What does this research mean for the field?

Among racially and ethnically minoritized women living with HIV during the COVID-19 pandemic, self-silencing and living with HIV for 15 or more years are significantly associated with higher odds of depression. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To examine the relationships among self-silencing, resilience, depression, and antiretroviral therapy adherence in racially and ethnically minoritized women living with HIV during the COVID-19 pandemic.

September 8, 2026AIDS Care

Self-silencing, resilience, depression, & anti-retroviral treatment (ART) adherence among racially and ethnically minoritized women living with HIV during the COVID-19 pandemic

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Authors

MDMariam Davtyan HPHanelle Jinsun Park-Lee ZCZaria Cosby

Discussion

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Implication

Survey study reveals self-silencing and long-term HIV infection exacerbate depression in minoritized women, highlighting the need for culturally responsive mental health interventions.

Key Points

To examine the relationships among self-silencing, resilience, depression, and antiretroviral therapy adherence in racially and ethnically minoritized women living with HIV during the COVID-19 pandemic.
Surveyed N=85 African American/Black and Hispanic/Latina women (mean age 37.1 years; 71% Hispanic/Latina) receiving outpatient care at a public HIV clinic in Los Angeles, California.
Administered validated measures assessing self-silencing, resilience, depressive symptoms, and antiretroviral therapy (ART) adherence alongside open-ended questions about pandemic-related impacts.
Performed multivariable regression analyses evaluating associations with depression, stratifying by duration of HIV infection (≥15 vs. <15 years) and prior COVID-19 infection history.
Living with HIV for ≥15 years (vs. <15 years) was associated with higher odds of depression (OR = 3.94, p < .01), remaining statistically significant among participants with prior COVID-19 (p = .02) but not those without (p = .97).
Self-silencing was positively associated with depression overall (p = .0005), with elevated risk concentrated among women living with HIV for ≥15 years (p = .0002) compared to <15 years (p = .38).
Overall, 33% (n = 27) had low resilience, 25% (n = 63) experienced mild-to-severe depression, and 36% (n = 27) had low ART adherence, with qualitative reports emphasizing emotional distress, financial instability, and care interruptions.

Cite This Study

Davtyan et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd7d558e84d0ff5b46def https://doi.org/10.1080/09540121.2026.2727785

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Implication

Survey study reveals self-silencing and long-term HIV infection exacerbate depression in minoritized women, highlighting the need for culturally responsive mental health interventions.

Self-silencing, resilience, depression, & anti-retroviral treatment (ART) adherence among racially and ethnically minoritized women living with HIV during the COVID-19 pandemic

Discussion

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Implication

Key Points

Cite This Study

Self-silencing, resilience, depression, & anti-retroviral treatment (ART) adherence among racially and ethnically minoritized women living with HIV during the COVID-19 pandemic

Discussion

Member takes

Implication

Key Points

Cite This Study

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