TY - JOUR
T1 - Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life Among People Living with HIV
AU - van der Kooij, Yvonne L
AU - Kupková, Alžběta
AU - den Daas, Chantal
AU - van den Berk, Guido E L
AU - Kleene, Marie Jose T
AU - Jansen, Hannah S E
AU - Elsenburg, Loek J M
AU - Schenk, Leo G
AU - Verboon, Peter
AU - Brinkman, Kees
AU - Bos, Arjan E R
AU - Stutterheim, Sarah E
PY - 2021/6/1
Y1 - 2021/6/1
N2 - This study examined the relationships between perceived public stigma, experienced stigma, and quality of life in people living with HIV (PLHIV), and whether self-stigma mediates these relationships. Cross-sectional data were analyzed from 1704 PLHIV in care at OLVG hospital in the Netherlands. We measured different types of stigma (perceived public stigma, experienced stigma, and self-stigma), and various quality-of-life outcomes (disclosure concerns, depression, anxiety, sexual problems, sleeping difficulties, self-esteem, general health, and social support). Structural equation modeling was used to test the paths from different types of stigma to quality-of-life outcomes. All direct effects of self-stigma on quality-of-life outcomes were significant. The final mediation model showed that the effects of both perceived public and experienced stigma on quality-of-life outcomes were mediated by self-stigma. These findings highlight the importance of addressing self-stigma in PLHIV, and call for (psychosocial) interventions that reduce the harmful effects of HIV-related stigma.
AB - This study examined the relationships between perceived public stigma, experienced stigma, and quality of life in people living with HIV (PLHIV), and whether self-stigma mediates these relationships. Cross-sectional data were analyzed from 1704 PLHIV in care at OLVG hospital in the Netherlands. We measured different types of stigma (perceived public stigma, experienced stigma, and self-stigma), and various quality-of-life outcomes (disclosure concerns, depression, anxiety, sexual problems, sleeping difficulties, self-esteem, general health, and social support). Structural equation modeling was used to test the paths from different types of stigma to quality-of-life outcomes. All direct effects of self-stigma on quality-of-life outcomes were significant. The final mediation model showed that the effects of both perceived public and experienced stigma on quality-of-life outcomes were mediated by self-stigma. These findings highlight the importance of addressing self-stigma in PLHIV, and call for (psychosocial) interventions that reduce the harmful effects of HIV-related stigma.
KW - HIV-related stigma
KW - self-stigma
KW - internalized
KW - quality of life
KW - health outcomes
U2 - 10.1089/apc.2020.0236
DO - 10.1089/apc.2020.0236
M3 - Article
C2 - 34097466
VL - 35
SP - 231
EP - 238
JO - Aids Patient Care and Stds
JF - Aids Patient Care and Stds
SN - 1087-2914
IS - 6
ER -