A moderated serial mediation analysis of the association between HIV stigma and sleep quality in people living with HIV: a cross-sectional study

Author:

Jiang Taiyi1,Jianhua Hou2ORCID,Wei Jiaqi1,Mu Tingting1,Zhu Guanlin3,Wang Xiuwen1,Qu Diyang2,Wu Hao1,Zhang Tong1,Su Bin1

Affiliation:

1. Beijing Key Laboratory for HIV/AIDS Research, Sino-French Joint Laboratory for Research on Humoral Immune Response to HIV Infection, Clinical and Research Center for Infectious Diseases, Beijing Youan Hospital, Capital Medical University , Beijing , China

2. Department of Social and Behavioural Sciences, City University of Hong Kong , Hong Kong Special Administrative Region , China

3. School of Basic Medical Science, Capital Medical University , Beijing , China

Abstract

Abstract With the wide use of antiretroviral therapy in people living with HIV (PLWH), the mortality and morbidity rates among this community are dramatically decreasing. However, sleep disorder is still one of the prominent health issues among PLWH, and it lowers their quality of life. Although we already know the potential biological pathway that links poor sleep quality among PLWH, the potential contribution of the psychosocial pathway (e.g., stigma) is far from understood. In this study, we aimed to explore the potential serial mediating effects (HIV stigma-loneliness-depression-sleep quality) and potential moderating effects of perceived social support. We recruited a consecutive sample of 139 participants from voluntary counseling testing (VCT) clinics of Beijing Youan Hospital and participant referrals. Then, we used serial mediation models and moderated serial mediation models to fit our data. We found significant serial mediation effects between three types of HIV stigma (enacted, anticipated, and internalized) and sleep quality via depression and loneliness. Perceived social support also significantly moderated this serial mediation between enacted stigma, internalized stigma, and sleep quality. Our results highlight the potential role of perceived social support in moderating the negative effects of enacted and internalized stigma on sleep quality and identify potential psychosocial pathways.

Funder

Beijing Municipal Natural Science Foundation

Beijing Key Laboratory for HIV/AIDS Research

Publisher

Oxford University Press (OUP)

Subject

Behavioral Neuroscience,Applied Psychology

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