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

Yvonne L. van der Kooij; Alzbeta Kupkova; 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^*, Alzbeta Kupkova, 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 › Academic › peer-review

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 - 1 Jun 2021

Keywords

CARE
DEPRESSION
DEPRESSIVE SYMPTOMS
HIV-related stigma
INTERNALIZED STIGMA
MEDIATING ROLES
MEDICATION ADHERENCE
MENTAL-HEALTH
POSITIVE GAY
SOCIAL SUPPORT
STATUS DISCLOSURE
WOMEN
health outcomes
internalized
quality of life
self-stigma

Access to Document

10.1089/apc.2020.0236Licence: CC BY-NC

Cite this

van der Kooij, Y. L., Kupkova, 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

@article{290be1f868434f2db52405f8c070055f,

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.",

keywords = "CARE, DEPRESSION, DEPRESSIVE SYMPTOMS, HIV-related stigma, INTERNALIZED STIGMA, MEDIATING ROLES, MEDICATION ADHERENCE, MENTAL-HEALTH, POSITIVE GAY, SOCIAL SUPPORT, STATUS DISCLOSURE, WOMEN, health outcomes, internalized, quality of life, self-stigma",

author = "{van der Kooij}, {Yvonne L.} and Alzbeta Kupkova 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. Publisher Copyright: {\textcopyright} Yvonne L. van der Kooij, et al., 2021; Published by Mary Ann Liebert, Inc. 2021.",

year = "2021",

month = jun,

day = "1",

doi = "10.1089/apc.2020.0236",

language = "English",

volume = "35",

pages = "231--238",

journal = "Aids Patient Care and Stds",

issn = "1087-2914",

publisher = "Mary Ann Liebert Inc.",

number = "6",

}

van der Kooij, YL, Kupkova, 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

TY - JOUR

T1 - Role of Self-Stigma in Pathways from HIV-Related Stigma to Quality of Life Among People Living with HIV

AU - van der Kooij, Yvonne L.

AU - Kupkova, Alzbeta

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. Publisher Copyright: © Yvonne L. van der Kooij, et al., 2021; Published by Mary Ann Liebert, Inc. 2021.

PY - 2021/6/1

Y1 - 2021/6/1

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.

KW - CARE

KW - DEPRESSION

KW - DEPRESSIVE SYMPTOMS

KW - HIV-related stigma

KW - INTERNALIZED STIGMA

KW - MEDIATING ROLES

KW - MEDICATION ADHERENCE

KW - MENTAL-HEALTH

KW - POSITIVE GAY

KW - SOCIAL SUPPORT

KW - STATUS DISCLOSURE

KW - WOMEN

KW - health outcomes

KW - internalized

KW - quality of life

KW - self-stigma

U2 - 10.1089/apc.2020.0236

DO - 10.1089/apc.2020.0236

M3 - Article

C2 - 34097466

SN - 1087-2914

VL - 35

SP - 231

EP - 238

JO - Aids Patient Care and Stds

JF - Aids Patient Care and Stds

IS - 6

ER -