Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.

<h4>Introduction</h4>Employment is particularly beneficial for persons living with HIV (PLWH). However, PLWH experiencing internalized stigma or anticipating that they may experience stigma may be less likely to seek employment due to additional barriers associated with HIV. The purpose...

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Autores principales:	Joseph S Lightner, Serena Rajabiun, Howard J Cabral, Jessica Flaherty, Jamie Shank, Ronald Brooks
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6b0169c29f6f4abea1f41c7af484d8c0
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spelling	oai:doaj.org-article:6b0169c29f6f4abea1f41c7af484d8c02021-12-02T20:07:14ZAssociations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.1932-620310.1371/journal.pone.0252783https://doaj.org/article/6b0169c29f6f4abea1f41c7af484d8c02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252783https://doaj.org/toc/1932-6203<h4>Introduction</h4>Employment is particularly beneficial for persons living with HIV (PLWH). However, PLWH experiencing internalized stigma or anticipating that they may experience stigma may be less likely to seek employment due to additional barriers associated with HIV. The purpose of this study was to understand the associations between internalized and anticipated stigma and employment barriers for PLWH.<h4>Methods</h4>Participants (N = 712) from 12 sites across the United States were recruited and interviewed about barriers to employment, HIV stigma, and several other factors related to health. A series of unadjusted and adjusted linear regression models were conducted using cross-sectional data.<h4>Results</h4>Adjusted models suggest that greater anticipated stigma was related to increased employment barriers (β = 0.12, p = 0.04). Mental and physical health functioning also positively predicted employment barriers (β = -0.18, p <0.001; β = -0.40, p <0.001, respectively).<h4>Discussion</h4>Employment among PLWH has beneficial impacts on HIV-related health outcomes. This study suggests that anticipated stigma may limit and individual's willingness to seek out employment, or may cause them to leave employment. Internalized stigma may not play as large of a role in employment as anticipated stigma for PLWH. HIV-related stigma reduction interventions focused on community-level and employers are essential to improve employment opportunities for PLWH.Joseph S LightnerSerena RajabiunHoward J CabralJessica FlahertyJamie ShankRonald BrooksPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252783 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Joseph S Lightner Serena Rajabiun Howard J Cabral Jessica Flaherty Jamie Shank Ronald Brooks Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.
description	<h4>Introduction</h4>Employment is particularly beneficial for persons living with HIV (PLWH). However, PLWH experiencing internalized stigma or anticipating that they may experience stigma may be less likely to seek employment due to additional barriers associated with HIV. The purpose of this study was to understand the associations between internalized and anticipated stigma and employment barriers for PLWH.<h4>Methods</h4>Participants (N = 712) from 12 sites across the United States were recruited and interviewed about barriers to employment, HIV stigma, and several other factors related to health. A series of unadjusted and adjusted linear regression models were conducted using cross-sectional data.<h4>Results</h4>Adjusted models suggest that greater anticipated stigma was related to increased employment barriers (β = 0.12, p = 0.04). Mental and physical health functioning also positively predicted employment barriers (β = -0.18, p <0.001; β = -0.40, p <0.001, respectively).<h4>Discussion</h4>Employment among PLWH has beneficial impacts on HIV-related health outcomes. This study suggests that anticipated stigma may limit and individual's willingness to seek out employment, or may cause them to leave employment. Internalized stigma may not play as large of a role in employment as anticipated stigma for PLWH. HIV-related stigma reduction interventions focused on community-level and employers are essential to improve employment opportunities for PLWH.
format	article
author	Joseph S Lightner Serena Rajabiun Howard J Cabral Jessica Flaherty Jamie Shank Ronald Brooks
author_facet	Joseph S Lightner Serena Rajabiun Howard J Cabral Jessica Flaherty Jamie Shank Ronald Brooks
author_sort	Joseph S Lightner
title	Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.
title_short	Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.
title_full	Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.
title_fullStr	Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.
title_full_unstemmed	Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.
title_sort	associations of internalized and anticipated hiv stigma with returning to work for persons living with hiv.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6b0169c29f6f4abea1f41c7af484d8c0
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Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV.

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