HIV Stigma Mechanisms and Well-Being Among PLWH: A Test of the HIV Stigma Framework

被引：0

作者：

Valerie A. Earnshaw

Laramie R. Smith

Stephenie R. Chaudoir

K. Rivet Amico

Michael M. Copenhaver

机构：

[1] School of Public Health and the Center for Interdisciplinary Research on AIDS,Department of Psychology

[2] Yale University,Department of Psychology

[3] University of Connecticut,Department of Allied Health Sciences

[4] Center for Health,undefined

[5] Intervention,undefined

[6] and Prevention,undefined

[7] University of Connecticut,undefined

[8] College of the Holy Cross,undefined

[9] University of Connecticut,undefined

来源：

AIDS and Behavior | 2013年 / 17卷

关键词：

HIV; Stigma; HIV stigma framework; Health; Discrimination; VIH; Estigma; Marco Teórico del Estigma hacia el VIH; Salud; Discriminación;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

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.

引用

页码：1785 / 1795

页数：10

共 94 条

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