PURPOSE: This study analyzes the mediating role of social identity in the relationship between enacted stigma and internalized stigma and quality of life of people with HIV. METHODS: A total of 557 people with HIV participated in this study. Participants were recruited from hospitals and non-governmental organizations. Questionnaires measuring perceived stigma (Berger's HIV Stigma Scale), social identity (Cameron's three factor identity scale), and quality of life (Ruiz and Baca's Quality of Life Questionnaire) were administered. The instruments were adapted for use with the Spanish population. Structural equation modeling (SEM) was used to test the mediation model, and multigroup SEM was conducted to evaluate its invariance. RESULTS: Both enacted stigma and internalized stigma had a negative influence on the quality of life of people with HIV, but this influence occurred in different ways. Enacted stigma had a direct negative influence on quality of life. No dimension of group identity protected people with HIV from its negative influence. However, the negative influence of internalized stigma was totally mediated by some dimensions of group identification, mainly through in-group affect. CONCLUSIONS: Group identification not only did not protect people with HIV from the negative effects of stigmatization, but it may even be detrimental in the case of internalized stigma. This suggests that in highly stigmatized groups, the salience of identity is negative and worsens the members' opinion of their own group. This argues for different kinds of intervention to improve the quality of life of people with HIV.
PURPOSE: This study analyzes the mediating role of social identity in the relationship between enacted stigma and internalized stigma and quality of life of people with HIV. METHODS: A total of 557 people with HIV participated in this study. Participants were recruited from hospitals and non-governmental organizations. Questionnaires measuring perceived stigma (Berger's HIV Stigma Scale), social identity (Cameron's three factor identity scale), and quality of life (Ruiz and Baca's Quality of Life Questionnaire) were administered. The instruments were adapted for use with the Spanish population. Structural equation modeling (SEM) was used to test the mediation model, and multigroup SEM was conducted to evaluate its invariance. RESULTS: Both enacted stigma and internalized stigma had a negative influence on the quality of life of people with HIV, but this influence occurred in different ways. Enacted stigma had a direct negative influence on quality of life. No dimension of group identity protected people with HIV from its negative influence. However, the negative influence of internalized stigma was totally mediated by some dimensions of group identification, mainly through in-group affect. CONCLUSIONS: Group identification not only did not protect people with HIV from the negative effects of stigmatization, but it may even be detrimental in the case of internalized stigma. This suggests that in highly stigmatized groups, the salience of identity is negative and worsens the members' opinion of their own group. This argues for different kinds of intervention to improve the quality of life of people with HIV.
Authors: Colin Wayne Leach; Martijn van Zomeren; Sven Zebel; Michael L W Vliek; Sjoerd F Pennekamp; Bertjan Doosje; Jaap W Ouwerkerk; Russell Spears Journal: J Pers Soc Psychol Date: 2008-07
Authors: Wayne T Steward; Sara Chandy; Girija Singh; Siju T Panicker; Thomas A Osmand; Elsa Heylen; Maria L Ekstrand Journal: Psychol Health Med Date: 2011-01 Impact factor: 2.423
Authors: Molly F Franke; Maribel Muñoz; Karen Finnegan; Jhon Zeladita; José Luis Sebastian; Jaime N Bayona; Sonya S Shin Journal: AIDS Behav Date: 2008-10-08
Authors: Anish P Mahajan; Jennifer N Sayles; Vishal A Patel; Robert H Remien; Sharif R Sawires; Daniel J Ortiz; Greg Szekeres; Thomas J Coates Journal: AIDS Date: 2008-08 Impact factor: 4.177
Authors: Maria Reinius; Lena Wettergren; Maria Wiklander; Veronica Svedhem; Anna Mia Ekström; Lars E Eriksson Journal: Health Qual Life Outcomes Date: 2017-05-30 Impact factor: 3.186
Authors: Maria Jose Fuster-RuizdeApodaca; Ana Laguía; Kelly Safreed-Harmon; Jeffrey V Lazarus; Santiago Cenoz; Julia Del Amo Journal: Health Qual Life Outcomes Date: 2019-08-19 Impact factor: 3.186
Authors: Atem Bethel Ajong; Philip Nana Njotang; Ngholapeh Emmanuel Nghoniji; Marie José Essi; Martin Ndinakie Yakum; Valirie Ndip Agbor; Bruno Kenfack Journal: Global Health Date: 2018-06-05 Impact factor: 4.185
Authors: Innocent Arinaitwe; Hildah Amutuhaire; Davis Atwongyeire; Esther Tusingwire; Peter Chris Kawungezi; Godfrey Zari Rukundo; Scholastic Ashaba Journal: HIV AIDS (Auckl) Date: 2021-06-16