A transactional approach to relationships over time between perceived HIV stigma and the psychological and physical well-being of people with HIV
| Autor: | F. Andrew Knapp, Sondra E. Solomon, Carol T. Miller, James J. Hodge, Susan E. Varni, Janice Y. Bunn |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Longitudinal study medicine.medical_specialty Health (social science) Psychometrics Health Status Sexual Behavior media_common.quotation_subject Social Stigma Human immunodeficiency virus (HIV) Alternative medicine Stigma (botany) HIV Infections 050109 social psychology Transactional analysis medicine.disease_cause Racism 03 medical and health sciences History and Philosophy of Science New England medicine Humans 0501 psychology and cognitive sciences Longitudinal Studies media_common Hiv stigma 030505 public health business.industry 05 social sciences Social Discrimination Middle Aged Cross-Sectional Studies Sexual Partners Thriving Female Perception 0305 other medical science business Social psychology Stress Psychological Clinical psychology |
| Zdroj: | Social Science & Medicine. 162:97-105 |
| ISSN: | 0277-9536 |
| DOI: | 10.1016/j.socscimed.2016.06.025 |
| Popis: | Rationale Cross-sectional studies demonstrate that perceived discrimination is related to the psychological and physical well-being of stigmatized people. The theoretical and empirical foci of most of this research in on how racial discrimination undermines well-being. The present study takes a transactional approach to examine people with HIV, a potentially concealable stigma. Hypothesis The transactional approach posits that even as discrimination adversely affects the psychological well-being of people with HIV, psychological distress also makes them more sensitive to perceiving that they may be or have been stigmatized, and may increase the chances that other people actually do stigmatize them. Methods This hypothesis was tested in a longitudinal study in which 216 New England residents with HIV were recruited to complete measures of perceived HIV stigma and well-being across three time points, approximately 90 days apart. This study also expanded on past research by assessing anticipated and internalized stigma as well as perceived discrimination. Results Results indicated that all of these aspects of HIV stigma prospectively predicted psychological distress, thriving, and physical well-being. Equally important, psychological distress and thriving also prospectively predicted all three aspects of HIV stigma, but physical well-being did not. Conclusion These findings suggest that people with HIV are ensnared in a cycle in which experiences of stigma and reduced psychological well-being mutually reinforce each other. |
| Databáze: | OpenAIRE |
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