Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms
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Published:2017-12-15
Issue:1
Volume:34
Page:7
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ISSN:1695-2294
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Container-title:Anales de Psicología
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language:
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Short-container-title:AN PSICOL-SPAIN
Author:
Fuster-Ruiz de Apodaca Maria Jose,Molero Fernando,Sansinenea Eneko,Holgado Francisco-Pablo,Magallares Alejandro,Agirrezabal Arrate
Abstract
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 hierarchical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumulation 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 clusters. Complete mediation of self-exclusion in the groups without lipodystrophy and with predominant lipoaccumulation was confirmed. Regarding 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.
Publisher
Servicio de Publicaciones de la Universidad de Murcia
Subject
General Psychology
Cited by
2 articles.
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