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This study has been approved by the Monash University Standing Committee on Ethics in Research Involving Humans (Approval Number CF09/1014-2009000505).
The impact of stigma on subjective wellbeing was explored in adults living with HIV in Australia and the USA. It was hypothesised that this population would report poorer subjective wellbeing than the general population and that ‘felt’ stigma would contribute significantly to reported levels of subjective wellbeing.
A total of 274 participants were recruited through Australian AIDS councils and HIV-specific online support groups. Participants completed a composite questionnaire comprising the personal wellbeing index—adult (PWI-A), the HIV version of the unsupportive social interactions inventory (USII) and demographic and health-related items. The PWI-A total score was used to form a personal wellbeing index, ranging from 0 to 100.
Participants reported mean PWI-A total scores of 54.7, considerably below the normative range of 70–80 for Western populations. There was a strong negative correlation between PWI-A total scores and USII total scores with the experience of high levels of unsupportive social interactions being associated with reduced levels of subjective wellbeing.
Our study suggests that despite antidiscrimination legislation, ‘felt’ stigma in the form of unsupportive social interactions continues to exert a negative impact on subjective wellbeing. Reduced subjective wellbeing may increase the risk of adverse health behaviours, such as medication non-adherence, substance abuse, risky sexual behaviours and non-disclosure of HIV serostatus.
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Curran, J. W. (2006). Reflections on AIDS: Lessons for the future. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 83(1), 1–2. CrossRef
UNAIDS. (2009). AIDS epidemic update. http://data.unaids.org/pub/FactSheet/2009/20091124_FS_global_en.pdf. Accessed Jan 5, 2011.
Green, G. (2009). The end of stigma? Changes in the social experience of long term illness. Oxford: Routledge.
Kohli, R., Klein, R. S., Schoenbaum, E. E., Anastos, K., Minkoff, H., & Sacks, H. S. (2006). Aging and HIV infection. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 83, 31–42. CrossRef
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York: Simon & Schuster, Inc.
Song, Y. S., & Ingram, K. M. (2002). Unsupportive social interactions, availability of social support, and coping: Their relationship to mood disturbance among African Americans living with HIV. Journal of Social and Personal Relationships, 19, 67–85. CrossRef
International Wellbeing Group. (2006). Personal wellbeing index (4th ed.). Melbourne: Australian Centre on Quality of Life, Deakin University.
Cummins, R. A., Lau, A. L. D., Mellor, D., & Stokes, M. A. (2009). Encouraging governments to enhance the happiness of their nation: Step 1: Understand subjective wellbeing. Social Indicators Research, 91, 21–36. CrossRef
Mead, R., & Cummins, R. A. (2008). Australian Unity wellbeing index: Report 18.2: What makes us happy? Melbourne: Australian Unity and Deakin University.
Cummins, R. A. (2010). Subjective wellbeing, homeostatically protected mood and depression: A synthesis. Journal of Happiness Studies, 11, 1–17. CrossRef
Lemstra, M., Rogers, M., Thompson, A., Moraros, J., & Buckingham, R. (2011). Risk indicators of depressive symptomatology among injection drug users and increased HIV risk behaviour. Canadian Journal of Psychiatry, 56(6), 358–366.
Derlega, V. J., Winstead, B. A., Greene, K., Serovich, J., & Elwood, W. N. (2004). Reasons for HIV disclosure/nondisclosure in close relationships: Testing a model of HIV-disclosure decision making. Journal of Social and Clinical Psychology, 23(6), 747–767. CrossRef
Courtenay-Quirk, C., Wolitski, R. J., Parsons, J. T., Gomez, C. A., & the Seropositive Urban Men’s Study Team. (2006). Is HIV/AIDS stigma dividing the gay community? Perceptions of HIV-positive men who have sex with men. AIDS Education and Prevention, 18(1), 56–67. CrossRef
Karpiak, S. E., & Brennan, M. (2009). The emerging population of older adults with HIV and introduction to ROAH the research study. In M. Brennan, S. E. Karpiak, R. A. Shippy, & M. H. Cantor (Eds.), Older adults with HIV: An in-depth examination of an emerging population (pp. 1–12). New York: Nova Science Publishers, Inc.
UNAIDS (2010). Global report: UNAIDS report on the global AIDS epidemic 2010. http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2010/20101123_globalreport_en.pdf. Accessed May 11, 2011.
Grierson, J., Power, J., Pitts, M. Croy, S., Clement, T., Thorpe, R. et al. (2009). HIV Futures 6: Making positive lives count. Monograph series number 74. Melbourne: The Australian Research Centre in Sex, Health and Society, LaTrobe University.
Tabbachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Needham Heights: Allyn & Bacon.
IBM. (2010). IBM SPSS Statistics 19. Chicago: Author.
Comulda, W. S., Rotheram-Borus, M. J., Weiss, R. E., Desmond, K. A., Remien, R. H., Weinhardt, L. S., et al. (2010). Relationships over time between mental health symptoms and transmission risk among persons living with HIV. Psychology of Addictive Behaviors, 24(1), 109–118. CrossRef
Appelbaum, A., & Brennan, M. (2009). Mental health and depression. In M. Brennan, S. E. Karpiak, R. A. Shippy, & M. H. Cantor (Eds.), Older adults with HIV: An in-depth examination of an emerging population (pp. 27–42). New York: Nova Science Publishers, Inc.
Weiss, M. G., Ramakrishna, J., & Somma, D. (2006). Health-related stigma: Rethinking concepts and interventions. Psychology, Health and Medicine, 11(3), 277–287. CrossRef
Cummins, R. A., & Nistico, H. (2002). Maintaining life satisfaction: The role of positive cognitive bias. Journal of Happiness Studies, 3, 37–69. CrossRef
Arnold, M. E., Rice, E., Flannery, D., & Rotheram-Borus, J. (2008). HIV disclosure among adults living with HIV. AIDS Care, 20(1), 80–92.
Peretti-Watel, P., Spire, B., Pierret, J., Lert, F., Obadia, Y., & the Vespa Group. (2006). Management of HIV-related stigma and adherence to HAART: Evidence from a large representative sample of outpatients attending French hospitals (ANRS-EN12-VESPA 2003). AIDS Care, 18(3), 254–261. CrossRef
- Subjective wellbeing and ‘felt’ stigma when living with HIV
Vicki E. Hutton
Francesca E. Collins
- Springer Netherlands