Stigma and Psychological Quality of Life in People Living with HIV: Self-Esteem as a Mediating Factor

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Although the negative impact of HIV stigma is well documented, a gap exists in exploration of constructs that mediate the relationship between HIV stigma and psychological QOL (PQOL). Self-esteem is often conceptualized as a protective factor. We used PLS-SEM to explore the relationships between HIV stigma, PQOL and self-esteem, where PQOL and self-esteem are latent constructs represented by direct observations. Our hypotheses were supported - stigma is negatively related to self-esteem (as measured by self-blame, forgiveness of self, acceptance without judgment and self-esteem), self-esteem is positively related to PQOL (as measured by depression, mental health, QOL and perceived stress) and ... continued below

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Wike, Alexandra August 2017.

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  • Wike, Alexandra

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Description

Although the negative impact of HIV stigma is well documented, a gap exists in exploration of constructs that mediate the relationship between HIV stigma and psychological QOL (PQOL). Self-esteem is often conceptualized as a protective factor. We used PLS-SEM to explore the relationships between HIV stigma, PQOL and self-esteem, where PQOL and self-esteem are latent constructs represented by direct observations. Our hypotheses were supported - stigma is negatively related to self-esteem (as measured by self-blame, forgiveness of self, acceptance without judgment and self-esteem), self-esteem is positively related to PQOL (as measured by depression, mental health, QOL and perceived stress) and when the two aforementioned relationships are controlled for, a previously significant relation between stigma and PQOL changes its value significantly. These findings have implications for interventions designed to mitigate the negative psychosocial effects of stigma in PLH.

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  • August 2017

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  • Oct. 9, 2017, 11:44 a.m.

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Wike, Alexandra. Stigma and Psychological Quality of Life in People Living with HIV: Self-Esteem as a Mediating Factor, dissertation, August 2017; Denton, Texas. (digital.library.unt.edu/ark:/67531/metadc1011795/: accessed September 18, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; .