Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life among People Living with HIV

Yvonne L. Van Der Kooij; Alžběta Kupková; Chantal Den Daas; Guido E.L. Van Den Berk; Marie Jose T. Kleene; Hannah S.E. Jansen; Loek J.M. Elsenburg; Leo G. Schenk; Peter Verboon; Kees Brinkman; Arjan E.R. Bos; Sarah E. Stutterheim

doi:10.1089/apc.2020.0236

Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life among People Living with HIV

Yvonne L. Van Der Kooij^*, Alžběta Kupková, Chantal Den Daas, Guido E.L. Van Den Berk, Marie Jose T. Kleene, Hannah S.E. Jansen, Loek J.M. Elsenburg, Leo G. Schenk, Peter Verboon, Kees Brinkman, Arjan E.R. Bos, Sarah E. Stutterheim

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

This study examined the relationships between perceived public stigma, experienced stigma, and quality of life in people living with HIV (PLHIV), and whether self-stigma mediates these relationships. Cross-sectional data were analyzed from 1704 PLHIV in care at OLVG hospital in the Netherlands. We measured different types of stigma (perceived public stigma, experienced stigma, and self-stigma), and various quality-of-life outcomes (disclosure concerns, depression, anxiety, sexual problems, sleeping difficulties, self-esteem, general health, and social support). Structural equation modeling was used to test the paths from different types of stigma to quality-of-life outcomes. All direct effects of self-stigma on quality-of-life outcomes were significant. The final mediation model showed that the effects of both perceived public and experienced stigma on quality-of-life outcomes were mediated by self-stigma. These findings highlight the importance of addressing self-stigma in PLHIV, and call for (psychosocial) interventions that reduce the harmful effects of HIV-related stigma.

Original language	English
Pages (from-to)	231-238
Number of pages	8
Journal	AIDS Patient Care and STDs
Volume	35
Issue number	6
DOIs	https://doi.org/10.1089/apc.2020.0236
Publication status	Published - 4 Jun 2021

Keywords

health outcomes
HIV-related stigma
internalized
quality of life
self-stigma

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Van Der Kooij, Y. L., Kupková, A., Den Daas, C., Van Den Berk, G. E. L., Kleene, M. J. T., Jansen, H. S. E., Elsenburg, L. J. M., Schenk, L. G., Verboon, P., Brinkman, K., Bos, A. E. R., & Stutterheim, S. E. (2021). Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life among People Living with HIV. AIDS Patient Care and STDs, 35(6), 231-238. https://doi.org/10.1089/apc.2020.0236

Van Der Kooij, YL, Kupková, A, Den Daas, C, Van Den Berk, GEL, Kleene, MJT, Jansen, HSE, Elsenburg, LJM, Schenk, LG, Verboon, P, Brinkman, K, Bos, AER & Stutterheim, SE 2021, 'Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life among People Living with HIV', AIDS Patient Care and STDs, vol. 35, no. 6, pp. 231-238. https://doi.org/10.1089/apc.2020.0236

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title = "Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life among People Living with HIV",

abstract = "This study examined the relationships between perceived public stigma, experienced stigma, and quality of life in people living with HIV (PLHIV), and whether self-stigma mediates these relationships. Cross-sectional data were analyzed from 1704 PLHIV in care at OLVG hospital in the Netherlands. We measured different types of stigma (perceived public stigma, experienced stigma, and self-stigma), and various quality-of-life outcomes (disclosure concerns, depression, anxiety, sexual problems, sleeping difficulties, self-esteem, general health, and social support). Structural equation modeling was used to test the paths from different types of stigma to quality-of-life outcomes. All direct effects of self-stigma on quality-of-life outcomes were significant. The final mediation model showed that the effects of both perceived public and experienced stigma on quality-of-life outcomes were mediated by self-stigma. These findings highlight the importance of addressing self-stigma in PLHIV, and call for (psychosocial) interventions that reduce the harmful effects of HIV-related stigma.",

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author = "{Van Der Kooij}, {Yvonne L.} and Al{\v z}b{\v e}ta Kupkov{\'a} and {Den Daas}, Chantal and {Van Den Berk}, {Guido E.L.} and Kleene, {Marie Jose T.} and Jansen, {Hannah S.E.} and Elsenburg, {Loek J.M.} and Schenk, {Leo G.} and Peter Verboon and Kees Brinkman and Bos, {Arjan E.R.} and Stutterheim, {Sarah E.}",

note = "Funding Information: This study was supported by Viiv Healthcare, Gilead, and Aidsfonds (research Grant Number AF-P.42601). The funders had no role in decisions regarding the study design, data analysis, or publication. Acknowledgments We extend our gratitude to all PLHIV who completed the survey. We further thank the HIV specialist nurses and doctors at OLVG hospital for their effort in recruiting patients to complete the surveys. ",

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AU - Van Der Kooij, Yvonne L.

AU - Kupková, Alžběta

AU - Den Daas, Chantal

AU - Van Den Berk, Guido E.L.

AU - Kleene, Marie Jose T.

AU - Jansen, Hannah S.E.

AU - Elsenburg, Loek J.M.

AU - Schenk, Leo G.

AU - Verboon, Peter

AU - Brinkman, Kees

AU - Bos, Arjan E.R.

AU - Stutterheim, Sarah E.

N1 - Funding Information: This study was supported by Viiv Healthcare, Gilead, and Aidsfonds (research Grant Number AF-P.42601). The funders had no role in decisions regarding the study design, data analysis, or publication. Acknowledgments We extend our gratitude to all PLHIV who completed the survey. We further thank the HIV specialist nurses and doctors at OLVG hospital for their effort in recruiting patients to complete the surveys.

PY - 2021/6/4

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N2 - This study examined the relationships between perceived public stigma, experienced stigma, and quality of life in people living with HIV (PLHIV), and whether self-stigma mediates these relationships. Cross-sectional data were analyzed from 1704 PLHIV in care at OLVG hospital in the Netherlands. We measured different types of stigma (perceived public stigma, experienced stigma, and self-stigma), and various quality-of-life outcomes (disclosure concerns, depression, anxiety, sexual problems, sleeping difficulties, self-esteem, general health, and social support). Structural equation modeling was used to test the paths from different types of stigma to quality-of-life outcomes. All direct effects of self-stigma on quality-of-life outcomes were significant. The final mediation model showed that the effects of both perceived public and experienced stigma on quality-of-life outcomes were mediated by self-stigma. These findings highlight the importance of addressing self-stigma in PLHIV, and call for (psychosocial) interventions that reduce the harmful effects of HIV-related stigma.

AB - This study examined the relationships between perceived public stigma, experienced stigma, and quality of life in people living with HIV (PLHIV), and whether self-stigma mediates these relationships. Cross-sectional data were analyzed from 1704 PLHIV in care at OLVG hospital in the Netherlands. We measured different types of stigma (perceived public stigma, experienced stigma, and self-stigma), and various quality-of-life outcomes (disclosure concerns, depression, anxiety, sexual problems, sleeping difficulties, self-esteem, general health, and social support). Structural equation modeling was used to test the paths from different types of stigma to quality-of-life outcomes. All direct effects of self-stigma on quality-of-life outcomes were significant. The final mediation model showed that the effects of both perceived public and experienced stigma on quality-of-life outcomes were mediated by self-stigma. These findings highlight the importance of addressing self-stigma in PLHIV, and call for (psychosocial) interventions that reduce the harmful effects of HIV-related stigma.

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Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life among People Living with HIV

Abstract

Keywords

UN SDGs

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