We used path analysis to investigate complex pathways from HIV status disclosure without consent, physical/verbal violence and depression, social support, and HIV medication self-efficacy through mediators of HIV stigma among women living with HIV in Canada. In the final model, internalized stigma fully mediated the relationship between physical/verbal violence and reduced medication self-efficacy. Enacted stigma fully mediated the relationship between HIV status disclosure without consent and depression. Internalized stigma (β = 0.252; p < 0.001) had a significant negative direct effect on medication self-efficacy. Enacted stigma had a significant direct effect on depression (β = 0.162; p = 0.037). Findings will help improve services and interventions to promote quality of life and well-being of women living with HIV.

中文翻译：

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探索在加拿大大温哥华地区感染艾滋病毒的妇女中未经同意而遭受抑郁和社会支持以及艾滋病毒药物自我效能的暴力和艾滋病毒传播途径

我们使用路径分析来调查在未经许可的情况下，从艾滋病毒状态披露，身体/语言暴力和沮丧，社会支持以及通过加拿大艾滋病毒感染者中艾滋病毒耻辱的调解人对艾滋病毒药物自我效能的复杂途径。在最终模型中，内在的污名充分调节了身体/语言暴力与降低的药物自我效能之间的关系。颁布的污名充分调解了未经同意而暴露的艾滋病毒状况与抑郁之间的关系。内部柱头（β= 0.252; p <0.001）对药物的自我效能有明显的负面直接影响。制定的耻辱感对抑郁有显着的直接影响（β= 0.162； p = 0.037）。调查结果将有助于改善服务和干预措施，以提高艾滋病毒携带者妇女的生活质量和福祉。