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The role of knowing someone living with HIV/AIDS and HIV disclosure in the HIV stigma framework: a Bayesian mediation analysis

The role of knowing someone living with HIV/AIDS and HIV disclosure in the HIV stigma framework:... The current study evaluated the role of knowing someone living with HIV/AIDS and disclosure of one’s HIV-positive status in the HIV Stigma Framework using a Bayesian mediation analysis. We used data on 387 people living with HIV/AIDS (PLWHA) and 6074 HIV uninfected Italian participants. Knowing someone living with HIV/AIDS was negatively related to stigmatizing attitudes among HIV uninfected participants and internalized stigma among PLWHA. Internalized stigma mediated the relationship between personal knowledge of someone living with HIV/AIDS and disclosure of one’s HIV-positive status. In turn, disclosure of one’s HIV-positive status mediated the relationship between internalized stigma and engagement in HIV care. Undetectable viral load was predicted by internalized stigma but not by disclosure of one’s HIV-positive status and enacted stigma. Among uninfected participants, stigmatizing attitudes mediated the relationship between knowledge of someone living with HIV/AIDS and HIV testing. In addition, an interaction between knowledge of someone living with HIV/AIDS and HIV testing was found such that stigmatizing attitudes did not predict HIV testing among participants who do not have a personal knowledge of someone living with HIV/AIDS. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Quality & Quantity Springer Journals

The role of knowing someone living with HIV/AIDS and HIV disclosure in the HIV stigma framework: a Bayesian mediation analysis

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References (51)

Publisher
Springer Journals
Copyright
Copyright © 2015 by Springer Science+Business Media Dordrecht
Subject
Social Sciences; Methodology of the Social Sciences; Social Sciences, general
ISSN
0033-5177
eISSN
1573-7845
DOI
10.1007/s11135-015-0168-2
Publisher site
See Article on Publisher Site

Abstract

The current study evaluated the role of knowing someone living with HIV/AIDS and disclosure of one’s HIV-positive status in the HIV Stigma Framework using a Bayesian mediation analysis. We used data on 387 people living with HIV/AIDS (PLWHA) and 6074 HIV uninfected Italian participants. Knowing someone living with HIV/AIDS was negatively related to stigmatizing attitudes among HIV uninfected participants and internalized stigma among PLWHA. Internalized stigma mediated the relationship between personal knowledge of someone living with HIV/AIDS and disclosure of one’s HIV-positive status. In turn, disclosure of one’s HIV-positive status mediated the relationship between internalized stigma and engagement in HIV care. Undetectable viral load was predicted by internalized stigma but not by disclosure of one’s HIV-positive status and enacted stigma. Among uninfected participants, stigmatizing attitudes mediated the relationship between knowledge of someone living with HIV/AIDS and HIV testing. In addition, an interaction between knowledge of someone living with HIV/AIDS and HIV testing was found such that stigmatizing attitudes did not predict HIV testing among participants who do not have a personal knowledge of someone living with HIV/AIDS.

Journal

Quality & Quantity – Springer Journals

Published: Feb 3, 2015

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