Siju Thomas Panicker

St. John's Research Institute, New Dilli, NCT, India

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Publications (2)4.75 Total impact

  • Elsa Heylen · Siju Thomas Panicker · Sara Chandy · Wayne T. Steward · Maria L. Ekstrand ·
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    ABSTRACT: Food insecurity (FI) and its link with depression and quality of life (QOL) among people living with HIV (PLHIV) in India are not well-documented. We analyzed cohort data from 243 male and 129 female PLHIV from Bengaluru, and found 19 % of men and 26 % of women reported moderate or severe FI over a 6-month period. Women reported higher mean depression than men, and lower mean QOL. In multivariate analyses adjusting for HIV stigma and demographic covariates, both male and female PLHIV with moderate to severe FI showed lower mean QOL than those reporting mild to no FI. Male but not female food insecure participants also had higher depression scores in adjusted regression analyses. As ART has improved the physical health of PLHIV, more effort is being invested in improving their psychological well-being. Our results suggest such interventions could benefit from including nutritional support to reduce FI among PLHIV. Resumen Entre las personas que viven con el VIH en India, no se ha documentado bien la inseguridad alimentaria y su conexión con la depresión y la calidad de vida. Se analizaron datos de un cohorte de 243 hombres y 129 mujeres que viven con el VIH en Bengaluru, y se descubrieron que durante un período de seis meses, 19 % de los hombres y 26 % de las mujures reportaron inseguridad alimentario. Las mujeres reportaron una media de depresión más alta que la reportado por los hombres, y una media de calidad de vida más baja. Análisis multivariado, ajustado por el estigma y por covariables demográficos, demostró que personas que viven con el VIH – tanto hombres como mujeres – con moderada a severa inseguridad alimentaria mostraron menor calidad de vida que aquellos que se reportaron leves. Los masculinos también tuvieron altos niveles de depresión en análisis de regresión ajustada. Como la terapia antirretroviral ha mejorado la salud física de las personas que viven con el VIH, más esfuerzos están siendo invertidos en mejorar el bienestar sicológico. Nuestros resultados sugieren que tales intervenciones podrían beneficiar al incluir apoyo nutricional para reducir la inseguridad alimentaria entre personas que viven con el VIH.
    AIDS and Behavior 12/2014; 19(8). DOI:10.1007/s10461-014-0966-x · 3.49 Impact Factor
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    ABSTRACT: Previous research has shown that HIV stigma in India can be characterized by a framework dividing manifestations into enacted (discrimination), vicarious (hearing stories of discrimination), felt normative (perceptions of stigma's prevalence), and internalized stigma (personal endorsement of stigma beliefs). We examined whether this framework could explain associations among stigma, efforts to avoid HIV serostatus disclosure, and depression symptoms in a cohort of 198 HIV-infected individuals from Southern India who were followed up for one year as part of a study of antiretroviral adherence. Prior studies had suggested that disclosure avoidance was a primary outcome of stigma and that impaired well-being was a primary outcome of disclosure avoidance. Analyses from our longitudinal research revealed that the pattern of associations among stigma, disclosure avoidance, and depression symptoms remained consistent over time. Enacted and vicarious stigmas were correlated with felt normative stigma beliefs. In turn, felt normative stigma was correlated with disclosure avoidance. And, enacted stigma, internalized stigma, and disclosure avoidance were all associated with depression symptoms. However, even though the overall framework held together, internalized stigma and depression symptoms dropped significantly over time while other components remained unchanged. These findings suggest that, although HIV stigma may limit disclosure, it does not invariably lead to psychological maladjustment. Amidst ongoing perceptions and experiences of stigma, HIV-positive individuals can achieve significant improvements in their acceptance of the disease and in mental well-being.
    Psychology Health and Medicine 01/2011; 16(1):74-85. DOI:10.1080/13548506.2010.521568 · 1.26 Impact Factor