HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis

Background In June 2021, 40 years have passed since the first cases of HIV infection were detected. Nonetheless, people living with HIV (PLWH) still suffer from intense HIV-related distress and trauma, which is nowadays mostly linked to the still-existing stigmatization of PLWH. Objectives The aim o...

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Autores principales:	Marcin Rzeszutek, Ewa Gruszczyńska, Małgorzata Pięta, Paula Malinowska
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	hiv/aids stigma well-being systematic review meta-analysis Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/938fee867c4c44858b8abfeaa7ce981f
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spelling	oai:doaj.org-article:938fee867c4c44858b8abfeaa7ce981f2021-12-01T14:40:59ZHIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis2000-806610.1080/20008198.2021.1990527https://doaj.org/article/938fee867c4c44858b8abfeaa7ce981f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008198.2021.1990527https://doaj.org/toc/2000-8066Background In June 2021, 40 years have passed since the first cases of HIV infection were detected. Nonetheless, people living with HIV (PLWH) still suffer from intense HIV-related distress and trauma, which is nowadays mostly linked to the still-existing stigmatization of PLWH. Objectives The aim of this systematic review and meta-analysis was to examine the association between HIV/AIDS stigma and psychological well-being among PLWH. We also explored whether this association varies as a function of sociodemographic and clinical characteristics as well as study publication year and stigma measurement. Method A structured literature search was performed on Web of Science, Scopus, PsyARTICLES, MedLine, ProQuest, and Google Scholar databases. The inclusion criteria were quantitative, peer-reviewed articles published in English between 1996 and 2020. Results After selection, 64 articles were accepted for further analysis (N = 25,294 participants). The random-effects pooled estimate revealed an overall negative and medium-strength association between stigma and well-being (r = −.31, 95% CI [−.35; −.26]). The participants’ age modified this effect with a stronger association for older PLWH. Other sociodemographic and clinical variables as well as publication year and stigma measurement did not explain the variation in association between stigma and well-being across studies. Conclusions The present meta-analysis and systematic review not only showed an expected negative relationship between stigma and well-being but also revealed a substantial heterogeneity between studies that suggests a strong role of context of a given study. This finding calls for more advanced theoretical and analytical models to identify protective and vulnerability factors to effectively address them in clinical practice and interventions.Marcin RzeszutekEwa GruszczyńskaMałgorzata PiętaPaula MalinowskaTaylor & Francis Grouparticlehiv/aids stigmawell-beingsystematic reviewmeta-analysisPsychiatryRC435-571ENEuropean Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hiv/aids stigma well-being systematic review meta-analysis Psychiatry RC435-571
spellingShingle	hiv/aids stigma well-being systematic review meta-analysis Psychiatry RC435-571 Marcin Rzeszutek Ewa Gruszczyńska Małgorzata Pięta Paula Malinowska HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis
description	Background In June 2021, 40 years have passed since the first cases of HIV infection were detected. Nonetheless, people living with HIV (PLWH) still suffer from intense HIV-related distress and trauma, which is nowadays mostly linked to the still-existing stigmatization of PLWH. Objectives The aim of this systematic review and meta-analysis was to examine the association between HIV/AIDS stigma and psychological well-being among PLWH. We also explored whether this association varies as a function of sociodemographic and clinical characteristics as well as study publication year and stigma measurement. Method A structured literature search was performed on Web of Science, Scopus, PsyARTICLES, MedLine, ProQuest, and Google Scholar databases. The inclusion criteria were quantitative, peer-reviewed articles published in English between 1996 and 2020. Results After selection, 64 articles were accepted for further analysis (N = 25,294 participants). The random-effects pooled estimate revealed an overall negative and medium-strength association between stigma and well-being (r = −.31, 95% CI [−.35; −.26]). The participants’ age modified this effect with a stronger association for older PLWH. Other sociodemographic and clinical variables as well as publication year and stigma measurement did not explain the variation in association between stigma and well-being across studies. Conclusions The present meta-analysis and systematic review not only showed an expected negative relationship between stigma and well-being but also revealed a substantial heterogeneity between studies that suggests a strong role of context of a given study. This finding calls for more advanced theoretical and analytical models to identify protective and vulnerability factors to effectively address them in clinical practice and interventions.
format	article
author	Marcin Rzeszutek Ewa Gruszczyńska Małgorzata Pięta Paula Malinowska
author_facet	Marcin Rzeszutek Ewa Gruszczyńska Małgorzata Pięta Paula Malinowska
author_sort	Marcin Rzeszutek
title	HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis
title_short	HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis
title_full	HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis
title_fullStr	HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis
title_full_unstemmed	HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis
title_sort	hiv/aids stigma and psychological well-being after 40 years of hiv/aids: a systematic review and meta-analysis
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/938fee867c4c44858b8abfeaa7ce981f
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HIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis

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