HIV stigma and physical health symptoms: do social support, adaptive coping, and/or identity centrality act as resilience resources?

AIDS Behav. 2015 Jan;19(1):41-9. doi: 10.1007/s10461-014-0758-3.

Abstract

Despite efforts to eliminate it at the societal level, HIV stigma persists and continues to threaten the health of people living with HIV (PLWH). We tested whether social support, adaptive coping, and/or HIV identity centrality act as resilience resources by buffering people from the negative impact of enacted and/or anticipated stigma on stress and ultimately HIV symptoms. Ninety-three PLWH completed a survey, and data analyses tested for evidence of mediation and moderation. Results demonstrated that instrumental social support, perceived community support, and HIV identity centrality buffered participants from the association between anticipated stigma and HIV symptoms. That is, anticipated stigma was associated with HIV symptoms via stress only at low levels of these resources. No resources buffered participants from the impact of enacted stigma. Identifying and enhancing resilience resources among PLWH is critical for protecting PLWH from the harmful effects of stigma.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Connecticut / epidemiology
  • Cross-Sectional Studies
  • Disease Progression
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / physiopathology
  • HIV Infections / psychology*
  • Health Knowledge, Attitudes, Practice
  • Health Surveys
  • Humans
  • Male
  • Medication Adherence
  • Middle Aged
  • Resilience, Psychological
  • Social Stigma*
  • Social Support
  • Stress, Psychological / epidemiology
  • Stress, Psychological / physiopathology
  • Stress, Psychological / psychology*
  • Surveys and Questionnaires