Publication: Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms
Authors
Fuster-Ruiz de Apodaca, Maria J. ; Molero, Fernando ; Sansinenea, Eneko ; Holgado, Francisco-Pablo ; Magallares, Alejandro ; Agirrezabal, Arrate
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Publisher
Universidad de Murcia
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Este estudio examinó los efectos de la discriminación percibida
sobre el bienestar de las personas con VIH y el papel mediador de la auto-
exclusión en función de los síntomas de lipodistrofia de los participantes.
Se realizó un estudio ex post facto con una muestra de 706 personas con
VIH. Se midió la autopercepción de lipoatrofia y lipohipertrofia, discrimi-
nación percibida, autoexclusión y bienestar psicológico. Los resultados del
análisis de agrupamiento jerárquico mostraron que los participantes podían
clasificarse en tres grupos: sin lipodistrofia, síndrome mixto con lipoacumu-
lación predominante y lipoatrofia. Los resultados del modelado de ecuacio-
nes estructurales revelaron que los efectos negativos de la discriminación
percibida sobre el bienestar estaban mediados en gran medida por la auto-
exclusión. El análisis de invarianza reveló que el papel mediador de la auto-
exclusión no era el mismo en los tres grupos. Se confirmó la mediación
completa de la autoexclusión en los grupos sin lipodistrofia y con lipoacu-
mulación predominante. Con respecto a la lipoatrofia, los efectos negativos
de la discriminación percibida fueron mayores y solo parcialmente media-
dos por la autoexclusión. En conclusión, tener lipodistrofia expone a las
personas a más discriminación; la lipoatrofia fue la condición más estigma-
tizante.
This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participants' symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Self- perception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being were measured. Results of hier- archical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumu- lation and lipoatrophy. Results of structural equation modeling revealed that the negative effects of perceived discrimination on well-being were mediated to a large extent by self-exclusion. Invariance analysis revealed that the mediating role of self-exclusion was not the same in the three clus- ters. Complete mediation of self-exclusion in the groups without lipo- dystrophy and with predominant lipoaccumulation was confirmed. Regard- ing lipoatrophy, the negative effects of perceived discrimination were greater and only partly mediated by self-exclusion. In conclusion, having lipodystrophy exposed people to more discrimination; lipoatrophy was the most stigmatizing condition.
This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participants' symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Self- perception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being were measured. Results of hier- archical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumu- lation and lipoatrophy. Results of structural equation modeling revealed that the negative effects of perceived discrimination on well-being were mediated to a large extent by self-exclusion. Invariance analysis revealed that the mediating role of self-exclusion was not the same in the three clus- ters. Complete mediation of self-exclusion in the groups without lipo- dystrophy and with predominant lipoaccumulation was confirmed. Regard- ing lipoatrophy, the negative effects of perceived discrimination were greater and only partly mediated by self-exclusion. In conclusion, having lipodystrophy exposed people to more discrimination; lipoatrophy was the most stigmatizing condition.
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