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Quality of Life Research
Gepubliceerd in: Quality of Life Research 6/2023

17-01-2023

The associations between HIV stigma and mental health symptoms, life satisfaction, and quality of life among Black sexual minority men with HIV

Auteurs: Chenglin Hong, Ayako Miyashita Ochoa, Bianca D. M. Wilson, Elizabeth S. C. Wu, Damone Thomas, Ian W. Holloway

Gepubliceerd in: Quality of Life Research | Uitgave 6/2023

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Abstract

Purpose

With 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.

Methods

We 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.

Results

Participants 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).

Conclusion

Our 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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Metagegevens
Titel
The associations between HIV stigma and mental health symptoms, life satisfaction, and quality of life among Black sexual minority men with HIV
Auteurs
Chenglin Hong
Ayako Miyashita Ochoa
Bianca D. M. Wilson
Elizabeth S. C. Wu
Damone Thomas
Ian W. Holloway
Publicatiedatum
17-01-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03342-z

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