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Quality of Life Research
Gepubliceerd in:

01-09-2014

Enacted and internalized stigma and quality of life among people with HIV: the role of group identity

Auteurs: Maria J. Fuster-Ruizdeapodaca, Fernando Molero, Francisco Pablo Holgado, Sonia Mayordomo

Gepubliceerd in: Quality of Life Research | Uitgave 7/2014

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Abstract

Purpose

This study analyzes the mediating role of social identity in the relationship between enacted stigma and internalized stigma and quality of life of people with HIV.

Methods

A total of 557 people with HIV participated in this study. Participants were recruited from hospitals and non-governmental organizations. Questionnaires measuring perceived stigma (Berger’s HIV Stigma Scale), social identity (Cameron’s three factor identity scale), and quality of life (Ruiz and Baca’s Quality of Life Questionnaire) were administered. The instruments were adapted for use with the Spanish population. Structural equation modeling (SEM) was used to test the mediation model, and multigroup SEM was conducted to evaluate its invariance.

Results

Both enacted stigma and internalized stigma had a negative influence on the quality of life of people with HIV, but this influence occurred in different ways. Enacted stigma had a direct negative influence on quality of life. No dimension of group identity protected people with HIV from its negative influence. However, the negative influence of internalized stigma was totally mediated by some dimensions of group identification, mainly through in-group affect.

Conclusions

Group identification not only did not protect people with HIV from the negative effects of stigmatization, but it may even be detrimental in the case of internalized stigma. This suggests that in highly stigmatized groups, the salience of identity is negative and worsens the members’ opinion of their own group. This argues for different kinds of intervention to improve the quality of life of people with HIV.
vorige artikel Comparing self and maternal reports of adolescents’ general health status: Do self and proxy reports differ in their relationships with covariates?
volgende artikel Sensory impairments and their associations with functional disability in a sample of the oldest-old
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Metagegevens
Titel
Enacted and internalized stigma and quality of life among people with HIV: the role of group identity
Auteurs
Maria J. Fuster-Ruizdeapodaca
Fernando Molero
Francisco Pablo Holgado
Sonia Mayordomo
Publicatiedatum
01-09-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0653-4

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