Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness

Ezer Kang; Bruce D. Rapkin; Robert H. Remien; Claude Ann Mellins; Alina Oh

doi:10.1007/s10461-005-3896-9

Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness

Ezer Kang, Bruce D. Rapkin, Robert H. Remien, Claude Ann Mellins, Alina Oh

Research output: Contribution to journal › Article › peer-review

47 Scopus citations

Abstract

Asians and Pacific Islanders (APIs) living with HIV/AIDS in the US are particularly vulnerable to HIV-related stigma largely due to ingrained socio-cultural norms that strongly associate HIV transmission with activities perceived to be immoral. This cross-sectional study examined the relationship between five HIV-stigma factors and psychological distress among 54 HIV-seropositive APIs. Social Rejection, Negative Self-Worth, Perceived Interpersonal Insecurity, and Financial Security were all significantly associated with psychological distress. Results from hierarchical multiple regression analyses indicated that Social Rejection, Negative Self-Worth, and Perceived Interpersonal Insecurity significantly predicted psychological distress after control for physical symptoms and country of birth. Undocumented Asians endorsed higher levels of Social Rejection, Negative Self-Worth and Perceived Interpersonal Insecurity than documented APIs. Future studies examining mechanisms of psychological distress among HIV-seropositive APIs are needed.

Original language	English (US)
Pages (from-to)	145-154
Number of pages	10
Journal	AIDS and Behavior
Volume	9
Issue number	2
DOIs	https://doi.org/10.1007/s10461-005-3896-9
State	Published - Jun 2005
Externally published	Yes

Keywords

Asians
HIV/AIDS
Pacific Islanders
Stigma

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-005-3896-9

Cite this

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title = "Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness",

abstract = "Asians and Pacific Islanders (APIs) living with HIV/AIDS in the US are particularly vulnerable to HIV-related stigma largely due to ingrained socio-cultural norms that strongly associate HIV transmission with activities perceived to be immoral. This cross-sectional study examined the relationship between five HIV-stigma factors and psychological distress among 54 HIV-seropositive APIs. Social Rejection, Negative Self-Worth, Perceived Interpersonal Insecurity, and Financial Security were all significantly associated with psychological distress. Results from hierarchical multiple regression analyses indicated that Social Rejection, Negative Self-Worth, and Perceived Interpersonal Insecurity significantly predicted psychological distress after control for physical symptoms and country of birth. Undocumented Asians endorsed higher levels of Social Rejection, Negative Self-Worth and Perceived Interpersonal Insecurity than documented APIs. Future studies examining mechanisms of psychological distress among HIV-seropositive APIs are needed.",

keywords = "Asians, HIV/AIDS, Pacific Islanders, Stigma",

author = "Ezer Kang and Rapkin, {Bruce D.} and Remien, {Robert H.} and Mellins, {Claude Ann} and Alina Oh",

note = "Funding Information: This research was supported by a pilot grant from the Columbia-Rockefeller Center for AIDS Research (P30 AI42848; Principal Investigator: David Ho, M.D.) and by the HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University (P50/P30 MH43520; Principal Investigator: Anke A. Ehrhardt, Ph.D.) The authors thank the Asian and Pacific Islander Coalition on HIV/AIDS, Inc. and Chinese American Planning Council, Inc., for supporting this study and tirelessly advocating for the needs of APIs, Mandy Choy and Connie Pun for conducting interviews with skill and sensitivity, and Martha Lee for data consultation. The authors also acknowledge Suki Terada Ports and John Chin for their insightful comments and suggestions on earlier versions of this manuscript. Special gratitude is extended to the API women and men who lent their stories to this study.",

year = "2005",

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language = "English (US)",

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journal = "AIDS and Behavior",

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AU - Kang, Ezer

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AU - Mellins, Claude Ann

AU - Oh, Alina

N1 - Funding Information: This research was supported by a pilot grant from the Columbia-Rockefeller Center for AIDS Research (P30 AI42848; Principal Investigator: David Ho, M.D.) and by the HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University (P50/P30 MH43520; Principal Investigator: Anke A. Ehrhardt, Ph.D.) The authors thank the Asian and Pacific Islander Coalition on HIV/AIDS, Inc. and Chinese American Planning Council, Inc., for supporting this study and tirelessly advocating for the needs of APIs, Mandy Choy and Connie Pun for conducting interviews with skill and sensitivity, and Martha Lee for data consultation. The authors also acknowledge Suki Terada Ports and John Chin for their insightful comments and suggestions on earlier versions of this manuscript. Special gratitude is extended to the API women and men who lent their stories to this study.

PY - 2005/6

Y1 - 2005/6

N2 - Asians and Pacific Islanders (APIs) living with HIV/AIDS in the US are particularly vulnerable to HIV-related stigma largely due to ingrained socio-cultural norms that strongly associate HIV transmission with activities perceived to be immoral. This cross-sectional study examined the relationship between five HIV-stigma factors and psychological distress among 54 HIV-seropositive APIs. Social Rejection, Negative Self-Worth, Perceived Interpersonal Insecurity, and Financial Security were all significantly associated with psychological distress. Results from hierarchical multiple regression analyses indicated that Social Rejection, Negative Self-Worth, and Perceived Interpersonal Insecurity significantly predicted psychological distress after control for physical symptoms and country of birth. Undocumented Asians endorsed higher levels of Social Rejection, Negative Self-Worth and Perceived Interpersonal Insecurity than documented APIs. Future studies examining mechanisms of psychological distress among HIV-seropositive APIs are needed.

AB - Asians and Pacific Islanders (APIs) living with HIV/AIDS in the US are particularly vulnerable to HIV-related stigma largely due to ingrained socio-cultural norms that strongly associate HIV transmission with activities perceived to be immoral. This cross-sectional study examined the relationship between five HIV-stigma factors and psychological distress among 54 HIV-seropositive APIs. Social Rejection, Negative Self-Worth, Perceived Interpersonal Insecurity, and Financial Security were all significantly associated with psychological distress. Results from hierarchical multiple regression analyses indicated that Social Rejection, Negative Self-Worth, and Perceived Interpersonal Insecurity significantly predicted psychological distress after control for physical symptoms and country of birth. Undocumented Asians endorsed higher levels of Social Rejection, Negative Self-Worth and Perceived Interpersonal Insecurity than documented APIs. Future studies examining mechanisms of psychological distress among HIV-seropositive APIs are needed.

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Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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