HIV-Related Stigma as a Mediator of the Relation Between Multiple-Minority Status and Mental Health Burden in an Aging HIV-Positive Population

Erik David Storholm, Perry N. Halkitis, Sandra A. Kupprat, Melvin C. Hampton, Joseph J. Palamar, Mark Brennan-Ing, Stephen Karpiak

Research output: Contribution to journalArticle

Abstract

Cross-sectional analyses of 904 diverse men and women aged 50 years and older living with HIV in New York City were conducted to examine the unique experiences and needs of aging HIV-positive individuals. Using Minority Stress Theory and Syndemic Theory as guiding paradigms, the authors documented the mental health burdens of the sample with regard to depression, loneliness, and diminished psychological well-being and examined how multiple-minority status and HIV-related stigma explained these burdens. Mediation modeling demonstrated that the effects of minority stressors on mental health burden were mediated by HIV-related stigma. The mediation was significant for the overall sample and for the male subsample. Results suggest that to fully address the mental health burdens experienced by aging HIV-positive individuals, we must continue to address mental health burdens directly, and at the same time, look beyond the psychiatric symptoms to address the structural inequities faced by individuals based on their multiple-minority status.

Original languageEnglish (US)
Pages (from-to)9-25
Number of pages17
JournalJournal of HIV/AIDS and Social Services
Volume12
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Minority Health
Mental Health
mental health
minority
HIV
Population
mediation
Loneliness
well-being
Psychiatry
paradigm
Cross-Sectional Studies
Depression
Psychology
experience

Keywords

  • aging
  • AIDS
  • HIV
  • mental health
  • multiple-minority
  • stigma

ASJC Scopus subject areas

  • Health(social science)

Cite this

HIV-Related Stigma as a Mediator of the Relation Between Multiple-Minority Status and Mental Health Burden in an Aging HIV-Positive Population. / Storholm, Erik David; Halkitis, Perry N.; Kupprat, Sandra A.; Hampton, Melvin C.; Palamar, Joseph J.; Brennan-Ing, Mark; Karpiak, Stephen.

In: Journal of HIV/AIDS and Social Services, Vol. 12, No. 1, 01.2013, p. 9-25.

Research output: Contribution to journalArticle

Storholm, Erik David ; Halkitis, Perry N. ; Kupprat, Sandra A. ; Hampton, Melvin C. ; Palamar, Joseph J. ; Brennan-Ing, Mark ; Karpiak, Stephen. / HIV-Related Stigma as a Mediator of the Relation Between Multiple-Minority Status and Mental Health Burden in an Aging HIV-Positive Population. In: Journal of HIV/AIDS and Social Services. 2013 ; Vol. 12, No. 1. pp. 9-25.
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