A transactional approach to relationships over time between perceived HIV stigma and the psychological and physical well-being of people with HIV

Miller, Carol T.; Solomon, Samuel; Varni, Susan E.; Hodge, James J.; Knapp, F. Andrew; Bunn, Janice Y.

doi:10.1016/j.socscimed.2016.06.025

Cited by 26 publications

(30 citation statements)

References 71 publications

(47 reference statements)

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“…Peer support groups have been found to be effective in producing positive psychological outcomes for children and adolescents infected with HIV/AIDS (e.g., Funch-Brentano et al, 2005; Kumakech, Cantor-Graae, Maling, & Bajunirwe, 2009), and similar mechanisms may be at work for peer groups composed of children affected by parental HIV/AIDS. There is also evidence to suggest that strengthening psychological well-being for this vulnerable group may be one way to combat the pervasive stigma that is often felt by HIV-infected and HIV–affected populations (Miller et al, 2016). …”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

Harrison

Fairchild

et al. 2017

Social Science & Medicine

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Background: Global literature suggests that resilience-based interventions may yield improvements in psychosocial well-being for vulnerable children, but limited data are available regarding the efficacy of such interventions among children affected by parental HIV/AIDS. Objective: To evaluate initial efficacy of a multi-level resilience-based intervention among children affected by parental HIV/AIDS in China in improving children’s psychosocial well-being and resilience-related outcomes. Method: Seven hundred-ninety children, 6 to 17 years of age, were recruited from rural China. Children were either AIDS orphans or were living with one or two parents infected with HIV/AIDS. Children and primary caregivers were randomly assigned to participate in a 4-arm trial to evaluate the Child-Caregiver-Advocacy Resilience (ChildCARE) intervention. This resilience-based HIV intervention provides programming at three levels (child, caregiver, community). Initial survey data were collected at baseline, 6-months, and 12-months in order to examine efficacy of the child-only and child+caregiver arms in improving children’s resilience. Results: Intervention groups displayed improvements in several resilience-related outcomes at 6-and 12-month follow-ups, including self-reported coping, hopefulness, emotional regulation, and self-control. The child-only intervention arm showed some fading of intervention effects by 12-months. Conclusion: Preliminary findings suggest that the ChildCARE intervention is efficacious in promoting psychosocial well-being of children affected by parental HIV/AIDS in rural China. Targeting both children and caregivers for psychosocial intervention may be effective in improving children’s resilience. Additional evaluation and modifications, including the inclusion of booster sessions, should be considered to further strengthen the program.

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Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

Harrison

Fairchild

et al. 2017

Social Science & Medicine

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“…Aggregated social norms have been used in previous research to measure contextual features of stigma and prejudice across a range of groups, including Blacks, 42 immigrants, 43 sexual minorities, 44 and people with psychopathology, 45 and HIV/AIDS. 46,47 This work has shown that community-level prejudicial attitudes are associated with self-stigma, 45 disclosure concerns, 46 psychological distress, 48 poor self-rated health, 49 and even shortened lifespans, 42 among the stigmatized.…”

Section: Structural Stigmamentioning

confidence: 96%

Smaller Hippocampal Volume among Black and Latinx Youth Living in High-Stigma Contexts

Hatzenbuehler

Weissman

McKetta³

et al. 2020

Preprint

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Are macro-level features of the social context associated with neurodevelopment in children? Answering this question is challenging, because most neuroimaging studies are conducted in one location, making it impossible to link contextual variation with neural outcomes. Here, we use one of the first national, multi-site neuroimaging studies with substantial variability in sociopolitical contexts: the Adolescent Brain and Cognitive Development study (N=11,534; M=9.9 years). We measured stigma surrounding gender, race, and Latinx ethnicity using objective state-level indicators of social policies and prejudicial attitudes and two neural markers consistently linked with stress exposure: hippocampal volume and amygdala reactivity to threat. In a pre-registered analysis, we find that African-American and Latinx youth in higher stigma environments have smaller hippocampal volume, controlling for demographics and family socioeconomic status. Stigmatizing environments were unrelated to hippocampal volume in non-stigmatized youth, providing evidence of specificity. We demonstrate that contextual approaches may yield new insights into neurodevelopment.

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“…Specifically, our study attempts to build on previous research by examining the link between perceived stigma and health-related quality of life, as well as two further well-being outcomes that are of interest in the broader stigmatized identities literature; psychological distress and somatic symptoms. Indeed, an extensive body of research demonstrates that the experience, anticipation and/or internalization of stigma is associated with increased psychological distress [ 24 , 31 – 34 ] and physical health problems, including increased somatic symptoms in those who are unemployed (e.g., sleeplessness, headaches, colds; [ 35 , 36 ]) and a variety of negative physical health outcomes in individuals with HIV/AIDS (e.g., coughing, nausea, chest pain [ 33 ]; reduced physical well-being [ 37 ]; low CD4 count [ 38 ]).…”

Section: Introductionmentioning

confidence: 99%

Stigma predicts health-related quality of life impairment, psychological distress, and somatic symptoms in acne sufferers

Davern

O’Donnell

2018

PLoS ONE

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Acne vulgaris has been associated with deficits in psychological well-being and health-related quality of life. Few studies have investigated how stigma contributes to our understanding of the well-being of acne sufferers, although it is clear that acne is stigmatized and stigmatization is associated with impaired well-being. The current study aimed to investigate the ability of perceived stigma to predict health-related quality of life, psychological distress, and somatic symptoms over and above established predictors. University students and staff suffering from acne completed self-report measures online. Hierarchical multiple regression analyses showed that perceived stigma significantly contributed to the prediction of all three well-being measures, over and above the effects of gender, acne severity, acne location, and use of medication. Indeed, perceived stigma made the largest unique contribution to predicting well-being. Our findings suggest that interventions that attempt to counter stigma could also improve the overall well-being of people affected by acne.

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A transactional approach to relationships over time between perceived HIV stigma and the psychological and physical well-being of people with HIV

Cited by 26 publications

References 71 publications

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up

Smaller Hippocampal Volume among Black and Latinx Youth Living in High-Stigma Contexts

Stigma predicts health-related quality of life impairment, psychological distress, and somatic symptoms in acne sufferers

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