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Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes

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  • Turan, B.
  • Hatcher, A.M.
  • Weiser, S.D.
  • Johnson, M.O.
  • Rice, W.S.
  • Turan, J.M.

Abstract

We present a conceptual framework that highlights how unique dimensions of individual-level HIV-related stigma (perceived community stigma, experienced stigma, internalized stigma, and anticipated stigma) might differently affect the health of those living with HIV. HIV-related stigma is recognized as a barrier to both HIV prevention and engagement in HIV care, but little is known about the mechanisms through which stigma leads to worse health behaviors or outcomes. Our conceptual framework posits that, in the context of intersectional and structural stigmas, individual-level dimensions of HIV-related stigma operate through interpersonal factors, mental health, psychological resources, and biological stress pathways. A conceptual framework that encompasses recent advances in stigma science can inform future research and interventions aiming to address stigma as a driver of HIV-related health.

Suggested Citation

  • Turan, B. & Hatcher, A.M. & Weiser, S.D. & Johnson, M.O. & Rice, W.S. & Turan, J.M., 2017. "Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes," American Journal of Public Health, American Public Health Association, vol. 107(6), pages 863-869.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.303744_2
    DOI: 10.2105/AJPH.2017.303744
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    Cited by:

    1. Allison Nall & Tiffany Chenneville & Lindsey M. Rodriguez & Jennifer L. O’Brien, 2019. "Factors Affecting HIV Testing among Youth in Kenya," IJERPH, MDPI, vol. 16(8), pages 1-14, April.
    2. Whittle, Henry J. & Palar, Kartika & Ranadive, Nikhil A. & Turan, Janet M. & Kushel, Margot & Weiser, Sheri D., 2017. "“The land of the sick and the land of the healthy”: Disability, bureaucracy, and stigma among people living with poverty and chronic illness in the United States," Social Science & Medicine, Elsevier, vol. 190(C), pages 181-189.
    3. Logie, Carmen H. & Williams, Charmaine C. & Wang, Ying & Marcus, Natania & Kazemi, Mina & Cioppa, Lynne & Kaida, Angela & Webster, Kath & Beaver, Kerrigan & de Pokomandy, Alexandra & Loutfy, Mona, 2019. "Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada," Social Science & Medicine, Elsevier, vol. 232(C), pages 129-138.
    4. Ofole Mgbako & Magdalena E. Sobieszczyk & Susan Olender & Peter Gordon & Jason Zucker & Susan Tross & Delivette Castor & Robert H. Remien, 2020. "Immediate Antiretroviral Therapy: The Need for a Health Equity Approach," IJERPH, MDPI, vol. 17(19), pages 1-10, October.
    5. Whittle, Henry J. & Leddy, Anna M. & Shieh, Jacqueline & Tien, Phyllis C. & Ofotokun, Ighovwerha & Adimora, Adaora A. & Turan, Janet M. & Frongillo, Edward A. & Turan, Bulent & Weiser, Sheri D., 2020. "Precarity and health: Theorizing the intersection of multiple material-need insecurities, stigma, and illness among women in the United States," Social Science & Medicine, Elsevier, vol. 245(C).
    6. Emmanuel Peprah & Bronwyn Myers & Andre-Pascal Kengne & Nasheeta Peer & Omar El-Shahawy & Temitope Ojo & Barbara Mukasa & Oliver Ezechi & Juliet Iwelunmor & Nessa Ryan & Fatoumata Sakho & John Patena , 2022. "Using a Syndemics Framework to Understand How Substance Use Contributes to Morbidity and Mortality among People Living with HIV in Africa: A Call to Action," IJERPH, MDPI, vol. 19(3), pages 1-12, January.
    7. Xueying Yang & Xiaoming Li & Shan Qiao & Quan Zhang & Zhiyong Shen & Yuejiao Zhou, 2019. "Immunological and virologic outcomes of people living with HIV in Guangxi, China: 2012-2017," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-14, March.
    8. Kalichman, Seth C. & Katner, Harold & Banas, Ellen & Hill, Marnie & Kalichman, Moira O., 2020. "HIV-related stigma and non-adherence to antiretroviral medications among people living with HIV in a rural setting," Social Science & Medicine, Elsevier, vol. 258(C).
    9. Rice, Whitney S. & Logie, Carmen H. & Napoles, Tessa M. & Walcott, Melonie & Batchelder, Abigail W. & Kempf, Mirjam-Colette & Wingood, Gina M. & Konkle-Parker, Deborah J. & Turan, Bulent & Wilson, Tra, 2018. "Perceptions of intersectional stigma among diverse women living with HIV in the United States," Social Science & Medicine, Elsevier, vol. 208(C), pages 9-17.
    10. Chia-Hui Yu & Chu-Yu Huang & Nai-Ying Ko & Heng-Hsin Tung & Hui-Man Huang & Su-Fen Cheng, 2021. "The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    11. Quinn, Katherine & Bowleg, Lisa & Dickson-Gomez, Julia, 2019. "“The fear of being Black plus the fear of being gay”: The effects of intersectional stigma on PrEP use among young Black gay, bisexual, and other men who have sex with men," Social Science & Medicine, Elsevier, vol. 232(C), pages 86-93.

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