的成年人中内在污名的流行情况及其相关因素（n=339）。我们发现该队列中对 HIV 和精神疾病的污名更加严重：超过一半的受访者（54%）对每种健康状况持负面看法。没有受过教育的人（=0.04）、年轻成年人（=0.03）和社会支持较少的人更容易产生与 HIV 相关的内在污名。没有收入来源的人更容易产生与精神疾病相关的污名（=0.001），而且与 HIV 相关的污名密切相关（<0.001）。我们的研究结果突出了在马拉维减少与高流行健康状况相关的内在污名的潜在途径。临床试验标识符：NCT04777006。
