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AIDS and Behavior

Erschienen in:

01.09.2006

Impact of HIV-Related Stigma on Health Behaviors and Psychological Adjustment Among HIV-Positive Men and Women

verfasst von: Peter A. Vanable, Michael P. Carey, Donald C. Blair, Rae A. Littlewood

Erschienen in: AIDS and Behavior | Ausgabe 5/2006

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Abstract

HIV-related stigmatization remains a potent stressor for HIV-positive people. This study examined the relationships among stigma-related experiences and depression, medication adherence, serostatus disclosure, and sexual risk among 221 HIV-positive men and women. In bivariate analyses that controlled for background characteristics, stigma was associated with depressive symptoms, receiving recent psychiatric care, and greater HIV-related symptoms. Stigma was also associated with poorer adherence and more frequent serostatus disclosure to people other than sexual partners, but showed no association to sexual risk behavior. In a multivariate analysis that controlled for all correlates, depression, poor adherence, and serostatus disclosure remained as independent correlates of stigma-related experiences. Findings confirm that stigma is associated with psychological adjustment and adherence difficulties and is experienced more commonly among people who disclose their HIV status to a broad range of social contacts. Stigma should be addressed in stress management, health promotion, and medication adherence interventions for HIV-positive people.

Angermeyer, M., Beck, M., Dietrich, S., and Holzinger, A. (2004). The stigma of mental illness: Patients’ anticipations and experiences. International Journal of Social Psychiatry, 50, 153–162.CrossRefPubMed

Arnsten, J. H., Demas, P. A., Farzadegan, H., Grant, R. W., Gourevitch, M. N., Chang, C. J., et al. (2001). Antiretroviral therapy adherence and viral suppression in HIV-infected drug users: Comparison of self-report and electronic monitoring. Clinical Infectious Diseases, 33, 1417–1423.CrossRefPubMed

Brown, L., Macintyre, K., and Trujillo, L. (2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15, 49–69.CrossRefPubMed

Catz, S. L., Kelly, J. A., Bogart, L. M., Benotsch, E. G., and McAuliffe, T. L. (2000). Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease. Health Psychology, 19, 124–133.CrossRefPubMed

Catz, S. L., McClure, J. B., Jones, G. N., and Brantley, P. J. (1999). Predictors of outpatient medical appointment attendance among persons with HIV. AIDS Care, 11, 361–373.CrossRefPubMed

Centers for Disease Control and Prevention (2000). HIV-related knowledge and stigma—United States. Morbidity and Mortality Weekly Report, 49, 1062–1064.

Chesney, M. A., Ickovics, J. R., Chambers, D. B., Gifford, A. L., Neidig, J., Zwickl, B., et al. (2000). Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: The AACTG adherence instruments. AIDS Care, 12, 255–266.CrossRefPubMed

Chesney, M. A., and Smith, A. W. (1999). Critical delays in HIV testing and care: The potential role of stigma. American Behavioral Scientist, 42, 1162–1174.CrossRef

Clark, H. J., Lindner, G., Armistead, L., and Austin, B. J. (2003). Stigma, disclosure, and psychological functioning among HIV-infected and non-infected African-American women. Women and Health, 38, 57–71.CrossRef

Eisenman, D. P., Cunningham, W. E., Zierler, S., Nakazono, T. T., and Shapiro, M. F. (2003). Effect of violence on utilization of services and access to care in persons with HIV. Journal of General Internal Medicine, 18, 125–127.CrossRefPubMed

Fortenberry, J. D., McFarlane, M., Bleakley, A., Bull, S., Fishbein, M., Grimley, D. M., et al. (2002). Relationships of stigma and shame to gonorrhea and HIV screening. American Journal of Public Health, 92, 378–381.PubMed

Gonzales, V., Washienko, K. M., Krone, M. R., Chapman, L. I., Arredondo, E. M., Huckeba, H. J., et al. (1999). Sexual and drug-use risk factors for HIV and STDs: A comparison of women with and without bisexual experiences. American Journal of Public Health, 89, 1841–1846.PubMed

Gostin, L. O., and Webber, D. W. (1998). The AIDS Litigation Project: HIV/AIDS in the courts in the 1990s, Part 2. AIDS Public Policy Journal, 13, 3–19.PubMed

Hader, S. L., Smith, D. K., Moore, J. S., and Holmberg, S. D. (2001). HIV infection in women in the United States: Status at the Millennium. Journal of the American Medical Association, 285, 1186–1192.CrossRefPubMed

Heckman, B. D., Catz, S. L., Heckman, T. G., Miller, J. G., and Kalichman, S. C. (2004). Adherence to antiretroviral therapy in rural persons living with HIV disease in the United States. AIDS Care, 16, 219–230.CrossRefPubMed

Heckman, T. G. (2003). The chronic illness quality of life (CIQOL) model: Explaining life satisfaction in people living with HIV disease. Health Psychology, 22, 140–147.CrossRefPubMed

Heckman, T. G., Anderson, E. S., Sikkema, K. J., Kochman, A., Kalichman, S. C., and Anderson, T. (2004). Emotional distress in nonmetropolitan persons living with HIV disease enrolled in a telephone-delivered, coping improvement group intervention. Health Psychology, 23, 94–100.CrossRefPubMed

Heckman, T. G., Somlai, A. M., Kalichman, S. C., Franzoi, S. L., and Kelly, J. A. (1998). Psychosocial differences between urban and rural people living with HIV/AIDS. Journal of Rural Health, 14, 138–145.PubMedCrossRef

Herek, G. M., and Capitanio, J. P. (1999). AIDS stigma and sexual prejudice. American Behavioral Scientist, 42, 1130–1147.CrossRef

Herek, G. M., Capitanio, J. P., and Widaman, K. F. (2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991–1999. American Journal of Public Health, 92, 371–377.PubMed

Ickovics, J. R., Hamburger, M. E., Vlahov, D., Schoenbaum, E. E., Schuman, P., Boland, R. J., et al. (2001). Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: Longitudinal analysis from the HIV Epidemiology Research Study. Journal of the American Medical Association, 285, 1466–1474.CrossRefPubMed

Justice, A. C., Holmes, W., Gifford, A. L., Rabeneck, L., Zackin, R., Sinclair, G., et al. (2001). Development and validation of a self-completed HIV symptom index. Journal of Clinical Epidemiology, 54, S77–S90.CrossRefPubMed

Kalichman, S. C., and Rompa, D. (2000). Functional health literacy is associated with health status and health- related knowledge in people living with HIV-AIDS. Journal of Acquired Immune Deficiency Syndrome, 25, 337–344.CrossRef

Lee, R. S., Kochman, A., and Sikkema, K. J. (2002). Internalized stigma among people living with HIV-AIDS. AIDS and Behavior, 6, 309–319.

Leonard, B. (2000). Stress, depression and the activation of the immune system. World Journal of Biological Psychiatry, 1, 17–25.PubMedCrossRef

Major, B., and O’Brien, L. T. (2005). The social psychology of stigma. Annual Review of Psychology, 56, 393–421.CrossRefPubMed

Mansergh, G., Marks, G., and Simoni, J. M. (1995). Self-disclosure of HIV infection among men who vary in time since seropositive diagnosis and symptomatic status. AIDS, 9, 639–644.PubMedCrossRef

Moskowitz, J. T. (2003). Positive affect predicts lower risk of AIDS mortality. Psychosomatic Medicine, 65, 620–626.CrossRefPubMed

Murphy, D. A., Durako, S. J., Moscicki, A. B., Vermund, S. H., Ma, Y., Schwarz, D. F., et al. (2001). No change in health risk behaviors over time among HIV infected adolescents in care: Role of psychological distress. Journal of Adolescent Health, 29, 57–63.CrossRefPubMed

Preston, D. B., D’Augelli, A. R., Kassab, C. D., Cain, R. E., Schulze, F. W., and Starks, M. T. (2004). The influence of stigma on the sexual risk behavior of rural men who have sex with men. AIDS Education and Prevention, 16, 291–303.CrossRefPubMed

Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef

Rosman, S. (2004). Cancer and stigma: Experience of patients with chemotherapy-induced alopecia. Patient Education and Counseling, 52, 333–339.CrossRefPubMed

Schmitz, M. F., and Crystal, S. (2000). Social relations, coping, and psychological distress among persons with HIV/AIDS. Journal of Applied Social Psychology, 30, 665–683.CrossRef

Simoni, J. M., Mason, H. R., Marks, G., Ruiz, M. S., Reed, D., and Richardson, J. L. (1995). Women’s self-disclosure of HIV infection: Rates, reasons, and reactions. Journal of Consulting and Clinical Psychology, 63, 474–478.CrossRefPubMed

Stall, R., Hoff, C., Coates, T. J., Paul, J., Phillips, K. A., Ekstrand, M., et al. (1996). Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: Implications for secondary prevention efforts. Journal of Acquired Immune Deficiency Syndrome, 11, 151–160.

Vanable, P. A., Ostrow, D. G., McKirnan, D. J., Taywaditep, K. J., and Hope, B. A. (2000). Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men. Health Psychology, 19, 134–145.CrossRefPubMed

van der Straten, A., Vernon, K. A., Knight, K. R., Gomez, C. A., and Padian, N. S. (1998). Managing HIV among serodiscordant heterosexual couples: Serostatus, stigma and sex. AIDS Care, 10, 533–548.CrossRefPubMed

Weiser, S., Wolfe, W., Bangsberg, D., Thior, I., Gilbert, P., Makhema, J., et al. (2003). Barriers to antiretroviral adherence for patients living with HIV infection and AIDS in Botswana. Journal of Acquired Immune Deficiency Syndrome, 34, 281–288.CrossRef

Wilson, I. B., Tchetgen, E., and Spiegelman, D. (2001). Patterns of adherence with antiretroviral medications: An examination of between-medication differences. Journal of Acquired Immune Deficiency Syndrome, 28, 259–263.

Zierler, S., Cunningham, W. E., Andersen, R., Shapiro, M. F., Nakazono, T., Morton, S., et al. (2000). Violence victimization after HIV infection in a US probability sample of adult patients in primary care. American Journal of Public Health, 90, 208–215.PubMedCrossRef

Titel: Impact of HIV-Related Stigma on Health Behaviors and Psychological Adjustment Among HIV-Positive Men and Women
verfasst von: Peter A. Vanable
Michael P. Carey
Donald C. Blair
Rae A. Littlewood
Publikationsdatum: 01.09.2006
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 5/2006
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-006-9099-1

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