RESEARCH PAPER
Relationship between social support and social stigma among AIDS patients in Shiraz
 
More details
Hide details
1
Student Research Committee, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
 
2
Department of Health Promotion and Education, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
 
3
Allied Health Sciences, Rashid Latif Khan University Lahore, Lahore, Pakistan
 
 
Submission date: 2021-02-04
 
 
Final revision date: 2021-05-24
 
 
Acceptance date: 2021-05-24
 
 
Publication date: 2022-09-21
 
 
HIV & AIDS Review 2022;21(4):305-314
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Acquired immunodeficiency syndrome (AIDS) is one of the most significant diseases that often carry social stigma due to its’ association with addiction and behavioral disorders. This study aimed to investigate the relationship between social support and social stigma among AIDS patients in Shiraz.

Material and methods:
For this cross-sectional study, hundred patients of Shiraz Behavioral Diseases Counseling Center were selected using regular random method. After data collection with demographic questionnaire, including Wax et al. social support questionnaire and Burger stigma scale, data were analyzed using SPSS 21 version with descriptive statistics (frequency, mean) and analytical statistics (t-test, ANOVA, χ2, and univariate linear regression).

Results:
The mean age of participants was 40.4 ± 9.5. There were 73 (73%) male patients, and fifty-five patients (55%) were married. In correlation between social support and social stigma, relationship was inverse (r = –0.025) but was not statistically significant (p = 0.803). A relationship between disclosed sub-scale and social support was significant (p = 0.039). The results of this study showed that there was a statistically significant relationship between number of children and level of social stigma (p = 0.024). Moreover, a statistically significant relationship between mode of disease transmission and level of social stigma was observed (p = 0.001).

Conclusions:
This study concluded that there is an inverse relationship between social support and social stigma. By increasing social support, it is possible to reduce perceived social stigma of AIDS patients and increase their self-esteem.

 
REFERENCES (40)
1.
Seyam S. Survey of women’s knowledge about AIDS in Rasht 2006. J Guilan Univ Med Sci 2008; 17: 59-67.
 
2.
Keithley JK, Swanson B. Minimizing HIV/AIDS malnutrition. Medsurg Nurs 1998; 7: 256-267.
 
3.
Valente SM. Depression and HIV disease. J Assoc Nurses AIDS Care 2003; 14: 41-51.
 
4.
Valdiserri RO. HIV/AIDS stigma: an impediment to public health. Am J Public Health 2002; 92: 341-342.
 
5.
Holzemer WL, Uys LR, Chirwa ML, et al. Validation of the HIV/AIDS Stigma Instrument – PLWA (HASI-P). AIDS Care 2007; 19: 1002-1012.
 
6.
Weiss MG, Ramakrishna J. Conference examines need for more study of AIDS stigma. AIDS Policy Law 2001; 16: 4.
 
7.
Nyblade L, Stangl A, Weiss E, Ashburn K. Combating HIV stigma in health care settings: what works? J Int AIDS Soc 2009; 12: 15.
 
8.
Newman P, Grusky O, Roberts S, Rivkin I (eds.). Organizational factors in the early detection of HIV. The XIV International AIDS Conference; 2002.
 
9.
Colecraft E. HIV/AIDS: nutritional implications and impact on human development. Proc Nutr Soc 2008; 67: 109-113.
 
10.
Chitra L, Jayalakshmi L, Vinod R. Stigma in women living with HIV in Coimbatore District of Tamil Nadu. OSR Journal of Dental and Medical Sciences 2015; 13: 29-32.
 
11.
Lazarus RS, Kanner AD, Folkman S. Emotions: a cognitive phenomenological analysis. In: Plutchik R, Kellerman H (eds.). Emotion: Theory, Research and Experience. New York: Academic Press; 1980. p. 189-217.
 
12.
Antonucci TC. Social relations: an examination of social networks, social support, and sense of control. Handbook of the Psychology of Aging 2001; 3: 427-453.
 
13.
Albrecht TL, Adelman MB. Dilemmas of supportive communication. In: Albrecht TL, Adelman MB (eds.). Communicating Social Support. Newbury Park: Sage; 1987. p. 240-254.
 
14.
Eisapareh K, Nazari M, Kaveh MH, Ghahremani L. The relationship between job stress and health literacy with the quality of work life among Iranian industrial workers: the moderating role of social support. Curr Psychology 2020; DOI: 10.1007/s12144-020-00782-5.
 
15.
Lee SYD, Arozullah AM, Cho Y. Health literacy, social support, and health: a research agenda. Soc Sci Med 2004; 58: 1309-1321.
 
16.
Kamen C, Vorasarun C, Canning T, et al. The impact of stigma and social support on development of post-traumatic growth among persons living with HIV. J Clin Psychol Med Settings 2016; 23: 126-134.
 
17.
Khabaz M, Behjati Z, Naseri M. Relationship between social support and coping styles and resiliency in adolescents. J Appl Psychology 2012; 5: 108-123.
 
18.
Nourbala A, Bagheri YS, Mohammad K. The validation of general health questionnaire-28 as a psychiatric screening tool. Hakim Research Journal 2009; 11: 47-53.
 
19.
Stutterheim SE, Baas I, Roberts H, et al. Stigma experiences among substance users with HIV. Stigma and Health 2016; 1: 123-145.
 
20.
Arshi M, Yavari M, Fekr Azad H, Safi MH, Moghanibashi-Mansourieh A, Moshayyedi M. Investigation of relationship between family social support and the level of stigma perceived by PLWHA in Iran. Soc Work Public Health 2020; 35: 90-99.
 
21.
Colbert AM, Kim KH, Sereika SM, Erlen J. An examination of the relationships among gender, health status, social support, and HIV-related stigma. J Assoc Nurses AIDS Care 2010; 21: 302-313.
 
22.
Cunningham SD, Tschann J, Gurvey JE, Fortenberry JD, Ellen JM. Attitudes about sexual disclosure and perceptions of stigma and shame. Sex Transm Infect 2002; 78: 334-338.
 
23.
Stokes JP, Wilson DG. The inventory of socially supportive behaviors: dimensionality, prediction, and gender differences. Am J Community Psychol 1984; 12: 53-69.
 
24.
Charkhian A, Fekrazad H, Sajadi H, Rahgozar M, Abdolbaghi MH, Maddahi S. Relationship between health-related quality of life and social support in HIV-infected people in Tehran, Iran. Iran J Public Health 2014; 43: 100-106.
 
25.
Schulz U, Schwarzer RJ. Long-term effects of spousal support on coping with cancer after surgery. J Soc Clin Psychol 2004; 23: 716-732.
 
26.
Gharacheh M, Ranjbar F. Editorial letter: HIV-related stigma: a dilemma in the prevention of HIV spread. Iran Journal of Nursing 2018; 31: 1-5.
 
27.
Sassanid L, Naji A, Abedi H, Taeri K. The experience of social stigma in AIDS patients: a phenomenological study. Journal of Sabzevar University of Medical Sciences 2014; 20: 487-495.
 
28.
Jiménez J, Puig M, Sala AC, et al. Felt stigma in injection drug users and sex workers: focus group research with HIV-risk populations in Puerto Rico. Qual Res Psychol 2011; 8: 26-39.
 
29.
Herek GM. Thinking about AIDS and stigma: a psychologist’s perspective. J Law Med Ethics 2002; 30: 594-607.
 
30.
Torkashvand F, Asadpor M, SheikhFathollahi M, et al. Frequency of high risk behaviour in HIV positive patients referred to centers for behavioural disorders of Rafsanjan and Kerman in 2012. J Rafsanjan Univ Med Sci 2015; 14: 587-598.
 
31.
Zhang Y, Zhang X, Aleong TH, Fuller-Thomson E. Impact of HIV/AIDS on social relationships in rural China. Open AIDS J 2011; 5: 67-73.
 
32.
Masoudi M, Farhadi A. Family social support rate of HIV positive individuals in Khorram Abad. Yafteh 2006; 7: 43-47.
 
33.
Abachi A, Behravan H. The analysis of stigma impact on quality of life in patients with HIV/AIDS: a phenomenological study. Journal of Qualitative Research in Health Sciences 2013; 2: 158-172.
 
34.
Simbayi LC, Kalichman S, Strebel A, et al. Internalized stigma, dis­crimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Soc Sci Med 2007; 64: 1823-1831.
 
35.
Vyavaharkar M, Moneyham L, Corwin S, Saunders R, Annang L, Tavakoli A. Relationships between stigma, social support, and depression in HIV-infected African American women living in the rural Southeastern United States. J Assoc Nurses AIDS Care 2010; 21: 144-152.
 
36.
Karimli L, Ssewamala FM, Ismayilova L. Extended families and perceived caregiver support to AIDS orphans in Rakai district of Uganda. Child Youth Serv Rev 2012; 34: 1351-1358.
 
37.
Weinman J, Johnston M. Stressful medical procedures: an analysis of the effects of psychological interventions and of the stressfulness of the procedures. In: Maes S, Defares P, Sarason IG, Spielbere-ger CD (eds.). Topics in Health Psychology. Chichester: Wiley; 1988. p. 205-217.
 
38.
Ahmad F, Sadeghi A. Social exclusion: A sociological approach to deprivation. Tehran; 2013.
 
39.
Forouzan AS, Jorjoran Shushtari Z, Sajjadi H, Salimi Y, Dejman M. Social support network among people living with HIV/AIDS in Iran. AIDS Res Treat 2013; 2013: 715381.
 
40.
von Bonsdorff MB, Seitsamo J, Ilmarinen J, Nygård CH, von Bons­dorff ME, Rantanen TJC. Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study. CMAJ 2011; 183: E235-E242.
 
eISSN:1732-2707
ISSN:1730-1270
Journals System - logo
Scroll to top