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Stigma and Psychological Quality of Life in People Living with HIV: Self-Esteem as a Mediating Factor

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.

Identiferoai:union.ndltd.org:unt.edu/info:ark/67531/metadc1011795
Date08 1900
CreatorsWike, Alexandra Elizabeth
ContributorsVosvick, Mark, Guarnaccia, Charles Anthony, Watkins, C. Edward, Jr., Prybutok, Victor R.
PublisherUniversity of North Texas
Source SetsUniversity of North Texas
LanguageEnglish
Detected LanguageEnglish
TypeThesis or Dissertation
Formatvii, 74 pages, Text
RightsPublic, Wike, Alexandra Elizabeth, Copyright, Copyright is held by the author, unless otherwise noted. All rights Reserved.

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