Document Detail


HIV stigma mechanisms and well-being among PLWH: a test of the HIV stigma framework.
MedLine Citation:
PMID:  23456594     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The current work evaluates the HIV Stigma Framework in a sample of 95 people living with HIV recruited from an inner-city clinic in the Bronx, NY. To determine the contributions of each HIV stigma mechanism (internalized, enacted, and anticipated) on indicators of health and well-being, we conducted an interviewer-delivered survey and abstracted data from medical records. Results suggest that internalized stigma associates significantly with indicators of affective (i.e., helplessness regarding, acceptance of, and perceived benefits of HIV) and behavioral (i.e., days in medical care gaps and ARV non-adherence) health and well-being. Enacted and anticipated stigma associate with indicators of physical health and well-being (i.e., CD4 count less than 200 and chronic illness comorbidity respectively). By differentiating between HIV stigma mechanisms, researchers may gain a more nuanced understanding of how HIV stigma impacts health and well-being and better inform targeted interventions to improve specific outcomes among people living with HIV.
Authors:
Valerie A Earnshaw; Laramie R Smith; Stephenie R Chaudoir; K Rivet Amico; Michael M Copenhaver
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  AIDS and behavior     Volume:  17     ISSN:  1573-3254     ISO Abbreviation:  AIDS Behav     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-24     Completed Date:  2013-08-30     Revised Date:  2014-06-03    
Medline Journal Info:
Nlm Unique ID:  9712133     Medline TA:  AIDS Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1785-95     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Female
HIV Infections / psychology*
Health Status
Humans
Male
Medication Adherence / psychology
Middle Aged
Models, Psychological
New York City
Prejudice / psychology
Socioeconomic Factors
Stereotyping*
Grant Support
ID/Acronym/Agency:
F31 MH093264/MH/NIMH NIH HHS; F31 MH093264/MH/NIMH NIH HHS; P30 MH062294/MH/NIMH NIH HHS; T32 MH020031/MH/NIMH NIH HHS; T32 MH020031/MH/NIMH NIH HHS
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