Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life Among People Living with HIV.

Content Provider	Europe PMC
Author	van der Kooij, Yvonne L. Kupková, Alžběta den Daas, Chantal van den Berk, Guido E.L. Kleene, Marie Jose T. Jansen, Hannah S.E. Elsenburg, Loek J.M. Schenk, Leo G. Verboon, Peter Brinkman, Kees Bos, Arjan E.R. Stutterheim, Sarah E.
Copyright Year	2021
Abstract	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.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8215416&blobtype=pdf
Page Count	8
ISSN	10872914
Volume Number	35
DOI	10.1089/apc.2020.0236
PubMed Central reference number	PMC8215416
Issue Number	6
PubMed reference number	34097466
Journal	AIDS Patient Care and STDs [AIDS Patient Care STDS]
e-ISSN	15577449
Language	English
Publisher	Mary Ann Liebert, Inc., publishers
Publisher Date	2021-06-01
Publisher Place	USA
Access Restriction	Open
Rights License	This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. © Yvonne L. van der Kooij, et al., 2021; Published by Mary Ann Liebert, Inc.
Subject Keyword	HIV-related stigma self-stigma internalized quality of life health outcomes
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Public Health, Environmental and Occupational Health