A preliminary analysis of the association between perceived stigma and HIV-related pain in South Africans living with HIV

African Journal of Primary Health Care & Family Medicine

Field Value
Title A preliminary analysis of the association between perceived stigma and HIV-related pain in South Africans living with HIV
Creator Wadley, Antonia L. Pincus, Tamar Evangeli, Michael
Subject general practice HIV; pain; stigma; depression, South Africa
Description Background: Stigma related to the human immunodeficiency virus (HIV) remains common and has been associated with severity of HIV-related symptoms. Associations between HIV stigma and HIV-related pain, one of the most common symptoms in HIV, have however not been investigated. Data from low back pain populations suggest that stigma is associated with worse pain intensity and so we hypothesised that the same would be the case in HIV.Aim: The goal of this study was to assess the association between HIV stigma and pain intensity in people living with HIV (PLWH) with chronic pain whilst controlling for depression, a well-established correlate of pain.Setting: The study took place at an HIV clinic in Johannesburg, South Africa.Methods: Mediation analysis was used to assess the effect of depression on the relationship between stigma and pain intensity in a cross-sectional cohort of 50 PLWH and chronic pain (pain most days of the week for 3 months). All participants were assessed using the HIV/AIDS Stigma Instrument – PLWA, an 11-point numerical pain rating scale and the Beck Depression Inventory II.Results: In all, 88% (44/50) of participants reported experiencing some form of HIV stigma (HIV stigma scale score ≥ 1). Worst pain intensity and depressive symptoms individually correlated with total stigma score (Spearman’s r = 0.33, p = 0.02 for both). The mediation analysis highlighted that mediation of the relationship by depression was equivocal (b = -0.002, bootstrapped confidence interval -0.02 to 0.00).Conclusion: Whilst these preliminary data are marginal, they do suggest that associations between HIV stigma and HIV-related pain warrant further investigation. Future study should also include potential mechanisms, which may include mediation through depression.
Publisher AOSIS
Contributor Medical Faculty Research Endowment Fund of the University of the Witwatersrand
Date 2019-02-13
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-Sectional; Pilot Study
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/phcfm.v11i1.1647
Source African Journal of Primary Health Care & Family Medicine; Vol 11, No 1 (2019); 5 pages 2071-2936 2071-2928
Language eng
Relation https://phcfm.org/index.php/phcfm/article/view/1647/2985 https://phcfm.org/index.php/phcfm/article/view/1647/2984 https://phcfm.org/index.php/phcfm/article/view/1647/2986 https://phcfm.org/index.php/phcfm/article/view/1647/2983
Coverage Johannesburg; South Africa 2015 black African people living with HIV
Rights Copyright (c) 2019 Antonia L. Wadley, Tamar Pincus, Michael Evangeli https://creativecommons.org/licenses/by/4.0