Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms

This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participants' symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Self-perception of l...

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Veröffentlicht in:Anales de psicología (Murcia, Spain) Spain), 2018-01, Vol.34 (1), p.7
Hauptverfasser: Fuster-Ruiz de Apodaca, Maria Jose, Molero, Fernando, Sansinenea, Eneko, Holgado, Francisco-Pablo, Magallares, Alejandro, Agirrezabal, Arrate
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container_issue 1
container_start_page 7
container_title Anales de psicología (Murcia, Spain)
container_volume 34
creator Fuster-Ruiz de Apodaca, Maria Jose
Molero, Fernando
Sansinenea, Eneko
Holgado, Francisco-Pablo
Magallares, Alejandro
Agirrezabal, Arrate
description This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participants' symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Self-perception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being were measured. Results of hierarchical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumulation and lipoatrophy. Results of structural equation modeling revealed that the negative effects of perceived discrimination on well-being were mediated to a large extent by self-exclusion. Invariance analysis revealed that the mediating role of self-exclusion was not the same in the three clusters. Complete mediation of self-exclusion in the groups without lipodystrophy and with predominant lipoaccumulation was confirmed. Regarding lipoatrophy, the negative effects of perceived discrimination were greater and only partly mediated by self-exclusion. In conclusion, having lipodystrophy exposed people to more discrimination; lipoatrophy was the most stigmatizing condition.
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subjects Abdomen
Coping
Ex post facto design
HIV
Human immunodeficiency virus
Perceptions
Questionnaires
Self image
Stigma
title Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms
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