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The role of knowing someone living with HIV/AIDS and HIV disclosure in the HIV stigma framework: a Bayesian mediation analysis

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  • Gabriele Prati
  • Bruna Zani
  • Luca Pietrantoni
  • Diego Scudiero
  • Patrizia Perone
  • Lella Cosmaro
  • Alessandra Cerioli
  • Massimo Oldrini

Abstract

The current study evaluated the role of knowing someone living with HIV/AIDS and disclosure of one’s HIV-positive status in the HIV Stigma Framework using a Bayesian mediation analysis. We used data on 387 people living with HIV/AIDS (PLWHA) and 6074 HIV uninfected Italian participants. Knowing someone living with HIV/AIDS was negatively related to stigmatizing attitudes among HIV uninfected participants and internalized stigma among PLWHA. Internalized stigma mediated the relationship between personal knowledge of someone living with HIV/AIDS and disclosure of one’s HIV-positive status. In turn, disclosure of one’s HIV-positive status mediated the relationship between internalized stigma and engagement in HIV care. Undetectable viral load was predicted by internalized stigma but not by disclosure of one’s HIV-positive status and enacted stigma. Among uninfected participants, stigmatizing attitudes mediated the relationship between knowledge of someone living with HIV/AIDS and HIV testing. In addition, an interaction between knowledge of someone living with HIV/AIDS and HIV testing was found such that stigmatizing attitudes did not predict HIV testing among participants who do not have a personal knowledge of someone living with HIV/AIDS. Copyright Springer Science+Business Media Dordrecht 2016

Suggested Citation

  • Gabriele Prati & Bruna Zani & Luca Pietrantoni & Diego Scudiero & Patrizia Perone & Lella Cosmaro & Alessandra Cerioli & Massimo Oldrini, 2016. "The role of knowing someone living with HIV/AIDS and HIV disclosure in the HIV stigma framework: a Bayesian mediation analysis," Quality & Quantity: International Journal of Methodology, Springer, vol. 50(2), pages 637-651, March.
    • Handle: RePEc:spr:qualqt:v:50:y:2016:i:2:p:637-651
    DOI: 10.1007/s11135-015-0168-2
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    References listed on IDEAS

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    1. Obermeyer, C.M. & Baijal, P. & Pegurri, E., 2011. "Facilitating HIV disclosure across diverse settings: A review," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1011-1023.
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    Cited by:

    1. Nauman Majeed & Sulaiman Ainin, 2021. "Visualizing the evolution and landscape of socio-economic impact research," Quality & Quantity: International Journal of Methodology, Springer, vol. 55(2), pages 637-659, April.

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