The critical role of internalized HIV-related stigma in the daily negative affective experiences of HIV-positive gay and bisexual men

Rendina, H. Jonathon; Millar, Brett M.; Parsons, Jeffrey T.

doi:10.1016/j.jad.2017.11.005

Cited by 51 publications

(80 citation statements)

References 44 publications

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“…Furthermore, worse results on psychosocial outcomes (like higher internalized HIV-related stigma, less experienced social support, less treatment adherence self-efficacy, and lower quality of life) were found in participants with a HADS+ compared to participants with a HADS−. These results are in line with previous studies on the association between symptoms of psychological distress and various psychosocial outcomes in patients with chronical illness (Betancur, Lins, Oliveira, & Brites, 2017;Eller et al, 2014;Rendina, Millar, & Parsons, 2018;Wu et al, 2013). In line with a meta-analysis (Uthman et al, 2014), our data indicate that participants with a HADS+ were more likely to be non-adherent to cART.…”

Section: Discussionsupporting

confidence: 90%

Anxiety, depression and treatment adherence among HIV-infected migrants

et al. 2019

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Diagnosing symptoms of psychological distress can be challenging in migrants living with HIV (MLWH) living in Western Europe. We evaluated the Hospital Anxiety and Depression Scale (HADS) as a screening tool for psychological distress. Additionally, the association between psychological distress and adherence to combination Antiretroviral Therapy (cART) was determined. Socio-demographic and clinical characteristics, psychosocial variables, and selfreported adherence to cART data were collected. 306/352 participants completed the HADS. A HADS+ (≥15, at risk for psychological distress) was found in 106/306. The Composite International Diagnostic Interview (CIDI) was completed by 60/106. The HADS was repeated in 58 participants as the time between the first HADS and the CIDI was more than three months. In 21/37 participants with a HADS+ (57%) within three months before the CIDI a diagnosis of depression or anxiety disorder based on the CIDI was found. Participants with a HADS+ were more likely to be non-adherent (71.3% vs. 43.6%). In a large group of MLWH in the Netherlands, 35% were at risk for symptoms of psychological distress. The HADS seems to be a suitable screening tool for MLWH.

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Section: Discussionsupporting

confidence: 90%

Anxiety, depression and treatment adherence among HIV-infected migrants

et al. 2019

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“…Similar to a sexual identity and behavior, HIV infection is also a concealable and stigmatizing status. It has been argued that the minority stress framework concerning MSM should be extended to include HIV status, as suggested by empirical evidence noting the deleterious effect of HIV stigma as a stressor for MSM living with HIV [97,125,126]. Among Chinese MSM living with HIV, studies highlight the detrimental influences of enacted, perceived, and internalized HIV stigma.…”

Section: Hiv-related Stigma and Mental Healthmentioning

confidence: 99%

Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

et al. 2020

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Purpose of Review Men who have sex with men (MSM) in China experience elevated risks of mental health issues in comparison to the general population in China, which contribute to vulnerability to HIV/STI risks and can comprise the effectiveness of HIV prevention efforts. A conceptual framework for understanding this mental health disparity is minority stress theory, which posits that experiences of external prejudice events (i.e., distal stressors) and internal stress processes such as internalized homophobia and concealment (i.e., proximal stressors) contribute to sexual minorities' elevated risk of psychological distress. To deepen the understanding of mental health among Chinese MSM and explore the potential utility of minority stress theory in this population, this paper synthesizes research evidence regarding prevalent mental health issues as well as how minority stress may be linked to psychological health in Chinese MSM. Recent Findings Results indicate that Chinese MSM experience a high prevalence of several mental health issues including depression, anxiety, suicidal behaviors, and alcohol dependence. Summary This review further reveals minority stress to be an important determinant of psychological distress among Chinese MSM, though evidence is mixed regarding the relationship between proximal minority stress and psychological health. Nonetheless, there is a lack of mental health services and interventions focusing on MSM in China. Culturally relevant, competent, and LGBT-affirmative mental health interventions are needed for Chinese MSM. To guide future intervention research, we provide considerations for reducing minority stress and promoting psychological health among Chinese MSM.

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“…Note: Coefficients marked with ***are significant at the .001 level, coefficients marked with **are significant at the 0.01 level dismissed. The experience of stigma and discrimination indeed leads to stress reactions for the stigmatized individual and thus can be understood as a stressor [36], and IS, too, is associated with increased stress levels for the individual [37]. However, while both ES and IS work as a stressor for the stigmatized individual, we propose that only the stress associated with ES is able to instigate growth processes.…”

Section: Theoretical Implicationsmentioning

confidence: 73%

Associations Between Experienced and Internalized HIV Stigma, Adversarial Growth, and Health Outcomes in a Nationwide Sample of People Aging with HIV in Germany

et al. 2020

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HIV-related stigmatization and adversarial growth are known to influence health outcomes in people living with HIV. But not much is known how these psychosocial factors are related to each other and how they interact to influence health outcomes. We tested whether the effect of experienced and internalized stigma on mental health and self-rated health is mediated by adversarial growth, and whether each of these factors is uniquely associated with health outcomes. In our sample of 839 people aging with HIV in Germany based on a cross-sectional study design we did not find an indirect effect of experienced HIV stigma on health outcomes and a very small indirect effect of internalized HIV stigma. All variables were significant predictors of health outcomes in multiple regression analyses.

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The critical role of internalized HIV-related stigma in the daily negative affective experiences of HIV-positive gay and bisexual men

Cited by 51 publications

References 44 publications

Anxiety, depression and treatment adherence among HIV-infected migrants

Anxiety, depression and treatment adherence among HIV-infected migrants

Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China

Associations Between Experienced and Internalized HIV Stigma, Adversarial Growth, and Health Outcomes in a Nationwide Sample of People Aging with HIV in Germany

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