Stigma Related to HIV and Drug Use: Layers, Types, and Relations to Mental Health
Stigma poses considerable challenges to the mental health of people living with HIV who use drugs (PLHWUD). In this study, we explored factors related to different types of stigma (perceived and internalized) attached to layered stigmatizing characters (HIV and drug use) and their mental health infl...
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Veröffentlicht in: | AIDS and behavior 2020-08, Vol.24 (8), p.2347-2354 |
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creator | Li, Li Lin, Chunqing Feng, Nan Nguyen, Diep Bich Cao, Wei Le, Anh Tuan Nguyen, Anh Tuan |
description | Stigma poses considerable challenges to the mental health of people living with HIV who use drugs (PLHWUD). In this study, we explored factors related to different types of stigma (perceived and internalized) attached to layered stigmatizing characters (HIV and drug use) and their mental health influences on PLHWUD. The study used baseline data of an ongoing randomized controlled trial among 241 PLHWUD recruited between March and December 2018 in Vietnam. A structural equation model was used to assess the relationships among different types and layers of stigma and mental health status. Both perceived and internalized drug-related stigma measures were significantly higher than their corresponding HIV-related stigma. HIV-related stigma was negatively associated with mental health status; however, we did not find a significant relationship between drug-related stigma and mental health. Tailored intervention strategies in consideration of types and layers of stigma are needed to address stigma-related challenges faced by PLHWUD. |
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In this study, we explored factors related to different types of stigma (perceived and internalized) attached to layered stigmatizing characters (HIV and drug use) and their mental health influences on PLHWUD. The study used baseline data of an ongoing randomized controlled trial among 241 PLHWUD recruited between March and December 2018 in Vietnam. A structural equation model was used to assess the relationships among different types and layers of stigma and mental health status. Both perceived and internalized drug-related stigma measures were significantly higher than their corresponding HIV-related stigma. HIV-related stigma was negatively associated with mental health status; however, we did not find a significant relationship between drug-related stigma and mental health. Tailored intervention strategies in consideration of types and layers of stigma are needed to address stigma-related challenges faced by PLHWUD.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-020-02794-5</identifier><identifier>PMID: 31970581</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Drug abuse ; Drug use ; Drugs ; Health planning ; Health Psychology ; Health status ; HIV ; Human immunodeficiency virus ; Infectious Diseases ; Medicine ; Medicine & Public Health ; Mental health ; Multivariate statistical analysis ; Original Paper ; Public Health ; Stigma ; Structural equation modeling</subject><ispartof>AIDS and behavior, 2020-08, Vol.24 (8), p.2347-2354</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-4479e2fc3c803b6eec97f522bf76456b8bcbb01dff5138c07a69f61da083374c3</citedby><cites>FETCH-LOGICAL-c474t-4479e2fc3c803b6eec97f522bf76456b8bcbb01dff5138c07a69f61da083374c3</cites><orcidid>0000-0002-3402-142X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-020-02794-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-020-02794-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31970581$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Li</creatorcontrib><creatorcontrib>Lin, Chunqing</creatorcontrib><creatorcontrib>Feng, Nan</creatorcontrib><creatorcontrib>Nguyen, Diep Bich</creatorcontrib><creatorcontrib>Cao, Wei</creatorcontrib><creatorcontrib>Le, Anh Tuan</creatorcontrib><creatorcontrib>Nguyen, Anh Tuan</creatorcontrib><title>Stigma Related to HIV and Drug Use: Layers, Types, and Relations to Mental Health</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Stigma poses considerable challenges to the mental health of people living with HIV who use drugs (PLHWUD). In this study, we explored factors related to different types of stigma (perceived and internalized) attached to layered stigmatizing characters (HIV and drug use) and their mental health influences on PLHWUD. The study used baseline data of an ongoing randomized controlled trial among 241 PLHWUD recruited between March and December 2018 in Vietnam. A structural equation model was used to assess the relationships among different types and layers of stigma and mental health status. Both perceived and internalized drug-related stigma measures were significantly higher than their corresponding HIV-related stigma. HIV-related stigma was negatively associated with mental health status; however, we did not find a significant relationship between drug-related stigma and mental health. Tailored intervention strategies in consideration of types and layers of stigma are needed to address stigma-related challenges faced by PLHWUD.</description><subject>Drug abuse</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Health planning</subject><subject>Health Psychology</subject><subject>Health status</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infectious Diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Multivariate statistical analysis</subject><subject>Original Paper</subject><subject>Public Health</subject><subject>Stigma</subject><subject>Structural equation 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subjects | Drug abuse Drug use Drugs Health planning Health Psychology Health status HIV Human immunodeficiency virus Infectious Diseases Medicine Medicine & Public Health Mental health Multivariate statistical analysis Original Paper Public Health Stigma Structural equation modeling |
title | Stigma Related to HIV and Drug Use: Layers, Types, and Relations to Mental Health |
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