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- Title
Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms.
- Authors
Fuster-Ruiz de Apodaca, Maria J.; Molero, Fernando; Sansinenea, Eneko; Holgado, Francisco-Pablo; Magallares, Alejandro; Agirrezabal, Arrate
- Abstract
This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participant's symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Selfperception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being were measured. Results of hierarchical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumulation and lipoatrophy. Results of structural equation modeling revealed that the negative effects of perceived discrimination on well-being were mediated to a large extent by self-exclusion. Invariance analysis revealed that the mediating role of self-exclusion was not the same in the three clusters. Complete mediation of self-exclusion in the groups without lipodystrophy and with predominant lipoaccumulation was confirmed. Regarding lipoatrophy, the negative effects of perceived discrimination were greater and only partly mediated by self-exclusion. In conclusion, having lipodystrophy exposed people to more discrimination; lipoatrophy was the most stigmatizing condition.
- Subjects
LIPODYSTROPHY; PERCEIVED discrimination; DISCRIMINATION &; psychology; HIV-positive persons; CLUSTER analysis (Statistics)
- Publication
Anales de Psicología, 2018, Vol 34, Issue 1, p7
- ISSN
0212-9728
- Publication type
Article
- DOI
10.6018/analesps.34.1.278851