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

Gabriele Prati (), Bruna Zani, Luca Pietrantoni, Diego Scudiero, Patrizia Perone, Lella Cosmaro, Alessandra Cerioli and Massimo Oldrini

Quality & Quantity: International Journal of Methodology, 2016, vol. 50, issue 2, 637-651

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

Keywords: HIV; Stigma; HIV Testing; Contact; Structural equation modeling; Bayesian mediation (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:spr:qualqt:v:50:y:2016:i:2:p:637-651

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DOI: 10.1007/s11135-015-0168-2

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