Although the negative impact of HIV stigma is well documented, a gap exists in exploration of constructs that mediate the relationship between HIV stigma and psychological QOL (PQOL). Self-esteem is often conceptualized as a protective factor. We used PLS-SEM to explore the relationships between HIV stigma, PQOL and self-esteem, where PQOL and self-esteem are latent constructs represented by direct observations. Our hypotheses were supported - stigma is negatively related to self-esteem (as measured by self-blame, forgiveness of self, acceptance without judgment and self-esteem), self-esteem is positively related to PQOL (as measured by depression, mental health, QOL and perceived stress) and when the two aforementioned relationships are controlled for, a previously significant relation between stigma and PQOL changes its value significantly. These findings have implications for interventions designed to mitigate the negative psychosocial effects of stigma in PLH.
| Identifer | oai:union.ndltd.org:unt.edu/info:ark/67531/metadc1011795 |
| Date | 08 1900 |
| Creators | Wike, Alexandra |
| Contributors | Vosvick, Mark, Guarnaccia, Charles A., Watkins, Clifton E., Prybutok, Victor R. |
| Publisher | University of North Texas |
| Source Sets | University of North Texas |
| Language | English |
| Detected Language | English |
| Type | Thesis or Dissertation |
| Format | vii, 74 pages, Text |
| Rights | Public, Wike, Alexandra, Copyright, Copyright is held by the author, unless otherwise noted. All rights Reserved. |
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