{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:09Z","timestamp":1787027289509,"version":"build-2736575974"},"reference-count":75,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>\n                    Previous research has documented that HIV-related stigma may be a significant trigger of mental health problems among people living with HIV (PLWH). However, less is known about how internalized HIV stigma is linked to depressive symptoms among PLWH during the COVID-19 pandemic. The current study sought to explore the network structure of internalized HIV stigma and depressive symptoms, along with bridge nodes, to elucidate how they co-exist. Participants were 1,197 Chinese PLWH (64.3% male,\n                    <jats:italic>M<\/jats:italic>\n                    <jats:sub>age<\/jats:sub>\n                    \u2009=\u200941.52, SD\u2009=\u20099.20) who completed the measurements of internalized HIV stigma and depressive symptoms during the early phase of the COVID-19 outbreak (May 2020). Results revealed that \u201cashamed of having HIV\u201d was identified as the most central nodes in the internalized HIV stigma network, whereas \u201cmind wandered during tasks\u201d ranked highest on centrality in the depressive symptoms network. Two bridge connections were exhibited within the combined internalized HIV stigma and depressive symptoms network model: \u201cinferiority due to HIV\u201d and \u201cgloomy feelings\u201d from internalized HIV stigma and depressive symptoms communities, respectively. This study is one of the first to examine the co-occurrence of internalized HIV stigma and depressive symptoms in the context of the COVID-19 pandemic using a network approach. These findings have potential clinical implications for mitigating depressive symptoms in populations facing socioeconomic disadvantage and vulnerability.\n                  <\/jats:p>","DOI":"10.3389\/fpubh.2023.1306414","type":"journal-article","created":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T23:34:13Z","timestamp":1704411253000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Bridging internalized HIV stigma and depressive symptoms among people living with HIV in China during the COVID-19 pandemic: a network analysis"],"prefix":"10.3389","volume":"11","author":[{"given":"Guangzhe F.","family":"Yuan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"Qiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoming","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"4548","DOI":"10.3390\/ijerph17124548","article-title":"The impact of COVID-19 on HIV treatment and research: a call to action","volume":"17","author":"Chenneville","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2764","DOI":"10.1007\/s10461-020-02903-4","article-title":"Challenges to HIV care and psychological health during the COVID-19 pandemic among people living with HIV in China","volume":"24","author":"Sun","year":"2020","journal-title":"AIDS Behav"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1117464","DOI":"10.3389\/fimmu.2023.1117464","article-title":"Long COVID: a review and proposed visualization of the complexity of long COVID","volume":"14","author":"Perumal","year":"2023","journal-title":"Front Immunol"},{"key":"ref4","article-title":"Developing predictive models for depression and risktaking behavior among people living with HIV and AIDS (PLWHA): A focus on the construction of the Self and Implicative Dilemmas","author":"Hoosain","year":"2016"},{"key":"ref5","article-title":"Assessing Comorbidity Burden, Ageing and Cognitive Impairment of People Living with HIV","author":"De Francesco","year":"2020","journal-title":"PhD Thesis. 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