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Erschienen in: AIDS and Behavior 12/2018

02.01.2018 | Original Paper

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

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

Erschienen in: AIDS and Behavior | Ausgabe 12/2018

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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.
Literatur
1.
Zurück zum Zitat UNAIDS. Islamic Republic of Iran, AIDS Progress Report. UNAIDS, Tehran; 2015. UNAIDS. Islamic Republic of Iran, AIDS Progress Report. UNAIDS, Tehran; 2015.
3.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat Charles B, Jeyaseelan L, Pandian AK, Sam AE, Thenmozhi M, Jayaseelan V. Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India—a community based cross sectional study. BMC Public Health. 2012;21(12):463. https://doi.org/10.1186/1471-2458-12-463.CrossRef Charles B, Jeyaseelan L, Pandian AK, Sam AE, Thenmozhi M, Jayaseelan V. Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India—a community based cross sectional study. BMC Public Health. 2012;21(12):463. https://​doi.​org/​10.​1186/​1471-2458-12-463.CrossRef
18.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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.
Zurück zum Zitat 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
27.
28.
Zurück zum Zitat 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
Metadaten
Titel
Relationship Among HIV-Related Stigma, Mental Health and Quality of life for HIV-Positive Patients in Tehran
verfasst von
Mehrnaz Rasoolinajad
Nasrin Abedinia
Ahmad Ali Noorbala
Minoo Mohraz
Banafsheh Moradmand Badie
Abdulqader Hamad
Leyla Sahebi
Publikationsdatum
02.01.2018
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 12/2018
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-2023-z

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