ArticleAIDS patient care and STDs2022
Resilience and Optimism as Moderators of the Negative Effects of Stigma on Women Living with HIV.
Article in AIDS patient care and STDs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 22 citations in OpenAlex.
- Unraveling the Latent Profile and Transition of HIV-Related Stigma Among PLWH in China: Roles of Psychological Capital, Psychological Distress, and Social Support.AIDS and behavior · 2026Article
- The burden of HIV-related stigma on clinical and quality of life outcomes: results from a systematic literature review.Health psychology and behavioral medicine · 2026Review
- Psychosocial Determinants of Mental Health in Older Adults Living With HIV: The Protective Role of Resilience Against Internalized Stigma.Journal of aging research · 2026Article
- Gain-Framed Health Messaging, Medical Trust, and Pre-Exposure Prophylaxis (PrEP) Self-Efficacy: An Experimental Study.Healthcare (Basel, Switzerland) · 2025Article
- Inequities by race and ethnicity in cancer treatment receipt among people living with HIV and cancer in the U.S. (2004-2020).BMC cancer · 2025Article
- How Does Poverty Stigma Affect Depression Symptoms for Women Living with HIV? Longitudinal Mediating and Moderating Mechanisms.International journal of mental health and addiction · 2025Article
- Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis.Social science & medicine (1982) · 2025Article
- Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV: Mediating roles of internalized stigma, anticipated stigma, and trust in HIV care.Social science & medicine (1982) · 2025Article
- Association between fear of future workplace violence and burnout among pediatricians in China with psychological resilience as a moderator.Journal of occupational health · 2025Article
- Resilience and frailty among gynecological patients in oncological treatment: the chain mediating role of stigma and health literacy.Frontiers in psychiatry · 2025Article
- Integrating psychological resilience into community health strategies: addressing stigma-induced social alienation in postoperative colorectal cancer patients.Frontiers in public health · 2025Article
- Multilevel factors associated with HIV-related stigma among women living with HIV in Guangdong Province, China: a social-ecological model-informed study.Archives of public health = Archives belges de sante publique · 2024Article
- What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences.International journal of environmental research and public health · 2024Article
- Prevalence of Diagnosed and Undiagnosed Depression Among US Adults with Human Immunodeficiency Virus: Data from the Medical Monitoring Project.AIDS patient care and STDs · 2024Article
- Mental health burden among females living with HIV and AIDS in sub-Saharan Africa: A systematic review.PLOS global public health · 2024Article
- HIV-related stigma, depression and suicidal ideation among HIV-positive MSM in China: a moderated mediation model.BMC public health · 2023Article
- Self-stigmatization of high-school students seeking professional psychological help: the chain-mediating effect of perceived social support and optimism.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
18 authors at 15 institutions in 2 countries.
Funding
Abstract
Resilience and optimism may not only have main effects on health outcomes, but may also moderate and buffer negative effects of stressors. We examined whether dispositional resilience and optimism moderate the associations between HIV-related stigma in health care settings and health-related outcomes (trust in HIV health care providers and depression symptoms) among women living with HIV (WLHIV). One thousand four hundred five WLHIV in nine US cities completed validated questionnaires for cross-sectional analyses. Higher self-reported experienced and anticipated stigma and lower resilience and optimism were associated with higher depression symptoms and with lower trust in HIV providers. Importantly, resilience moderated the effects of experienced stigma (but not of anticipated stigma): When resilience was high, the association of experienced stigma with higher depression symptoms and lower trust in HIV providers was weaker compared with when resilience was low. Further, significant moderation effects suggested that when optimism was high, experienced and anticipated stigma was both less strongly associated with depression symptoms and with lower trust in one's HIV care providers compared with when optimism was low. Thus, the effects of experienced stigma on depression symptoms and provider trust were moderated by both resilience and optimism, but the effects of anticipated stigma were moderated only by optimism. Our findings suggest that in addition to their main effects, resilience and optimism may function as buffers against the harmful effects of stigma in health care settings. Therefore, optimism and resilience may be valuable intervention targets to reduce depression symptoms or improve trust in providers among populations that experience or anticipate stigma, such as WLHIV.
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