Stigma: Advances in Theory and Research

Bos, Arjan E. R.; Pryor, John B.; Reeder, Glenn D.; Stutterheim, Sarah E.

doi:10.1080/01973533.2012.746147

Cited by 602 publications

(656 citation statements)

References 69 publications

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“…Several reviewers highlighted the need for improved measurement (e.g. Obermeyer et al, 2011;Smith et al, 2008), and several authors proposed models to guide research on disclosure (Bairan et al, 2007;Bird & Voisin, 2011;Chaudoir & Fisher, 2010;Chaudoir et al, 2011;Mayfield Arnold et al, 2008;Serovich et al, 2008) and stigma (Bos et al, 2013;Earnshaw & Chaudoir, 2009;Mahajan et al, 2008). However, although most research has focused on the broader process of increasing one's disclosure levels from none or few confidants to the entire social network, the existing theoretical models interpreted all empirical evidence in terms of causes and consequences of single disclosure events.…”

Section: Introductionmentioning

confidence: 99%

Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent

Dima

Stutterheim

Lyimo

et al. 2014

Social Science & Medicine

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Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent Dima, A.L.; Stutterheim, S.E.; Lyimo, R.; de Bruin, M. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Acknowledgements:The authors appreciatively acknowledge the financial assistance from RVVZ from the Netherlands, the participation of PLWH in our target group, and the cooperation of the management in the ART clinics where we conducted the study. Abstract:Disclosure of HIV status has been the focus of three decades of research, which have revealed its complex relations to many behaviors involved in HIV prevention and treatment, and exposed its central role in managing the HIV epidemic. The causes and consequences of disclosure acts have recently been the subject of several theoretical models. Although it is acknowledged that individual disclosure events are part of a broader process of disclosing one's HIV status to an increasing number of people, this process has received less theoretical attention. In quantitative studies of disclosure, researchers have often implicitly assumed that disclosure is a single unidimensional process appropriately measured via the total number of one's disclosure acts. However, there is also evidence that disclosure may have different causes and consequences depending on the types of actors involved (e.g. family members, friends) and on the presence or absence of the discloser's intention, suggesting that the unidimensionality assumption may not hold. We quantitatively examined the dimensionality of voluntary and involuntary disclosure to different categories of actors, using data collected via structured interviews in the spring of 2010 from 158 people living with HIV in Kilimanjaro, Tanzania. For voluntary disclosure, nonparametric item response analyses identified two multi-category clusters, family and community, and two single-category dimensions, partner and children. Involuntary disclosure consisted of several single-or twocategory dimensions. Correlation analyses between the resulting disclosure dimensions and stigma and social support revealed distinct relationships for each disclosure dimension. Our results suggest that treating disclosure as a unidimensional construct is a simplification of disclosure...

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Section: Introductionmentioning

confidence: 99%

Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent

Dima

Stutterheim

Lyimo

et al. 2014

Social Science & Medicine

Self Cite

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“…perception of being discriminated against and that one belongs to a stigmatized group; Lillis et al, 2010;Link & Phelan, 2001;Bos, Pryor, & Reeder, 2013). In fact, some evidence suggests that the selfdevaluation dimension is more associated with psychopathology and unhealthy eating behaviors, while fear of enacted stigma is closely linked to diminished quality-of-life.…”

Section: Introductionmentioning

confidence: 99%

The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

2016

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Weight self-stigma is conceptualized as a multidimensional concept involving experiences of shame, self-devaluation and the perception of being discriminated against in social situations due to one's weight. It has been associated with experiential avoidance, unhealthy eating behaviours, binge eating and diminish quality-of-life (QoL). The current study aims to explore the mediation effect of weight-related experiential avoidance on the relationship between weight self-stigma and obesity-related QoL in women with and without binge eating (BE).The sample comprised 282 women with overweight or obesity, from which 100 presented BE symptoms. Sample's mean age was 44.24 (SD = 11.30), with a mean BMI of 31.40 (SD = 4.53). Participants completed a set of self-reported measures regarding BE symptoms, weight self-stigma, weight-related experiential avoidance and QoL.Results from path analysis supported the mediation of weight-related experiential avoidance on the relationship between weight self-stigma and QoL, even when controlling for BMI. The model accounted 58% of QoL variance. Furthermore, the multi-group analysis revealed that the model was not invariant for both groups. The analysis of the critical ratios showed that the path from weight-related experiential avoidance to QoL was stronger for the BE group. Also the model only explained 39% of QoL for the group without BE and 65% of QoL for the BE group.This study highlights the pervasive role of weigh self-stigma, particularly fear of being discriminated and weight-related experiential avoidance on obesity-related quality-of-life, especially for those women with BE. Additionally, it supports that interventions should focus not only in weight loss but also in improving individual's QoL, promoting the development of adaptive emotional regulation strategies.

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“…The improvement of these interactions requires the development and implementation of multi-layered interventions [17,[45][46][47][48] in health care settings that are underpinned by political will, financial support, and the commitment of institutions to stigma reduction [37,49]. These kinds of macro supports for interpersonal and organizational interventions are imperative if interventions are to be successful.…”

Section: Discussionmentioning

confidence: 99%

Stigma in the Dutch Health Care Sector: HIV-Positive Substance Users’ Experiences and Health Care Providers’ Perspectives

Stutterheim¹,

Roberts²,

Baas³

et al. 2017

ARC Journal of Nursing and Healthcare

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Stigma: Advances in Theory and Research

Cited by 602 publications

References 69 publications

Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent

Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent

The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

Stigma in the Dutch Health Care Sector: HIV-Positive Substance Users’ Experiences and Health Care Providers’ Perspectives

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