Disclosure and Stigma of a Positive HIV-Serostatus: A Two-Step Cluster Analysis of the HIV Disclosure Scale

Guy, Arryn A.; Niel, Kristin; Durán, Ron E.

doi:10.1007/s10461-017-1989-x

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…They weigh the risks and benefits as they contemplate the decision to disclose the HIV status. The consequences of the disclosure might involve both positive and negative psychological and physiological outcomes such as depression, perceived social support, and negative stigmatizing responses [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan

Huang

et al. 2021

IJERPH

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People living with HIV (PLWH) face social stigma which makes disclosure of HIV status difficult. The purpose of this descriptive qualitative study was to understand the lived experiences of stigmatization in the process of disease disclosure among PLWH in Taiwan. Analysis of the semi-structured interviews from 19 PLWH in Taiwan revealed two phases and six themes. Phase one “experiences before disclosure” involved three themes: “Struggles under the pressure of concealing the HIV Status,” “Torn between fear of unemployment/isolation and desire to protect closed ones,” and “Being forced to disclose the HIV status.” Phase two “experiences after disclosure” included three themes: “Receiving special considerations and requirements from school or work,” “Receiving differential treatments in life and when seeking medical care,” and “Stress relief and restart.” Healthcare professionals need to assess stigmatization in PLWH and develop individualized approaches to assist with the disease disclosure process.

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Section: Introductionmentioning

confidence: 99%

The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan

Huang

et al. 2021

IJERPH

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“…The clustering method enabled us to find subgroups from the small data sample. Comparative studies of the Two-Step suggest cluster analysis as one of the most reliable in terms of the number of subgroups detected, the classification probability of individuals to subgroups, and reproducibility of findings (Benassi et al, 2020;Guy et al, 2017). The first step is a sequential approach to pre-cluster the cases based on the definition of dense regions in the data.…”

Section: Discussionmentioning

confidence: 99%

Occupational well-being and teamwork in Finnish early childhood education

Kumpulainen

Sajaniemi

Suhonen

et al. 2023

jecer

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The study examined Finnish early childhood education professionals’ (ECEP) (n = 107) experiences of occupational well-being and systems intelligent teamwork. Occupational well-being was measured with basic psychological job satisfaction, work engagement and burnout. In the analysis of variances by rank, the ECEPs’ had high work engagement, felt competent and relatedness in a working community. By contrast, their autonomy was low, and they felt exhausted, even though the overall burnout level was low. Extensive working experience increased work-related well-being and perceiving socioemotional systems in work. The ECE teachers had the highest work engagement, basic psychological need satisfaction and lowest burnout, but didn’t feel strongly competent in perceiving systemic interaction structures. On the other hand, the ECE social pedagogues felt most competent in systems intelligence behavior. The ECE childcarers valued the support of the systems intelligence team. In the cluster analysis, we identified two different clusters representing the level of occupational well-being and systems intelligence. The solution presented a connection between the ECE teachers with high work-related well-being and systems intelligence. We suggest that the multi-professional teamwork should be developed according to the ECEPs’ diverse educational background and that professional responsibilities be made more consistent with their education.

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“…Depression is a significant reason for suicide and disease burden, and is recognized as an obstacle to implementing antiretroviral therapy (ART) for PLWH, increasing the spread of HIV and sexually transmitted diseases ( 6 , 11 – 14 ). It is still plays an important role in whether PLWH decides to disclose their HIV status to families or friends ( 15 ). The current epidemiological research shows that adverse mental health conditions increase the risk of HIV infections ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

Association between depression and HIV infection vulnerable populations in United States adults: a cross-sectional analysis of NHANES from 1999 to 2018

Xu¹,

Huang²,

Peng³

et al. 2023

Front. Public Health

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BackgroundAlthough the government has made a commitment to advance education on HIV disclosure, depression continues to play a significant role in whether people living with HIV (PLWH) choose to disclose their HIV status to families or friends. Vulnerable populations who are at risk of contracting HIV may also be more susceptible to mental illness. However, there is a limited understanding of the association between depression and vulnerable populations affects by HIV among United States adults. We aimed to explore the incidence of depression in the HIV infection vulnerable populations and assessed the association between the HIV infection vulnerable populations and depression.MethodsWe analyzed the most current statistics from the National Health and Nutrition Examination Survey (NHANES) that included 16,584 participants aged 18 years or older between 1999 and 2018. The Patient Health Questionnaire-9 (PHQ-9) was used to evaluate symptoms of depressive disorder. Demographic characteristics were compared between the HIV infection vulnerable groups and HIV infection low-risk groups. Multivariable logistic regression analysis was also carried out to evaluate the odds rate and association between the HIV infection vulnerable populations and depression.ResultsBased on the most recent statistics from NHANES, HIV infection vulnerable populations were male, younger, less married or living together, non-Hispanic White people, lower income, and lower body mass index (BMI), with higher levels of cigarette smoking, alcohol drinking, a higher prevalence of depression, lower prevalence of hypertension and diabetes mellitus (DM; p < 0.05). Additionally, individuals with severe depression had a higher prevalence of cardiovascular disease (CVD), hypertension, DM, chronic kidney disease (CKD), and a higher proportion of HIV infection vulnerable populations and less married or living together (p < 0.01). Finally, the odds of depression from the logistic regression were significantly increased in HIV infection vulnerable groups (p < 0.01).ConclusionDepression might be associated with HIV infection vulnerable populations in the United States adults. More research is needed to evaluate the association between HIV infection vulnerable populations and depression and explore their causal associations. In addition, prevention efforts focusing on HIV disclosure and HIV infection vulnerable populations in the United States should address common co-prevalent depression to reduce new HIV infections.

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Disclosure and Stigma of a Positive HIV-Serostatus: A Two-Step Cluster Analysis of the HIV Disclosure Scale

Cited by 5 publications

References 28 publications

The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan

The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan

Occupational well-being and teamwork in Finnish early childhood education

Association between depression and HIV infection vulnerable populations in United States adults: a cross-sectional analysis of NHANES from 1999 to 2018

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