ArticleBMC public health2018
A structural equation model of perceived and internalized stigma, depression, and suicidal status among people living with HIV/AIDS.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Self-injury and suicide among people living with HIV/AIDS in China: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Prevalence of suicide ideation among HIV/AIDS patients in China: A systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Pooled it
- Psychometric Properties of the Berger HIV Stigma Scale: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Mechanisms and Effects of a WeChat-Based Intervention on Suicide Among People Living With HIV and Depression: Path Model Analysis of a Randomized Controlled Trial.Journal of medical Internet research · 2019Trial
- Complex dynamics between internalized HIV stigma, depression, and anxiety with panic among people with HIV.AIDS (London, England) · 2026Article
- The nine-year trajectory of suicidal ideation and its risk factors among people living with HIV in Hunan, China: a cohort study.BMC public health · 2026Article
- Direct and indirect factors associated with health-related quality of life among PLHIV on second-line antiretroviral therapy at Dessie and Woldia Comprehensive Specialized Hospitals in Ethiopia: application of structural equation modelling.BMC infectious diseases · 2026Article
- The Relationships Between Internalized Stigma, Depression, andHealth-Related Quality of Life in Individuals Living with HIV.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2026Article
- Chicago Public Health Department Social Media Communications on Twitter During the COVID-19 Pandemic and the Mpox Epidemic: Cross-Sectional Content Analysis.Journal of medical Internet research · 2025Article
- The correlation of social support and family support with HIV-related stigma and depression in people living with HIV in Vietnam.BMC public health · 2025Article
- A Syndemic Clustering of Adversities on Suicide Risk among YMSM Living with HIV in Bangkok: A Causal Latent Class Analysis.AIDS and behavior · 2025Article
- 'You feel like it's better to just die': Death-centric stereotypes and stigma contribute to suicide risk for adolescents living with HIV in Malawi.PLOS global public health · 2025Article
- Depression mediates the relationship between exposure to stigma and medication adherence among people living with HIV in low-resource setting: a structural equation modeling approach.Journal of behavioral medicine · 2024Article
- Perceived HIV Stigma, Depressive Symptoms, Self-esteem, and Suicidal Ideation Among People Living with HIV/AIDS in China: a Moderated Mediation Modeling Analysis.Journal of racial and ethnic health disparities · 2023Article
- Investigating the relationship between hepatitis B virus infection and postpartum depression in Chinese women: a retrospective cohort study.Frontiers in public health · 2023Article
- Testing hypotheses about the harm that capitalism causes to the mind and brain: a theoretical framework for neuroscience research.Frontiers in sociology · 2023Review
- Article
- Social support, perceived stigma, and depression among PLHIV on second-line antiretroviral therapy using structural equation modeling in a multicenter study in Northeast Ethiopia.International journal of mental health systems · 2022Article
- HIV related stigma associated with social support, alcohol use disorders, depression, anxiety, and suicidal ideation among people living with HIV: a systematic review and meta-analysis.International journal of mental health systems · 2022Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundPrevious studies have shown positive association between HIV-related stigma and depression, suicidal ideation, and suicidal attempt among people living with HIV/AIDS (PLWH). But few studies have examined the mechanisms among HIV-related stigma, depression, and suicidal status (suicidal ideation and/or suicidal attempt) in PLWH. The current study examined the relationships among perceived and internalized stigma (PIS), depression, and suicidal status among PLWH in Guangzhou, China using structural equation modeling.
methodsCross-sectional study by convenience sampling was conducted and 411 PLWH were recruited from the Number Eight People's Hospital from March to June, 2013 in Guangzhou, China. Participants were interviewed on their PIS, depressive symptoms, suicidal status, and socio-demographic characteristics. PLWH who had had suicidal ideation and suicidal attempts since HIV diagnosis were considered to be suicidal. Structural equation model was performed to examine the direct and indirect associations of PIS and suicidal status. Indicators to evaluate goodness of fit of the structural equation model included Chi-square Statistic, Comparative Fit Index (CFI), Root Mean Square Error of Approximation (RMSEA), Standardized Root Mean Square Residual (SRMR), and Weighted Root Mean Square Residual (WRMR).
resultsMore than one-third (38.4%) of the PLWH had depressive symptoms and 32.4% reported suicidal ideation and/or attempt since HIV diagnosis. The global model showed good model fit (Chi-square value = 34.42, CFI = 0.98, RMSEA = 0.03, WRMR = 0.73). Structural equation model revealed that direct pathway of PIS on suicidal status was significant (standardized pathway coefficient = 0.21), and indirect pathway of PIS on suicidal status via depression was also significant (standardized pathway coefficient = 0.24). There was a partial mediating effect of depression in the association between PIS and suicidal status.
conclusionsOur findings suggest that PIS is associated with increased depression and the likelihood of suicidal status. Depression is in turn positively associated with suicidal status and plays a mediating role between PIS and suicidal status. Therefore, to reduce suicidal ideation and attempt in PLWH, targeted interventions to reduce PIS and improve mental health status of PLWH are warranted.
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