HIV-Related Internalized Stigma and Patient Health Engagement Model in an Italian Cohort of People Living With HIV.
Valentina MassaroniValentina Delle DonneNicoletta CiccarelliFrancesca LombardiSilvia LamonicaAlberto BorghettiArturo CicculloSimona Di GiambenedettoPublished in: Psychological reports (2022)
The care engagement of people living with HIV (PLWH) measured with the patient health engagement (PHE) model and its association with HIV-related internalized stigma are not well established. Indeed, currently there are no data yet about the engagement of PLWH measured with the PHE model. This study aimed to evaluate the effects of HIV-related internalized stigma on care engagement and mental health and to fill the lack of data on PHE model applied to PLWH. We found that the internalized stigma score was significantly higher for PLWH ( n =82) in worse care engagement phase and both higher internalized stigma scores and worse engagement were associated to major depression symptoms.In conclusion, our findings describe for the first time the engagement in care of PLWH measured with PHE and highlight the importance of PLWH support to find strategies to cope stigma-related stress and optimize their care engagement.
Keyphrases
- mental health
- hiv aids
- social media
- healthcare
- mental illness
- palliative care
- antiretroviral therapy
- social support
- hiv infected
- human immunodeficiency virus
- quality improvement
- hiv positive
- hiv testing
- health information
- public health
- men who have sex with men
- depressive symptoms
- electronic health record
- case report
- risk assessment
- machine learning
- deep learning
- climate change
- big data
- stress induced