ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021
Interpersonal and intrapersonal manifestations of HIV stigma and their impacts on psychological distress and life satisfaction among people living with HIV: Toward a dual-process model.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis.European journal of psychotraumatology · 2021Pooled it
- HIV- and sex work-related stigmas and quality of life of female sex workers living with HIV in South Africa: a cross-sectional study.BMC infectious diseases · 2022Trial
- HIV-Related Stigma in People Living with HIV: A Cross-Sectional Analysis of a Portuguese Clinical Cohort.AIDS and behavior · 2026Article
- Perceptions of Stigma Among Patients With Hepatitis B in Germany: Cross-Sectional Survey.JMIR formative research · 2025Article
- Psychological Distress Mediates the Relationship Between HIV-Related Stigma and Prescription Opioid Misuse Among Chinese People Living with HIV.AIDS and behavior · 2024Article
- Empowering people living with HIV (PLHIV): unveiling care gaps and identifying opportunities for improving care for PLHIV in Singapore and Hong Kong.Journal of the International AIDS Society · 2024Article
- Stigma and fear of getting sick in the care of people living with HIV: an exploratory systematic review.Le infezioni in medicina · 2024Review
- Ethical Issues in Social Media Recruitment for Clinical Studies: Ethical Analysis and Framework.Journal of medical Internet research · 2022Review
- Sexual Risk Behavior and Lifetime HIV Testing: The Role of Adverse Childhood Experiences.International journal of environmental research and public health · 2022Article
- Depressive symptoms mediate COVID-associated stigma and quality of life: Stigma instrument validation and path analysis.Journal of affective disorders · 2022Article
- Psychological Resilience as the Mediating Factor Between Stigma and Social Avoidance and Distress of Infertility Patients in China: A Structural Equation Modeling Analysis.Psychology research and behavior management · 2022Article
- Cognitive Functioning and Its Relationship with Self-Stigma in Men with HIV Who Have Sex with Men: The Mediating Role of Health-Related Quality of Life.Psychology research and behavior management · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
purposeAs HIV is one of the most stigmatizing health conditions, people living with HIV (PLHIV) continue to experience multiple forms and sources of stigmatization, which negatively impact their quality of life. The present study proposed a dual-process model to understand the different manifestations of HIV stigma and examine how they relate to each other and affect psychological distress and life satisfaction in PLHIV.
methodsTwo hundred and ninety-one PLHIV in Hong Kong participated in the study and completed a self-report questionnaire on HIV stigma, psychological distress, and life satisfaction. Structural equation modeling was conducted to examine the mechanisms underlying HIV stigma and mental health.
resultsAround one-third of the participants experienced HIV-related avoidance and/or discrimination in different domains of life over the past year. Enacted stigma toward PLHIV was highly pronounced in Hong Kong, especially among general healthcare providers. The results revealed the interpersonal and intrapersonal processes underlying HIV stigma and mental health. While enacted stigma had a direct effect on psychological distress and life satisfaction, PLHIV might also internalize the stigmatizing beliefs associated with HIV identity, which were related to greater psychological distress and poorer life satisfaction.
conclusionStigma reduction programs that target non-HIV healthcare workers are recommended to confront their misconceptions and biases toward PLHIV. Given the high prevalence of self-stigma, psychological interventions that focus on restructuring negative beliefs about PLHIV and reconstructing a self-empowering and positive identity are necessary to promote better mental health and quality of life.
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