Relationship of Stigma to HIV Risk Among Women with Mental Illness
Urban women with severe mental illness (SMI) are vulnerable to stigma and discrimination related to mental illness and other stigmatized labels. Stigma experiences may increase their risk for negative health outcomes, such as HIV infection. This study tests the relationship between perceived stigma...
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| Veröffentlicht in: | American journal of orthopsychiatry 2008-10, Vol.78 (4), p.498-506 |
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| container_title | American journal of orthopsychiatry |
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| creator | Collins, Pamela Y Elkington, Katherine S von Unger, Hella Sweetland, Annika Wright, Eric R Zybert, Patricia A |
| description | Urban women with severe mental illness (SMI) are vulnerable to stigma and discrimination related to mental illness and other stigmatized labels. Stigma experiences may increase their risk for negative health outcomes, such as HIV infection. This study tests the relationship between perceived stigma and HIV risk behaviors among women with SMI. The authors interviewed 92 women attending community mental health programs using the Stigma of Psychiatric Illness and Sexuality Among Women Questionnaire. There were significant relationships between personal experiences of mental illness and substance use accompanying sexual intercourse; perceived ethnic stigma and having a riskier partner type; and experiences of discrimination and having a casual or sex-exchange partner. Higher scores on relationship stigma were associated with a greater number of sexual risk behaviors. The findings underscore the importance of exploring how stigma attached to mental illness intersects with other stigmatized labels to produce unique configurations of HIV risk. HIV risk reduction interventions and prevention research should integrate attention to stigmatized identities in the lives of women with SMI. |
| doi_str_mv | 10.1037/a0014581 |
| format | Article |
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Stigma experiences may increase their risk for negative health outcomes, such as HIV infection. This study tests the relationship between perceived stigma and HIV risk behaviors among women with SMI. The authors interviewed 92 women attending community mental health programs using the Stigma of Psychiatric Illness and Sexuality Among Women Questionnaire. There were significant relationships between personal experiences of mental illness and substance use accompanying sexual intercourse; perceived ethnic stigma and having a riskier partner type; and experiences of discrimination and having a casual or sex-exchange partner. Higher scores on relationship stigma were associated with a greater number of sexual risk behaviors. The findings underscore the importance of exploring how stigma attached to mental illness intersects with other stigmatized labels to produce unique configurations of HIV risk. HIV risk reduction interventions and prevention research should integrate attention to stigmatized identities in the lives of women with SMI.</description><identifier>ISSN: 0002-9432</identifier><identifier>EISSN: 1939-0025</identifier><identifier>DOI: 10.1037/a0014581</identifier><identifier>PMID: 19123772</identifier><identifier>CODEN: AJORAG</identifier><language>eng</language><publisher>Oxford, UK: Educational Publishing Foundation</publisher><subject>Acquired Immune Deficiency Syndrome ; Adolescent ; Adult ; AIDS ; Attitude towards mental illness ; Biological and medical sciences ; Correlation analysis ; Discrimination ; Female ; Females ; Health behavior ; HIV ; HIV Infections - epidemiology ; HIV sexual risk ; Human ; Human Females ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Medical sciences ; Mental Disorders ; Mental Disorders - epidemiology ; Mental health care ; Mental Illness ; Prevalence ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk ; Risk Factors ; Serious Mental Illness ; severe mental illness ; Sexual Behavior ; Sexual behaviour ; Sexual Risk Taking ; Social psychiatry. Ethnopsychiatry ; Stereotyping ; Stigma ; Surveys and Questionnaires ; Urban areas ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; women ; Womens health ; Young Adult</subject><ispartof>American journal of orthopsychiatry, 2008-10, Vol.78 (4), p.498-506</ispartof><rights>2008 American Psychological Association</rights><rights>2008 American Orthopsychiatric Association, Inc.</rights><rights>2008 American Orthopsychiatric Association</rights><rights>2009 INIST-CNRS</rights><rights>PsycINFO Database Record 2009 APA.</rights><rights>2008, American Psychological Association</rights><rights>Copyright American Psychological Association Oct 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a6211-1aa79fa7053ac931b0ec9d615cb50696c48fdc87dc5af242f207139c9b48e6233</citedby><orcidid>0000-0003-3956-448X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,778,782,883,27907,27908,33757,33758</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21003073$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19123772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Collins, Pamela Y</creatorcontrib><creatorcontrib>Elkington, Katherine S</creatorcontrib><creatorcontrib>von Unger, Hella</creatorcontrib><creatorcontrib>Sweetland, Annika</creatorcontrib><creatorcontrib>Wright, Eric R</creatorcontrib><creatorcontrib>Zybert, Patricia A</creatorcontrib><title>Relationship of Stigma to HIV Risk Among Women with Mental Illness</title><title>American journal of orthopsychiatry</title><addtitle>Am J Orthopsychiatry</addtitle><description>Urban women with severe mental illness (SMI) are vulnerable to stigma and discrimination related to mental illness and other stigmatized labels. Stigma experiences may increase their risk for negative health outcomes, such as HIV infection. This study tests the relationship between perceived stigma and HIV risk behaviors among women with SMI. The authors interviewed 92 women attending community mental health programs using the Stigma of Psychiatric Illness and Sexuality Among Women Questionnaire. There were significant relationships between personal experiences of mental illness and substance use accompanying sexual intercourse; perceived ethnic stigma and having a riskier partner type; and experiences of discrimination and having a casual or sex-exchange partner. Higher scores on relationship stigma were associated with a greater number of sexual risk behaviors. The findings underscore the importance of exploring how stigma attached to mental illness intersects with other stigmatized labels to produce unique configurations of HIV risk. HIV risk reduction interventions and prevention research should integrate attention to stigmatized identities in the lives of women with SMI.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Attitude towards mental illness</subject><subject>Biological and medical sciences</subject><subject>Correlation analysis</subject><subject>Discrimination</subject><subject>Female</subject><subject>Females</subject><subject>Health behavior</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV sexual risk</subject><subject>Human</subject><subject>Human Females</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Mental Disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental health care</subject><subject>Mental Illness</subject><subject>Prevalence</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Serious Mental Illness</subject><subject>severe mental illness</subject><subject>Sexual Behavior</subject><subject>Sexual behaviour</subject><subject>Sexual Risk Taking</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Stereotyping</subject><subject>Stigma</subject><subject>Surveys and Questionnaires</subject><subject>Urban areas</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>women</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0002-9432</issn><issn>1939-0025</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqF0luLEzEUAOAgilur4C-QwRuCzJrbTJIXoS7qVlZW1ttjOE0zbdbMZExmXPrvTWldXXHxKRzynSTnnCB0n-BDgpl4ARgTXklyA02IYqrEmFY30QTntVSc0QN0J6XzHDJJ2W10QBShTAg6Qa_OrIfBhS6tXV-Epvg4uFULxRCK4_mX4sylb8WsDd2q-Bpa2xUXblgX7203gC_m3nc2pbvoVgM-2Xv7dYo-v3n96ei4PDl9Oz-anZRQU0JKAiBUAwJXDIxiZIGtUcuaVGZR4VrVhstmaaRYmgoaymlDsSBMGbXg0taUsSl6uTu3HxetXZr8iAhe99G1EDc6gNNXdzq31qvwQ1OhiMgFT9HT_QExfB9tGnTrkrHeQ2fDmHRNmOBM1f-FTFBMZKUyfPgXPA9j7HIXNGW1wpwSntGj61AenqwpZ3Jb3bOdMjGkFG1zWRjBWyf0ryFn-uDPRvyG-6lm8GQPIBnwTYTOuHTpKMkfAYvtnYc7d-G83Vx7oZ69O_3AcpATnu8SoAfdp42BODjjbTJjjLnrOsRBC6m55kpm_fjf-ir7CTqv1bI</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>Collins, Pamela Y</creator><creator>Elkington, Katherine S</creator><creator>von Unger, Hella</creator><creator>Sweetland, Annika</creator><creator>Wright, Eric R</creator><creator>Zybert, Patricia A</creator><general>Educational Publishing Foundation</general><general>Blackwell Publishing Ltd</general><general>Wiley</general><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3956-448X</orcidid></search><sort><creationdate>200810</creationdate><title>Relationship of Stigma to HIV Risk Among Women with Mental Illness</title><author>Collins, Pamela Y ; Elkington, Katherine S ; von Unger, Hella ; Sweetland, Annika ; Wright, Eric R ; Zybert, Patricia A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a6211-1aa79fa7053ac931b0ec9d615cb50696c48fdc87dc5af242f207139c9b48e6233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acquired Immune Deficiency Syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Attitude towards mental illness</topic><topic>Biological and medical sciences</topic><topic>Correlation analysis</topic><topic>Discrimination</topic><topic>Female</topic><topic>Females</topic><topic>Health behavior</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>HIV sexual risk</topic><topic>Human</topic><topic>Human Females</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Mental Disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental health care</topic><topic>Mental Illness</topic><topic>Prevalence</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Serious Mental Illness</topic><topic>severe mental illness</topic><topic>Sexual Behavior</topic><topic>Sexual behaviour</topic><topic>Sexual Risk Taking</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Stereotyping</topic><topic>Stigma</topic><topic>Surveys and Questionnaires</topic><topic>Urban areas</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>women</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Collins, Pamela Y</creatorcontrib><creatorcontrib>Elkington, Katherine S</creatorcontrib><creatorcontrib>von Unger, Hella</creatorcontrib><creatorcontrib>Sweetland, Annika</creatorcontrib><creatorcontrib>Wright, Eric R</creatorcontrib><creatorcontrib>Zybert, Patricia A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of orthopsychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Collins, Pamela Y</au><au>Elkington, Katherine S</au><au>von Unger, Hella</au><au>Sweetland, Annika</au><au>Wright, Eric R</au><au>Zybert, Patricia A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship of Stigma to HIV Risk Among Women with Mental Illness</atitle><jtitle>American journal of orthopsychiatry</jtitle><addtitle>Am J Orthopsychiatry</addtitle><date>2008-10</date><risdate>2008</risdate><volume>78</volume><issue>4</issue><spage>498</spage><epage>506</epage><pages>498-506</pages><issn>0002-9432</issn><eissn>1939-0025</eissn><coden>AJORAG</coden><abstract>Urban women with severe mental illness (SMI) are vulnerable to stigma and discrimination related to mental illness and other stigmatized labels. Stigma experiences may increase their risk for negative health outcomes, such as HIV infection. This study tests the relationship between perceived stigma and HIV risk behaviors among women with SMI. The authors interviewed 92 women attending community mental health programs using the Stigma of Psychiatric Illness and Sexuality Among Women Questionnaire. There were significant relationships between personal experiences of mental illness and substance use accompanying sexual intercourse; perceived ethnic stigma and having a riskier partner type; and experiences of discrimination and having a casual or sex-exchange partner. Higher scores on relationship stigma were associated with a greater number of sexual risk behaviors. The findings underscore the importance of exploring how stigma attached to mental illness intersects with other stigmatized labels to produce unique configurations of HIV risk. HIV risk reduction interventions and prevention research should integrate attention to stigmatized identities in the lives of women with SMI.</abstract><cop>Oxford, UK</cop><pub>Educational Publishing Foundation</pub><pmid>19123772</pmid><doi>10.1037/a0014581</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3956-448X</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 0002-9432 1939-0025 |
| language | eng |
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| source | MEDLINE; Sociological Abstracts; EBSCOhost APA PsycARTICLES |
| subjects | Acquired Immune Deficiency Syndrome Adolescent Adult AIDS Attitude towards mental illness Biological and medical sciences Correlation analysis Discrimination Female Females Health behavior HIV HIV Infections - epidemiology HIV sexual risk Human Human Females Human immunodeficiency virus Human viral diseases Humans Infectious diseases Medical sciences Mental Disorders Mental Disorders - epidemiology Mental health care Mental Illness Prevalence Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Risk Factors Serious Mental Illness severe mental illness Sexual Behavior Sexual behaviour Sexual Risk Taking Social psychiatry. Ethnopsychiatry Stereotyping Stigma Surveys and Questionnaires Urban areas Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids women Womens health Young Adult |
| title | Relationship of Stigma to HIV Risk Among Women with Mental Illness |
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