Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes

Overview

Journal Am J Public Health

Specialty Public Health

Date 2017 Apr 21

PMID 28426316

Citations 249

Authors

Bulent Turan

Abigail M Hatcher

Sheri D Weiser

Mallory O Johnson

Whitney S Rice

Janet M Turan

Affiliations

Soon will be listed here.

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.

Citing Articles

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Wiginton J, Murray S, Anderson B, Sey K, Ma Y, Flynn C Stigma Health. 2025; 10(1):95-106.

PMID: 39935519 PMC: 11810123. DOI: 10.1037/sah0000495.

Political conservatism and social distancing from people living with HIV among Medical students: mediating roles of negative stereotypes and negative Intergroup emotions.

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RESILSTIGMA. Resilience to self-stigmatization experienced by people living with HIV: Which self-reported factors improve awareness among health workers?.

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Abdulai A, Howard A, Yong P, Currie L PLOS Digit Health. 2025; 4(2):e0000722.

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Social Location and Decision-Making Among Women Living with HIV in the Southern United States: An Intersectional Approach.

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