Resilience and Optimism as Moderators of the Negative Effects of Stigma on Women Living with HIV

被引：17

作者：

Turan, Bulent ^{[1
,2
,19
]}

Budhwani, Henna ^{[3
,4
]}

Yigit, Ibrahim ^{[5
]}

Ofotokun, Igho ^{[6
]}

Konkle-Parker, Deborah J. ^{[7
]}

Cohen, Mardge H. ^{[8
]}

Wingood, Gina M. ^{[9
]}

Metsch, Lisa R. ^{[9
]}

Adimora, Adaora A. ^{[10
]}

Taylor, Tonya N. ^{[11
]}

Wilson, Tracey E. ^{[12
]}

Weiser, Sheri D. ^{[13
]}

Kempf, Mirjam-Colette ^{[14
]}

Brown-Friday, Janet ^{[15
]}

Gange, Stephen ^{[16
]}

Kassaye, Seble ^{[17
]}

Pence, Brian W. ^{[10
]}

Turan, Janet M. ^{[3
,18
]}

机构：

[1] Koc Univ, Dept Psychol, Istanbul, Turkey

[2] Univ Alabama Birmingham UAB, Dept Psychol, Birmingham, AL USA

[3] Univ Alabama Birmingham UAB, Sch Publ Hlth, Hlth Care Org & Policy, Birmingham, AL USA

[4] Florida State Univ, Coll Nursing, Tallahassee, FL USA

[5] TED Univ, Dept Psychol, Ankara, Turkey

[6] Emory Univ, Dept Med, Div Infect Dis, Atlanta, GA USA

[7] Univ Mississippi Med Ctr UMMC, Dept Med, Div Infect Dis, Jackson, MS USA

[8] John H Stroger Jr Hosp Cook Cty, Chicago, IL USA

[9] Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, New York, NY USA

[10] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27515 USA

[11] Downstate Hlth Sci Univ, Coll Med, Div Infect Dis, Brooklyn, NY USA

[12] Downstate Hlth Sci Univ, Dept Community Hlth Sci, Brooklyn, NY USA

[13] Univ Calif San Francisco, Sch Med, San Francisco, CA USA

[14] Univ Alabama Birmingham UAB, Sch Nursing, Birmingham, AL USA

[15] Montefiore Med Ctr, Albert Einstein Coll Med, New York, NY USA

[16] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA

[17] Georgetown Univ, Dept Med Infect Dis, Washington, DC USA

[18] Koc Univ, Sch Med, Dept Pub Hlth, Istanbul, Turkey

[19] Koc Univ, Dept Psychol, Rumelifeneri Yolu, TR-34450 Istanbul, Turkey

来源：

AIDS PATIENT CARE AND STDS | 2022年 / 36卷 / 12期

基金：

美国国家卫生研究院;

关键词：

HIV; stigma; resilience; depression; trust; optimism; moderation; provider; ANTIRETROVIRAL THERAPY ADHERENCE; CONNOR-DAVIDSON RESILIENCE; HEALTH-CARE SETTINGS; UNITED-STATES; PSYCHOMETRIC ANALYSIS; DEPRESSIVE SYMPTOMS; INTERNALIZED STIGMA; ASSOCIATION; DISCRIMINATION; OUTCOMES;

D O I：

10.1089/apc.2022.0185

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Resilience and optimism may not only have main effects on health outcomes, but may also moderate and buffer negative effects of stressors. We examined whether dispositional resilience and optimism moderate the associations between HIV-related stigma in health care settings and health-related outcomes (trust in HIV health care providers and depression symptoms) among women living with HIV (WLHIV). One thousand four hundred five WLHIV in nine US cities completed validated questionnaires for cross-sectional analyses. Higher self-reported experienced and anticipated stigma and lower resilience and optimism were associated with higher depression symptoms and with lower trust in HIV providers. Importantly, resilience moderated the effects of experienced stigma (but not of anticipated stigma): When resilience was high, the association of experienced stigma with higher depression symptoms and lower trust in HIV providers was weaker compared with when resilience was low. Further, significant moderation effects suggested that when optimism was high, experienced and anticipated stigma was both less strongly associated with depression symptoms and with lower trust in one's HIV care providers compared with when optimism was low. Thus, the effects of experienced stigma on depression symptoms and provider trust were moderated by both resilience and optimism, but the effects of anticipated stigma were moderated only by optimism. Our findings suggest that in addition to their main effects, resilience and optimism may function as buffers against the harmful effects of stigma in health care settings. Therefore, optimism and resilience may be valuable intervention targets to reduce depression symptoms or improve trust in providers among populations that experience or anticipate stigma, such as WLHIV.

引用

页码：474 / 482

页数：9

共 48 条

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