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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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dc.abstract.enBackground: 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.
dc.affiliationUniwersytet Warszawski
dc.contributor.authorGruszczyńska, Ewa
dc.contributor.authorMalinowska, Paula
dc.contributor.authorPięta, Małgorzata
dc.contributor.authorRzeszutek, Marcin
dc.date.accessioned2024-01-25T03:28:49Z
dc.date.available2024-01-25T03:28:49Z
dc.date.issued2021
dc.description.financePublikacja bezkosztowa
dc.description.number1
dc.description.volume12
dc.identifier.doi10.1080/20008198.2021.1990527
dc.identifier.urihttps://repozytorium.uw.edu.pl//handle/item/108563
dc.identifier.weblinkhttps://www.tandfonline.com/doi/full/10.1080/20008198.2021.1990527
dc.languageeng
dc.pbn.affiliationpsychology
dc.relation.ispartofEuropean Journal of Psychotraumatology
dc.relation.pagesArticle: 1990527, 1-24
dc.rightsClosedAccess
dc.sciencecloudnosend
dc.subject.enwell-being
dc.subject.enmetaanalysis
dc.subject.ensystematic review
dc.subject.enHIV/AIDS stigma
dc.titleHIV/AIDS stigma and psychological well-being after 40 years of HIV/AIDS: a systematic review and meta-analysis
dc.typeJournalArticle
dspace.entity.typePublication