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The impact of determinants of health on the relationship between stigma and health in people living with HIV.
Lo Hog Tian, Jason M; Watson, James R; Parsons, Janet A; Maunder, Robert G; Murphy, Michael; Cioppa, Lynne; McGee, A; Bristow, Wayne; Boni, Anthony R; Ajiboye, Monisola E; Rourke, Sean B.
Afiliación
  • Lo Hog Tian JM; MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Canada.
  • Watson JR; Institute of Medical Science, University of Toronto, Toronto, Canada.
  • Parsons JA; MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Canada.
  • Maunder RG; Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada.
  • Murphy M; Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.
  • Cioppa L; Sinai Health System, University of Toronto, Toronto, Canada.
  • McGee A; Department of Psychiatry, University of Toronto, Toronto, Canada.
  • Bristow W; MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Canada.
  • Boni AR; MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Canada.
  • Ajiboye ME; MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Canada.
  • Rourke SB; MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Canada.
AIDS Care ; : 1-10, 2024 Sep 17.
Article en En | MEDLINE | ID: mdl-39285792
ABSTRACT
Determinants of health are important drivers of health states, yet there is little work examining their role in the relationship between HIV stigma and health. This study uses moderation analysis to examine how determinants of health affect the relationship between enacted, internalized, and anticipated stigma and mental health. Quantitative data was collected on 337 participants in Ontario, Canada at baseline (t1) between August 2018 and September 2019 and at follow-up (t2) between February 2021 and October 2021. Separate moderation models were created with each determinant of health (age, gender, sexual orientation, ethnicity, geographic region, education, employment, and basic needs) acting as the moderator between types of stigma at t1 and mental health at t2. Age was a significant moderator for the relationship between internalized and enacted stigma at t1 and mental health at t2. Region was a moderator for enacted and anticipated stigma and mental health. Sexual orientation was a moderator for anticipated stigma and mental health. Lastly, having basic needs was a moderator for enacted and anticipated stigma and mental health. Our findings suggest that intervention strategies may be more effective by incorporating supports for these determinants of health in addition to stigma reduction to improve mental health.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido