HIV Stigma Mechanisms and Well-Being Among PLWH: A Test of the HIV Stigma Framework
Valerie A. Earnshaw,Laramie R. Smith,Stephenie R. Chaudoir,Stephenie R. Chaudoir,K. Rivet Amico,Michael M. Copenhaver +5 more
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Evaluating the HIV Stigma Framework in a sample of 95 people living with HIV recruited from an inner-city clinic in the Bronx, NY suggests that internalized stigma associates significantly with indicators of affective and behavioral health and well-being.Abstract:
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.read more
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The Role of Stigma and Medical Mistrust in the Routine Health Care Engagement of Black Men Who Have Sex With Men
Lisa A. Eaton,Daniel D. Driffin,Christopher Kegler,Harlan Smith,Christopher Conway-Washington,Denise White,Chauncey Cherry +6 more
TL;DR: It was found that, among HIV-negative Black MSM, those who experienced greater stigma and global medical mistrust had longer gaps in time since their last medical exam, and interventions focusing on health care settings that support the development of greater awareness of stigma and mistrust are urgently needed.
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Weight bias internalization and health: a systematic review
Rebecca L. Pearl,Rebecca M. Puhl +1 more
TL;DR: Key directions for future research are highlighted, including the need for prospective and experimental studies with greater sample diversity and interventions designed to reduce WBI and improve health.
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Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes.
Bulent Turan,Abigail M. Hatcher,Sheri D. Weiser,Mallory O. Johnson,Whitney S. Rice,Janet M. Turan +5 more
TL;DR: A conceptual framework is presented that posits that, in the context of intersectional and structural stigmas, individual-level dimensions of HIV-related stigma operate through interpersonal factors, mental health, psychological resources, and biological stress pathways.
Journal ArticleDOI
How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes.
Bulent Turan,Henna Budhwani,Pariya L Fazeli,Wesley R. Browning,James L. Raper,Michael J. Mugavero,Janet M. Turan +6 more
TL;DR: Perceived HIV-related stigma in the community may cause people living with HIV to internalize stigma and anticipate stigmatizing experiences, resulting in adverse health and psychosocial outcomes—information that can be used to shape interventions.
Journal ArticleDOI
The Burden of COVID-19 in People Living with HIV: A Syndemic Perspective.
TL;DR: It is posited that a syndemic framework can be used to conceptualize the potential impact of COVID-19 among PLWH to inform the development of health programming services.
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