ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2023
The associations between HIV stigma and mental health symptoms, life satisfaction, and quality of life among Black sexual minority men with HIV.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- When Stigma Differs: A Cross-Sectional Study of Divergent Associations of Internalized and Enacted Stigma on Human Immunodeficiency Virus Disclosure in Zambia.Health science reports · 2026Article
- Quality of life, depression and sexual function in men living with HIV under effective antiretroviral therapy compared with healthy controls.Patient related outcome measures · 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
- Internalized transphobia and psychological distress among transgender and gender non-confirming emerging adults: The mediating roles of social support and gender identity disclosure.Journal of psychiatric research · 2025Article
- Internalized homophobia and social well-being among Black sexual minority men living with HIV: The mediating role of LGBT community connectedness and racial, gender, and sexual identity integration.Psychology of sexual orientation and gender diversity · 2025Article
- Medication literacy and treatment adherence in people living with human immunodeficiency virus: Mediating effects of psychosocial factors.World journal of psychiatry · 2025Review
- Predicting Quality of Life in People Living with HIV: A Machine Learning Model Integrating Multidimensional Determinants.Health and quality of life outcomes · 2025Observational
- Social Support as a Mediator in the Relationship Between Stigma and Mental Health in Adults Living with HIV.International journal of environmental research and public health · 2025Article
- Application progress of latent class growth models in dynamic prevention and control strategies for acquired immunodeficiency syndrome.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024Review
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Authors and funding
6 authors.
Funding
Abstract
purposeWith the advancement of antiretroviral therapy (ART), HIV/AIDS has become a manageable illness, similar to other chronic conditions. This study examined the associations between HIV stigma and patient-reported outcomes including mental health symptoms, life satisfaction, and quality of life among Black sexual minority men with HIV.
methodsWe analyzed baseline data from a randomized comparison trial of a mobile app intervention aimed to address the social work and legal needs of Black sexual minority men with HIV in Los Angeles County. We used validated scales including the Berger HIV stigma scale, the Patient Health Questionnaire-9 & the General Anxiety Disorder-7, the Satisfaction with Life Scale, and the Ladder Scale to assess HIV stigma, depressive symptoms, anxiety, life satisfaction, and quality of life, and we conducted multivariable linear regression to examine their associations.
resultsParticipants experienced HIV stigma especially about disclosure concerns (e.g., 81.9% participants indicated "I am very careful who I tell that I have HIV") and public attitudes (52.3% believed "Most people with HIV are rejected when others find out"). In the multivariable models, higher overall stigma scores were associated with higher likelihood of experiencing depression (adjusted b = 0.235, p < 0.001) and anxiety (adjusted b = 0.188, p = 0.002), and lower life satisfaction (adjusted b = - 0.236, p < 0.001) and quality of life (adjusted b = - 0.053, p = 0.013), adjusting for clinical characteristics including ART initiation, viral load suppression, and medication adherence. In addition, being attacked or harassed in the past year were significantly associated with lower life satisfaction and quality of life (adjusted b = - 3.028, p = 0.046; adjusted b = - 1.438, p = 0.002).
conclusionOur findings highlight the need for focused HIV stigma reduction interventions to promote the overall well-being of Black sexual minority men with HIV. Strategies to promote the patient-reported outcomes may benefit from trauma-informed approaches.
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