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Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS

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  • Mak, Winnie W.S.
  • Cheung, Rebecca Y.M.
  • Law, Rita W.
  • Woo, Jean
  • Li, Patrick C.K.
  • Chung, Rita W.Y.

Abstract

Among various infectious diseases, HIV/AIDS is considered to be one of the most stigmatizing conditions. Using a prospective design, the present study attempted to test the attributional pathway from perceived control to responsibility to self-blame and finally to self-stigmatization, and to examine the social and psychological sequelae of stigma among a sample of 119 people with HIV/AIDS (PWHA) in Hong Kong. Structural equation modeling findings showed that the model had good fit to the data. Although the linkage between the attributions of control, responsibility, and blame was confirmed, the relationship of blame to self-stigma was not significant. Self-stigma was found to dampen social support and lead to psychological distress half a year later. The present study challenged the adequacy of attributional factors in understanding self-stigmatization and demonstrated the impact of stigma on psychological adjustment among PWHA.

Suggested Citation

  • Mak, Winnie W.S. & Cheung, Rebecca Y.M. & Law, Rita W. & Woo, Jean & Li, Patrick C.K. & Chung, Rita W.Y., 2007. "Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS," Social Science & Medicine, Elsevier, vol. 64(8), pages 1549-1559, April.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:8:p:1549-1559
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    References listed on IDEAS

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    1. Peracca, Sara & Knodel, John & Saengtienchai, Chanpen, 1998. "Can prostitutes marry? Thai attitudes toward female sex workers," Social Science & Medicine, Elsevier, vol. 47(2), pages 255-267, July.
    2. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
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    1. Yang, Lawrence Hsin & Kleinman, Arthur, 2008. "'Face' and the embodiment of stigma in China: The cases of schizophrenia and AIDS," Social Science & Medicine, Elsevier, vol. 67(3), pages 398-408, August.
    2. Yang, Lawrence H. & Purdie-Vaughns, Valerie & Kotabe, Hiroki & Link, Bruce G. & Saw, Anne & Wong, Gloria & Phelan, Jo C., 2013. "Culture, threat, and mental illness stigma: Identifying culture-specific threat among Chinese-American groups," Social Science & Medicine, Elsevier, vol. 88(C), pages 56-67.
    3. Hao Li & Ling Zheng & Hong Le & Lijun Zhuo & Qian Wu & Guoqing Ma & Hongbing Tao, 2020. "The Mediating Role of Internalized Stigma and Shame on the Relationship between COVID-19 Related Discrimination and Mental Health Outcomes among Back-to-School Students in Wuhan," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    4. Randolph C. H. Chan & Don Operario & Winnie W. S. Mak, 2020. "Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    5. Mak, Winnie W.S. & Kwok, Yvonne T.Y., 2010. "Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong," Social Science & Medicine, Elsevier, vol. 70(12), pages 2045-2051, June.
    6. Schrank, Beate & Bird, Victoria & Tylee, Andre & Coggins, Tony & Rashid, Tayyab & Slade, Mike, 2013. "Conceptualising and measuring the well-being of people with psychosis: Systematic review and narrative synthesis," Social Science & Medicine, Elsevier, vol. 92(C), pages 9-21.
    7. Lazare Manirankunda & Aletha Wallace & Charles Ddungu & Christiana Nöstlinger, 2021. "Stigma Mechanisms and Outcomes among Sub-Saharan African Descendants in Belgium—Contextualizing the HIV Stigma Framework," IJERPH, MDPI, vol. 18(16), pages 1-17, August.
    8. Tsai, Alexander C. & Bangsberg, David R. & Emenyonu, Nneka & Senkungu, Jude K. & Martin, Jeffrey N. & Weiser, Sheri D., 2011. "The social context of food insecurity among persons living with HIV/AIDS in rural Uganda," Social Science & Medicine, Elsevier, vol. 73(12), pages 1717-1724.
    9. Josefien van Olmen, 2022. "The Promise of Digital Self-Management: A Reflection about the Effects of Patient-Targeted e-Health Tools on Self-Management and Wellbeing," IJERPH, MDPI, vol. 19(3), pages 1-9, January.

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