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

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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.

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Van Der Kooij, Y. L., Kupková, A., Den Daas, C., Van Den Berk, G. E. L., Kleene, M. J. T., Jansen, H. S. E., … Stutterheim, S. E. (2021). Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life among People Living with HIV. AIDS Patient Care and STDs, 35(6), 231–238. https://doi.org/10.1089/apc.2020.0236

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