ArticleAfrican journal of primary health care & family medicine2019
A preliminary analysis of the association between perceived stigma and HIV-related pain in South Africans living with HIV.
Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Pooled it
- Experiences and impact of chronic pain in South Africans living in a rural area: a qualitative study.BMJ open · 2025Article
- Article
- South African men and women living with HIV have similar distributions of pain sites.African journal of primary health care & family medicine · 2022Article
- Managing pain in HIV/AIDS: a therapeutic relationship is as effective as an exercise and education intervention for rural amaXhosa women in South Africa.BMC public health · 2021Article
- Sexism-Related Stigma Affects Pain Perception.Neural plasticity · 2021Article
- Internalized HIV Stigma and Pain among Women with HIV in the United States: The Mediating Role of Depressive Symptoms.AIDS and behavior · 2020Article
- A qualitative study of the experience and impact of neuropathic pain in people living with HIV.Pain · 2020Article
- Intersectional HIV and Chronic Pain Stigma: Implications for Mood, Sleep, and Pain Severity.Journal of the International Association of Providers of AIDS CareArticle
- Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStigma 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.
aimThe 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.
settingThe study took place at an HIV clinic in Johannesburg, South Africa.
methodsMediation 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.
resultsIn 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).
conclusionWhilst 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.
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