Internalized stigma among people living with HIV-AIDS

被引：15

作者：

Lee R.S. ^{[1
,3
]}

Kochman A. ^{[2
]}

Sikkema K.J. ^{[2
]}

机构：

[1] Ctr. Interdisciplinary Res. on AIDS, Department of Epidemiology, Yale University School of Medicine, New Haven, CT

[2] Department of Psychiatry, Division of Community Research, Yale University School of Medicine, New Haven, CT

[3] Department of Psychiatry, Beth Israel Medical Center, 6 Bernstein Pavilion, New York, NY 10003

来源：

AIDS and Behavior | 2002年 / 6卷 / 4期

关键词：

HIV prevention; HIV-AIDS; Mental health; Stigma;

D O I：

10.1023/A:1021144511957

中图分类号：

学科分类号：

摘要：

HIV is recognized as a highly stigmatized disease; however, there has been a lack of research on the internalization of this stigma by seropositive people. This study examined internalized stigma among HIV-positive men and women (N = 268) in Milwaukee and Madison, Wisconsin, and New York City. The majority of the sample experienced internalized stigma related to their HIV status. Individuals who experienced high internalized HIV stigma (IHS) had been diagnosed with HIV more recently, their families were less accepting of their illness, they were less likely to ever have attended an HIV support group, and they knew fewer people with HIV. Individuals with high IHS also worried more about spreading their infection to others. Heterosexuals and participants from Wisconsin experienced higher levels of IHS. Hierarchical regression analyses showed that IHS contributed significantly to levels of depression, anxiety, and hopelessness after controlling for the effects of key behavioral and psychosocial variables.

引用

页码：309 / 319

页数：10

共 40 条

[1]

Adam B.D., Sears A., Negotiating sexual relationships after testing HIV-positive, Medical Anthropology, 16, pp. 63-77, (1994)

[2]

Antoni M.H., Goldstein D., Ironson G., LaPerriere A., Fletcher M.A., Schneiderman N., Coping responses to HIV-1 serostatus notification predict concurrent and prospective immunologic status, Clinical Psychology and Psychotherapy, 2, pp. 234-248, (1995)

[3]

Beck A.T., Steer R.A., BDI: Beck Depression Inventory Manual, (1993)

[4]

Cella D.E., McCain N.L., Peterman A.H., Mo F., Wolen D., Development and validation of the Functional Assessment of Human Immunodeficiency Virus Infection (FAHI) quality of life instrument, Quality of Life Research, 5, pp. 450-463, (1996)

[5]

HIV-related knowledge and stigma - United States, 2000, Morbidity and Mortality Weekly Report, 49, pp. 1062-1064, (2000)

[6]

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

[7]

Cohen S., Mermelstein R., Karmarck T., Hoberman H., Measuring the functional components of social support, Social Support: Theory, Research and Applications, (1985)

[8]

Crandall C.S., Coleman R., AIDS-related stigmatization and the disruption of social relationships, Journal of Social and Personal Relationships, 9, pp. 163-177, (1992)

[9]

Crawford A.M., Stigma associated with AIDS: A metaanalysis, Journal of Applied Social Psychology, 26, pp. 398-416, (1996)

[10]

Davison K.P., Pennebaker J.W., Dickerson S.S., Who talks? The social psychology of illness support groups, American Psychologist, 55, pp. 205-217, (2000)

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