Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms
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2018
- handle: 10670/1.psgqe3
- 0212-9728
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Anales de Psicología
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Psicología HIV being stigma lipodystrophy psychological wellSujets proches
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Maria J. Fuster-Ruiz de Apodaca et al., « Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms », Anales de Psicología, ID : 10670/1.psgqe3
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"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 participants' symptoms of lip odystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Self - perception of lipoatrophy and lipohypertrophy, perceived discrimination, self - exclusion and psychological well - being were measured. Results of hier- archical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumu- lation 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 clus- ters. Complete mediation of self - exclusion in the groups without lipo- dystrophy and wit h predominant lipoaccumulation was confirmed. Regard- ing 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; lipoat rophy was the most stigmatizing condition."