Annals of Behavioral Medicine

, Volume 48, Issue 1, pp 26–37

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
Original Article

DOI: 10.1007/s12160-013-9576-5

Cite this article as:
Takada, S., Weiser, S.D., Kumbakumba, E. et al. ann. behav. med. (2014) 48: 26. doi:10.1007/s12160-013-9576-5

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 Stigma Social support Uganda 

Supplementary material

12160_2013_9576_MOESM1_ESM.docx (79 kb)
ESM 1(DOCX 78 kb)

Copyright information

© The Society of Behavioral Medicine 2013

Authors and Affiliations

  • Sae Takada
    • 1
  • Sheri D. Weiser
    • 2
  • Elias Kumbakumba
    • 3
  • Conrad Muzoora
    • 3
  • Jeffrey N. Martin
    • 4
  • Peter W. Hunt
    • 2
  • Jessica E. Haberer
    • 1
    • 5
  • Annet Kawuma
    • 3
  • David R. Bangsberg
    • 1
    • 3
    • 5
  • Alexander C. Tsai
    • 1
    • 5
    • 6
  1. 1.Harvard Medical SchoolBostonUSA
  2. 2.Division of HIV/AIDS and Positive Health ProgramUniversity of California at San FranciscoSan FranciscoUSA
  3. 3.Mbarara University of Science and TechnologyMbararaUganda
  4. 4.Department of Epidemiology and BiostatisticsUniversity of California at San FranciscoSan FranciscoUSA
  5. 5.Center for Global HealthMassachusetts General HospitalBostonUSA
  6. 6.Chester M. Pierce MD Division of Global PsychiatryMassachusetts General HospitalBostonUSA

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