Internalized Stigma Among African Americans Living with HIV: Preliminary Scale Development Based on Qualitative Data

2013 ◽  
pp. 155-168 ◽  
Author(s):  
Deepa Rao ◽  
Michele Andrasik ◽  
Xeno Acharya ◽  
Jane M. Simoni
Keyword(s):  
African Americans ◽  
Scale Development ◽  
Qualitative Data ◽  
Internalized Stigma ◽  
Living With Hiv

scholarly journals The role of unintended pregnancy in internalized stigma among women living with HIV in Kenya

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara Chace Dwyer ◽  
Aparna Jain ◽  
Wilson Liambila ◽  
Charlotte E. Warren
Keyword(s):  
Unintended Pregnancy ◽  
Hiv Treatment ◽  
Outcome Variable ◽  
Internalized Stigma ◽  
Health Seeking ◽  
Logistic Regression Models ◽  
Stigma And Discrimination ◽  
Women Living With Hiv ◽  
Related Stigma ◽  
Living With Hiv

Abstract Background Kenya has successfully expanded HIV treatment, but HIV-related stigma and discrimination, and unintended pregnancy remain issues for many Kenyan women living with HIV. While HIV-related stigma can influence the health seeking behaviors of those living with HIV, less is known about how reproductive health outcomes influence internalized stigma among women living with HIV. Methods Baseline data only were used in this analysis and came from an implementation science study conducted in Kenya from 2015 to 2017. The analytic sample was limited to 1116 women who are living with HIV, between 18 to 44 years old, and have ever experienced a pregnancy. The outcome variable was constructed from 7 internalized stigma statements and agreement with at least 3 statements was categorized as medium/high levels of internalized stigma. Unintended pregnancy, categorized as unintended if the last pregnancy was mistimed or unwanted, was the key independent variable. Univariate and multivariate logistic regression models were used to assess the association between unintended pregnancy and internalized stigma. Associations between internalized stigma and HIV-related discrimination and violence/abuse were also explored. Results About 48% agreed with at least one internalized stigma statement and 19% agreed with at least three. Over half of women reported that their last pregnancy was unintended (59%). Within the year preceding the survey, 52% reported experiencing discrimination and 41% reported experiencing violence or abuse due to their HIV status. Women whose last pregnancy was unintended were 1.6 times (95% CI 1.2–2.3) more likely to have medium/high levels of internalized stigma compared to those whose pregnancy was wanted at the time, adjusting for respondents’ characteristics, experiences of discrimination, and experiences of violence and abuse. Women who experienced HIV-related discrimination in the past 12 months were 1.8 times (95% CI 1.3–2.6) more likely to have medium/high levels of internalized stigma compared to those who experienced no discrimination. Conclusions Results suggest that unintended pregnancy is associated with internalized stigma. Integrated HIV and FP programs in Kenya should continue to address stigma and discrimination while increasing access to comprehensive voluntary family planning services for women living with HIV.

Communicating Reform: Testing an Apology for Police History as a Supplement to a Policy Communication

2021 ◽  
pp. 027507402110488
Author(s):  
Mark Benton
Keyword(s):  
African Americans ◽  
Policy Implementation ◽  
Community Policing ◽  
Qualitative Data ◽  
The United States ◽  
Mechanical Turk ◽  
Police Legitimacy ◽  
Policy Communication ◽  
Amazon's Mechanical Turk ◽  
Vignette Experiment

Policing in the United States has a racist history, with negative implications for its legitimacy among African Americans today. Legitimacy is important for policing's effective operations. Community policing may improve policing's legitimacy but is difficult to implement with fidelity and does not address history. An apology for policing's racist history may work as a legitimizing supplement to community policing. On the other hand, an apology may be interpreted as words without changes in practices. Using a survey vignette experiment on Amazon's Mechanical Turk to sample African Americans, this research tests the legitimizing effect of a supplemental apology for historical police racism during a community policing policy announcement. Statistical findings suggest that supplementing the communication with an apology imparted little to no additional legitimacy on policing among respondents. Qualitative data suggested a rationale: Apologies need not indicate future equitable behavior or policy implementation, with implementation itself seeming crucial for police legitimacy improvements.

scholarly journals Burden of HIV-Related Stigma and Post-Partum Depression: A Cross-Sectional Study of Patients Attending Prevention of Mother-to-Child Transmission Clinic at Kenyatta National Hospital in Nairobi

2021 ◽  
Vol 11 ◽  
Author(s):  
Obadia Yator ◽  
Muthoni Mathai ◽  
Tele Albert ◽  
Manasi Kumar
Keyword(s):  
Postpartum Depression ◽  
Post Partum ◽  
Internalized Stigma ◽  
Child Transmission ◽  
National Hospital ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Related Stigma ◽  
Living With Hiv ◽  
Mother To Child

Background: We look at how various HIV-related stigma subtypes, especially internalizing types, interact with postpartum depression (PPD) among women living with HIV. Additionally, we identify key psychosocial risk factors that influence stigma and PPD among women attending Prevention of Mother-to-Child Transmission (PMTCT) clinics.Methods: In this cross-sectional design, 123 women living with HIV were recruited. Participants ages between 18 and 50, who were at least 8 weeks postpartum seeking PMTCT services at Kenyatta National Hospital (KNH), between June and September 2014 participated in the study. HIV/AIDS Stigma Instrument—PLWHA (HASI–P) was used to assesses stigma and Postpartum depression was assessed by Edinburgh Postnatal Depression Scale (EPDS). Bivariate and multivariate regression models were used to determine the individual characteristics associated with the HIV-related stigma Scale. Post survey a few in-depth-interviews were conducted to explore individuals' stigma and depression experiences.Results: The mean age was 31.2 years (SD = 5.2). Fifty-nine (48%) women screened positive for significant depressive symptoms. Post-partum depression was a significant predictor of internalized stigma, enacted, and total stigma (P < 0.05). Older age was associated with less internalized stigma. Living with a partner was associated with more internalized stigma. Having an income above 100 USD per month was protective against stigma. Having good family social support was protective against internalized stigma. A higher educational level was protective against enacted stigma. Being treated for STIs was a risk factor for both enacted and overall stigma.Conclusions: HIV-related stigma needs to be addressed through integrated mental health care programs in PMTCT. Postpartum depression requires comprehensive management to improve short- and long-term outcomes of women living with HIV.

HIV-Related Internalized Stigma and Patient Health Engagement Model in an Italian Cohort of People Living With HIV

2022 ◽  
pp. 003329412110571
Author(s):  
Valentina Massaroni ◽  
Valentina Delle Donne ◽  
Nicoletta Ciccarelli ◽  
Francesca Lombardi ◽  
Silvia Lamonica ◽  
...  
Keyword(s):  
Depression Symptoms ◽  
People Living With Hiv ◽  
Internalized Stigma ◽  
Engagement In Care ◽  
Stigma Score ◽  
Patient Health ◽  
Related Stress ◽  
Living With Hiv ◽  
First Time ◽  
Italian Cohort

The care engagement of people living with HIV (PLWH) measured with the patient health engagement (PHE) model and its association with HIV-related internalized stigma are not well established. Indeed, currently there are no data yet about the engagement of PLWH measured with the PHE model. This study aimed to evaluate the effects of HIV-related internalized stigma on care engagement and mental health and to fill the lack of data on PHE model applied to PLWH. We found that the internalized stigma score was significantly higher for PLWH ( n=82) in worse care engagement phase and both higher internalized stigma scores and worse engagement were associated to major depression symptoms. In conclusion, our findings describe for the first time the engagement in care of PLWH measured with PHE and highlight the importance of PLWH support to find strategies to cope stigma-related stress and optimize their care engagement.

scholarly journals Associations Between Experienced and Internalized HIV Stigma, Adversarial Growth, and Health Outcomes in a Nationwide Sample of People Aging with HIV in Germany

2020 ◽  
Author(s):  
Jochen Drewes ◽  
Phil C. Langer ◽  
Jennifer Ebert ◽  
Dieter Kleiber ◽  
Burkhard Gusy
Keyword(s):  
Health Outcomes ◽  
Indirect Effect ◽  
Cross Sectional Study ◽  
Hiv Stigma ◽  
People Living With Hiv ◽  
Internalized Stigma ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adversarial Growth ◽  
Living With Hiv

Abstract HIV-related stigmatization and adversarial growth are known to influence health outcomes in people living with HIV. But not much is known how these psychosocial factors are related to each other and how they interact to influence health outcomes. We tested whether the effect of experienced and internalized stigma on mental health and self-rated health is mediated by adversarial growth, and whether each of these factors is uniquely associated with health outcomes. In our sample of 839 people aging with HIV in Germany based on a cross-sectional study design we did not find an indirect effect of experienced HIV stigma on health outcomes and a very small indirect effect of internalized HIV stigma. All variables were significant predictors of health outcomes in multiple regression analyses.

scholarly journals Have You Talked about It: Advance Care Planning among African Americans Living with HIV in Baltimore

2017 ◽  
Vol 94 (5) ◽  
pp. 730-745 ◽  
Author(s):  
Allysha C. Maragh-Bass ◽  
Yiqing Zhao ◽  
Sarina R. Isenberg ◽  
Mary M. Mitchell ◽  
Amy R. Knowlton
Keyword(s):  
African Americans ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care ◽  
Living With Hiv

Evaluating the Measurement Structure of the Abbreviated HIV Stigma Scale in a Sample of African Americans Living With HIV/AIDS

2016 ◽  
Vol 30 (1) ◽  
pp. 65-76
Author(s):  
Eboneé T. Johnson ◽  
Rana A. Yaghmaian ◽  
Andrew Best ◽  
Fong Chan ◽  
Reginald Burrell
Keyword(s):  
Factor Analysis ◽  
African Americans ◽  
Social Stigma ◽  
Hiv Stigma ◽  
Good Reliability ◽  
Stigma Scale ◽  
Confirmatory Factor ◽  
Valid Instrument ◽  
Living With Hiv ◽  
Hiv Aids

Purpose: The purpose of this study was to validate the 10-item version of the HIV Stigma Scale (HSS-10) in a sample of African Americans with HIV/AIDS.Method: One hundred and ten African Americans living with HIV/AIDS were recruited from 3 case management agencies in Baton Rouge, Louisiana. Measurement structure of the HSS-10 was evaluated using exploratory and confirmatory factor analysis.Results: Factor analysis results support a 2-factor factorial structure for the HSS-10 (social stigma and self-stigma). The HSS-10 demonstrates good reliability and factorial validity, and it correlates moderately with related constructs in the expected directions.Conclusion: HSS-10 is a brief, reliable, and valid instrument for assessing HIV stigma and can be used as a clinical rehabilitation and research tool to assess the contribution of stigma as a major cause of health disparities and outcomes in African Americans living with HIV/AIDS.

Sign in / Sign up

Export Citation Format

Share Document