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dc.contributor.authorChan, Brian Ten_US
dc.contributor.authorPradeep, Amroseen_US
dc.contributor.authorPrasad, Lakshmien_US
dc.contributor.authorMurugesan, Vinothinien_US
dc.contributor.authorChandrasekaran, Ezhilarasien_US
dc.contributor.authorKumarasamy, Nagalingeswaranen_US
dc.contributor.authorMayer, Kenneth Hen_US
dc.contributor.authorTsai, Alexander Cen_US
dc.date.accessioned2018-02-26T20:43:13Z
dc.date.issued2017en_US
dc.identifier.citationChan, Brian T, Amrose Pradeep, Lakshmi Prasad, Vinothini Murugesan, Ezhilarasi Chandrasekaran, Nagalingeswaran Kumarasamy, Kenneth H Mayer, and Alexander C Tsai. 2017. “Association between internalized stigma and depression among HIV-positive persons entering into care in Southern India.” Journal of Global Health 7 (2): 020403. doi:10.7189/jogh.07.020403. http://dx.doi.org/10.7189/jogh.07.020403.en
dc.identifier.issnen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:34868969
dc.description.abstractBackground: In India, which has the third largest HIV epidemic in the world, depression and HIV–related stigma may contribute to high rates of poor HIV–related outcomes such as loss to care and lack of virologic suppression. Methods: We analyzed data from a large HIV treatment center in southern India to estimate the burden of depressive symptoms and internalized stigma among Indian people living with HIV (PLHIV) entering into HIV care and to test the hypothesis that probable depression was associated with internalized stigma. We fitted modified Poisson regression models, adjusted for sociodemographic variables, with probable depression (PHQ–9 score ≥10 or recent suicidal thoughts) as the outcome variable and the Internalized AIDS–Related Stigma Scale (IARSS) score as the explanatory variable. Findings: 521 persons (304 men and 217 women) entering into HIV care between January 2015 and May 2016 were included in the analyses. The prevalence of probable depression was 10% and the mean IARSS score was 2.4 (out of 6), with 82% of participants endorsing at least one item on the IARSS. There was a nearly two times higher risk of probable depression for every additional point on the IARSS score (Adjusted Risk Ratio: 1.83; 95% confidence interval, 1.56–2.14). Conclusions: Depression and internalized stigma are highly correlated among PLHIV entering into HIV care in southern India and may provide targets for policymakers seeking to improve HIV–related outcomes in India.en
dc.language.isoen_USen
dc.publisherEdinburgh University Global Health Societyen
dc.relation.isversionofdoi:10.7189/jogh.07.020403en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735782/pdf/en
dash.licenseLAAen_US
dc.titleAssociation between internalized stigma and depression among HIV-positive persons entering into care in Southern Indiaen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalJournal of Global Healthen
dash.depositing.authorChan, Brian Ten_US
dc.date.available2018-02-26T20:43:13Z
dc.identifier.doi10.7189/jogh.07.020403*
dash.contributor.affiliatedChan, Brian
dash.contributor.affiliatedTsai, Alexander
dash.contributor.affiliatedMayer, Kenneth


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