PMID- 29140873
OWN - NLM
STAT- In-Data-Review
LR  - 20180425
IS  - 1944-7884 (Electronic)
IS  - 1525-4135 (Linking)
VI  - 77
IP  - 3
DP  - 2018 Mar 1
TI  - Experienced HIV-Related Stigma in Health Care and Community Settings: Mediated
      Associations With Psychosocial and Health Outcomes.
PG  - 257-263
LID - 10.1097/QAI.0000000000001590 [doi]
AB  - INTRODUCTION: There are multiple dimensions of HIV-related stigma that can
      compromise the mental and physical health of people living with HIV. We focused
      on the dimension of experienced stigma, defined as exposure to acts of
      discrimination, devaluation, and prejudice, and investigated its relationship
      with HIV health and psychosocial outcomes. METHODS: We examined associations
      between experienced stigma in the community and health care settings and
      psychosocial and health outcomes for people living with HIV (N = 203) receiving
      care at an urban HIV clinic in the Southeastern United States. We also
      investigated whether those effects are unique to experienced stigma or are
      mediated by other dimensions of HIV-related stigma. RESULTS: Experienced stigma
      was associated with suboptimal clinical outcomes such as viral nonsuppression, as
      well as poor affective, cognitive, and mental health outcomes (self-esteem,
      depressive symptoms, avoidance coping, and blame coping) and interpersonal
      outcomes such as social support and physician trust. Furthermore, serial
      mediation models suggested significant indirect effects of experienced stigma
      through internalized stigma and anticipated stigma from various theoretically
      expected sources of stigma (eg, community members, friends and family, and health
      care workers), with varying effects depending on the source. CONCLUSIONS: These
      findings suggest nuanced mechanisms for the effects of experienced HIV-related
      stigma, especially in health care settings, and may be used to inform
      stigma-reduction interventions. Interventions designed to address experienced
      stigma in health care settings might be more tailored to specific outcomes, such 
      as depression and physician trust, than interventions designed to address
      experienced stigma in the community.
FAU - Kay, Emma S
AU  - Kay ES
AD  - School of Social Work, University of Alabama, Tuscaloosa, AL.
FAU - Rice, Whitney S
AU  - Rice WS
FAU - Crockett, Kaylee B
AU  - Crockett KB
FAU - Atkins, Ghislaine C
AU  - Atkins GC
FAU - Batey, David Scott
AU  - Batey DS
AD  - Social Work, College of Arts and Sciences, University of Alabama at Birmingham,
      Birmingham, AL.
FAU - Turan, Bulent
AU  - Turan B
LA  - eng
GR  - P30 AI027767/AI/NIAID NIH HHS/United States
GR  - R01 MH104114/MH/NIMH NIH HHS/United States
GR  - T32 HS013852/HS/AHRQ HHS/United States
GR  - T32 HS013852-07/HS/AHRQ HHS/United States
PT  - Journal Article
PL  - United States
TA  - J Acquir Immune Defic Syndr
JT  - Journal of acquired immune deficiency syndromes (1999)
JID - 100892005
PMC - PMC5807196
MID - NIHMS918526
EDAT- 2017/11/16 06:00
MHDA- 2017/11/16 06:00
CRDT- 2017/11/16 06:00
PMCR- 2019/03/01 00:00
PHST- 2019/03/01 00:00 [pmc-release]
PHST- 2017/11/16 06:00 [pubmed]
PHST- 2017/11/16 06:00 [medline]
PHST- 2017/11/16 06:00 [entrez]
AID - 10.1097/QAI.0000000000001590 [doi]
PST - ppublish
SO  - J Acquir Immune Defic Syndr. 2018 Mar 1;77(3):257-263. doi:
      10.1097/QAI.0000000000001590.