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The effects of HIV stigma on health, disclosure of HIV status, and risk behavior of homeless and unstably housed persons living with HIV.
AIDS Behav. 2009 Dec; 13(6):1222-32.AB

Abstract

HIV-related stigma negatively affects the lives of persons living with HIV/AIDS (PLWHA). Homeless/unstably housed PLWHA experience myriad challenges and may be particularly vulnerable to the effects of HIV-related stigma. Homeless/unstably housed PLWHA from 3 U.S. cities (N = 637) completed computer-assisted interviews that measured demographics, self-assessed physical and mental health, medical utilization, adherence, HIV disclosure, and risk behaviors. Internal and perceived external HIV stigma were assessed and combined for a total stigma score. Higher levels of stigma were experienced by women, homeless participants, those with a high school education or less, and those more recently diagnosed with HIV. Stigma was strongly associated with poorer self-assessed physical and mental health, and perceived external stigma was associated with recent non-adherence to HIV treatment. Perceived external stigma was associated with decreased HIV disclosure to social network members, and internal stigma was associated with drug use and non-disclosure to sex partners. Interventions are needed to reduce HIV-related stigma and its effects on the health of homeless/unstably housed PLWHA.

Authors+Show Affiliations

Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, 30333, USA. RWolitski@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18770023

Citation

Wolitski, Richard J., et al. "The Effects of HIV Stigma On Health, Disclosure of HIV Status, and Risk Behavior of Homeless and Unstably Housed Persons Living With HIV." AIDS and Behavior, vol. 13, no. 6, 2009, pp. 1222-32.
Wolitski RJ, Pals SL, Kidder DP, et al. The effects of HIV stigma on health, disclosure of HIV status, and risk behavior of homeless and unstably housed persons living with HIV. AIDS Behav. 2009;13(6):1222-32.
Wolitski, R. J., Pals, S. L., Kidder, D. P., Courtenay-Quirk, C., & Holtgrave, D. R. (2009). The effects of HIV stigma on health, disclosure of HIV status, and risk behavior of homeless and unstably housed persons living with HIV. AIDS and Behavior, 13(6), 1222-32. https://doi.org/10.1007/s10461-008-9455-4
Wolitski RJ, et al. The Effects of HIV Stigma On Health, Disclosure of HIV Status, and Risk Behavior of Homeless and Unstably Housed Persons Living With HIV. AIDS Behav. 2009;13(6):1222-32. PubMed PMID: 18770023.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of HIV stigma on health, disclosure of HIV status, and risk behavior of homeless and unstably housed persons living with HIV. AU - Wolitski,Richard J, AU - Pals,Sherri L, AU - Kidder,Daniel P, AU - Courtenay-Quirk,Cari, AU - Holtgrave,David R, Y1 - 2008/09/04/ PY - 2008/01/26/received PY - 2008/08/22/accepted PY - 2008/9/5/pubmed PY - 2010/3/25/medline PY - 2008/9/5/entrez SP - 1222 EP - 32 JF - AIDS and behavior JO - AIDS Behav VL - 13 IS - 6 N2 - HIV-related stigma negatively affects the lives of persons living with HIV/AIDS (PLWHA). Homeless/unstably housed PLWHA experience myriad challenges and may be particularly vulnerable to the effects of HIV-related stigma. Homeless/unstably housed PLWHA from 3 U.S. cities (N = 637) completed computer-assisted interviews that measured demographics, self-assessed physical and mental health, medical utilization, adherence, HIV disclosure, and risk behaviors. Internal and perceived external HIV stigma were assessed and combined for a total stigma score. Higher levels of stigma were experienced by women, homeless participants, those with a high school education or less, and those more recently diagnosed with HIV. Stigma was strongly associated with poorer self-assessed physical and mental health, and perceived external stigma was associated with recent non-adherence to HIV treatment. Perceived external stigma was associated with decreased HIV disclosure to social network members, and internal stigma was associated with drug use and non-disclosure to sex partners. Interventions are needed to reduce HIV-related stigma and its effects on the health of homeless/unstably housed PLWHA. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/18770023/The_effects_of_HIV_stigma_on_health_disclosure_of_HIV_status_and_risk_behavior_of_homeless_and_unstably_housed_persons_living_with_HIV_ L2 - https://doi.org/10.1007/s10461-008-9455-4 DB - PRIME DP - Unbound Medicine ER -