HIV-Related Stigma as a Mediator of the Relation Between Multiple-Minority Status and Mental Health Burden in an Aging HIV-Positive Population

Journal of HIV/AIDS and Social Services

Volumn 12, Issue 1, 2013, Pages 9-25

  Storholm, Erik David ^a   Halkitis, Perry N ^a   Kupprat, Sandra A ^a   Hampton, Melvin C ^a   Palamar, Joseph J ^a   Brennan Ing, Mark ^b,c   Karpiak, Stephen ^b,c  

^a NEW YORK UNIVERSITY   (United States)

^b ACRIA Center on HIV and Aging   (United States)

^c NEW YORK UNIVERSITY   (United States)

Author keywords

aging; AIDS; HIV; mental health; multiple minority; stigma

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; AGING POPULATION; HUMAN IMMUNODEFICIENCY VIRUS; MENTAL HEALTH; MINORITY GROUP; PSYCHOLOGY;

NEW YORK [NEW YORK (STT)]; NEW YORK [UNITED STATES]; UNITED STATES;

EID: 84875346183     PISSN: 15381501     EISSN: 1538151X     Source Type: Journal    
DOI: 10.1080/15381501.2013.767557     Document Type: Article

References (44)

1. Adimora, A. A., & Auerbach, J. D. (2010). Structural interventions for HIV prevention in the United States. Journal of Acquired Immune Deficiency Syndromes, 55 (2), 132-135.
2. Adimora, A. A., & Schoenbach, V. J. (2005). Social context, sexual networks, and racial disparities in rates of sexually transmitted infections. Journal of Infectious Diseases, 191 (1), 115-122.
3. Baron, R. M., & Kenny, D. A. (1986). Moderator-mediator variables distinction is social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51 (6), 1173-1182.
4. Berger, B. E., Ferrans, C. E., & Lashley, F. R. (2001). Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Research in Nursing & Health, 24, 518-529.
5. Bhavan, K. P., Kampalath, V. N., & Overton, E. T. (2008). The aging of the HIV epidemic. Current HIV/AIDS Reports, 5 (3), 150-158.
6. Brems, C., Johnson, M. E., Warner, T. D., & Roberts, L. W. (2010). Health care providers' reports of perceived stigma associated with HIV and AIDS in rural and urban communities. Journal of HIV/AIDS & Social Services, 9, 356-370.
7. Brennan, M., Karpiak, S. E., Shippy, R. A., & Cantor, M. H. (2009). Older adults with HIV: An in-depth examination of an emerging population. New York, NY: Nova Science Publishers.
8. Centers for Disease Control, & Prevention. (2009). HIV Surveillance Report, 2009; vol. 21. Retrieved from http://www.cdc.gov/hiv/topics/surveillance/resources/reports/
9. Centers for Disease Control, & Prevention. (2008). HIV/AIDS among persons aged 50 and older. Retrieved from http://www.cdc.gov/hiv/topics/over50/resources/factsheets/pdf/over50.pdf
10. Centers for Disease Control, & Prevention. (1998). AIDS among persons aged greater or equal to 50 years-United States, 1991-1996. Morbidity and Mortality Weekly Report, 47, 21-27.
11. David, S., & Knight, B. G. (2008). Stress and coping among gay men: age and ethnic differences. Psychology and Aging, 23 (1), 62-69.
12. Doherty, I. A., Leone, P. A., & Aral, S. O. (2007). Social determinants of HIV infection in the deep south. American Journal of Public Health, 97 (3), 391-392.
13. Emlet, C. (2006). You're awfully old to have this disease: Experiences of stigma and ageism in adults 50 years and older living with HIV/AIDS. The Gerontologist, 46 (6), 781-790.
14. Emlet, C. (2007). Experiences of stigma in older adults living with HIV/AIDS: A mixed-methods analysis. AIDS Patient Care and STDs, 21 (10), 740-752.
15. Emlet, C. A., Toxay, S., & Raveis, V. H. (2011). "I'm not going to die from the AIDS": Resilience in aging with HIV disease. The Gerontologist, 51 (1), 101-111.
16. Halkitis, P. N., Kupprat, S. A., Kingdon, M., Perez-Figueroa, R., Hampton, M. E., Eddy, J., & Ompad, D. C. (In press). Exploring a syndemic in HIV-positive gay, bisexual, and other MSM ages 50 and over. Annals of Applied Anthropology.
17. Halkitis, P. N. (2010). Reframing HIV prevention for gay men in the United States. American Psychologist, 65 (8), 752-763.
18. Hatzenbuehler, M. L., O'Cleirigh, C., Mayer, K. H., Mimiaga, M. J., & Safren, S. A. (2011). Prospective associations between HIV-related stigma, transmission risk behaviors, and adverse mental health outcomes in men who have sex with men. Annals of Behavioral Medicine, 42 (2), 227-234.
19. Kalichman, S. C., Heckman, T., Kochman, A., Sikkema, K., & Bergholte, J. (2000). Depression and thoughts of suicide among middle-aged and older persons living with HIV-AIDS. Psychiatric Services, 51 (7), 903-907.
20. Kang, E., Rapkin, B. D., & DeAlmeida, C. (2006). Are psychological consequences of stigma enduring or transitory? A longitudinal study of HIV stigma and distress among Asians and Pacific Islanders living with HIV illness. AIDS Patient Care and STDs, 20 (10), 712-723.
21. Kang, E., Rapkin, B. D., Remien, R. H., Mellins, C. D., & Oh, A. (2005). Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness. AIDS and Behavior, 9 (2), 145-154.
22. Kirk, J. B., & Goetz, M. B. (2009). Human immunodeficiency virus in an aging population, a complication of success. Journal of the American Geriatrics Society, 57, 2129-2138.
23. Lee, R. S., Kochman, A., & Sikkema, K. (2002). Internalized stigma among people living with HIV-AIDS. AIDS and Behavior, 6 (4), 309-319.
24. Logie, C., & Gadalla, T. M. (2009). Meta-analysis of health and demographic correlates of stigma towards people living with HIV. AIDS Care, 21 (6), 742-753.
25. Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38-56.
26. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674-697.
27. New York City Department of Health, & Human Hygiene. (2010). New York City HIV/AIDS Annual Surveillance Statistics 2009. Retrieved from http://www.nyc.gov/html/doh/downloads/pdf/ah/surveillance2009_tables_all.pdf
28. Pak, A. W., Dion, K. L., & Dion, K. K. (1991). Social psychological correlates of experienced discrimination: Test of the double jeopardy hypothesis. International Journal of Intercultural Relations, 15, 243-254.
29. Pandya, R., Metz, L., & Patten, S. B. (2005). Predictive value of the CES-D in detecting depression among candidates for disease-modifying multiple sclerosis treatment. Psychosomatics, 46 (2), 131-134.
30. Radloff, L. S. (1977). The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.
31. Rao, D., Pryor, J. B., Gaddist, B. W., & Mayer, R. (2008). Stigma, secrecy, and discrimination: Ethnic/racial differences in the concerns of people living with HIV/AIDS. AIDS and Behavior, 12, 265-271.
32. Russell, D. W. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66, 20-40.
33. Ryff, C., & Keyes, C. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719-727.
34. Sandelowski, M., Barroso, J., & Voils, C. (2009). Gender, race/ethnicity, and social class in research reports on stigma in HIV-positive women. Health Care for Women. International, 30 (4), 273-288.
35. September, A. N., McCarrey, M., Baranowsky, A., Parent, C., & Schindler, D. (2001). The relation between well-being, impostor feelings, and gender role orientation among Canadian University students. Journal of Social Psychology, 141 (2), 218-232.
36. Shippy, R. A., & Karpiak, S. E. (2005). Perceptions of support among older adults with HIV. Research on Aging, 27 (3), 290.
37. Singer, M. (1994). AIDS and the health crisis of the U.S. urban poor: The perspective of critical medical anthropology. Social Science and Medicine, 39 (7), 931-948.
38. Singer, M. (1996). A dose of drugs, a touch of violence, a case of AIDS: Conceptualizing the SAVA syndemic. Free Inquiry in Creative Sociology, 24, 99-110.
39. Stall, R., Friedman, M. S., & Catania, J. (2008). Interacting epidemics and gay men's health: A theory of syndemic production among urban gay men. In R. J. Wolitski, R. Stall, & R. O. Valdiserri (Eds.), Unequal opportunities: Health disparities among gay and bisexual men in the United States (pp. 251-274). New York, NY: Oxford University Press.
40. Stuber, J., Meyer, I., & Link, B. (2008). Stigma, prejudice, discrimination, & health. Social Science & Medicine, 67 (3), 351-357.
41. Theuninck, A. C., Lake, N., & Gibson, S. (2010). HIV-related posttraumatic stress disorder: Investigating the traumatic events. AIDS Patient Care and STDs, 24 (8), 499-524.
42. Turkinaz, A., Magfiret, K., Gulay, I., & Behice, E. (2006). The experiences of loneliness, depression, and social support of Turkish patients with continuous ambulatory peritoneal dialysis and their caregivers. Journal of Clinical Nursing, 15 (4), 490-497.
43. Vanable, P. A., Carey, M. C., Blair, D. C., & Littlewood, R. A. (2006). Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS and Behavior, 10(5), 473-482.
44. Wight, R. G. (2000). Precursive depression among HIV infected AIDS caregivers over time. Social Science & Medicine, 51 (5), 759-770.