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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes
Bulent Turan1, Abigail M Hatcher1, Sheri D Weiser1
1Bulent Turan and Whitney S. Rice are with the Department of Psychology, University of Alabama at Birmingham. Abigail M. Hatcher and Mallory O. Johnson are with the Department of Medicine, University of California, San Francisco. Sheri D. Weiser is with the Division of HIV, Infectious Disease and Global Medicine, University of California, San Francisco. Janet M. Turan is with the Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
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.
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