Profiles of HIV/AIDS stigma and psychological well-being in relation to embodiment among people living with HIV.

IF 2.7 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2025-10-23 DOI:10.1007/s11136-025-04085-9

Katarzyna Drabarek, Marcin Rzeszutek

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引用次数: 0

Abstract

Purpose: This study aimed to examine how profiles of perceived HIV/AIDS stigma and psychological well-being (PWB)-defined by positive/negative affect, life satisfaction, and health-related quality of life-relate to embodiment among people living with HIV (PLWH). It also explored the role of minority stress, particularly among sexual minorities, in shaping these experiences.

Methods: A total of 540 PLWH completed validated measures of HIV/AIDS stigma, psychological well-being, embodiment, and minority stress. Latent profile analysis (LPA) was used to identify subgroups based on levels of stigma, PWB, and minority stress. Multivariate analyses examined differences in embodiment indicators across profiles, controlling for sociodemographic and medical variables.

Results: Three distinct profiles emerged: (1) high stigma and low PWB,(2) low stigma and high PWB, and (3) average levels of all indicators. Embodiment levels differed significantly across profiles: Profile 2 showed the highest levels of positive embodiment, while Profile 1 reported the lowest. Minority stress was significantly higher in Lesbian, Gay, Bisexual, Transgender (LGBT) participants in Profile 1, supporting the concept of stigma accumulation.

Conclusion: PLWH are a heterogeneous group with varying experiences of stigma, well-being, and embodiment. Greater psychological well-being and lower perceived stigma are associated with higher embodiment. LGBT PLWH face compounded minority stress, further impacting their embodiment and well-being. Findings highlight the importance of personcentered, intersectional approaches in stigma-reduction and mental health interventions for PLWH.

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艾滋病毒/艾滋病的污名和心理健康在艾滋病毒感染者中体现的概况。

目的：本研究旨在探讨感知HIV/AIDS污名和心理健康（PWB）的概况-由积极/消极影响，生活满意度和健康相关生活质量定义-与HIV感染者（PLWH）的体现相关。它还探讨了少数群体的压力，尤其是性少数群体的压力，在塑造这些经历中的作用。方法：540名艾滋病感染者完成了HIV/AIDS污名、心理健康、体现和少数民族压力的验证测量。使用潜在特征分析（LPA）来确定基于污名、PWB和少数群体压力水平的亚群。多变量分析检查了不同侧面体现指标的差异，控制了社会人口统计学和医学变量。结果：出现了三个明显的特征：(1)高柱头和低PWB；(2)低柱头和高PWB；(3)所有指标的平均水平。不同侧面的体现水平有显著差异：侧面2的积极体现水平最高，而侧面1的积极体现水平最低。少数群体压力在女同性恋、男同性恋、双性恋、跨性别者（LGBT）中显著更高，支持污名积累的概念。结论：PLWH是一个异质群体，具有不同的病耻感、幸福感和体现。更高的心理健康和更低的耻辱感与更高的体现相关。LGBT PLWH面临着复杂的少数派压力，进一步影响了他们的体现和福祉。研究结果强调了以人为本的交叉方法在减少耻辱感和对PLWH进行心理健康干预方面的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.