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


Authors: Kang, E.; Rapkin, B. D.; Remien, R. H.; Mellins, C. A.; Oh, A.
Article 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. © 2005 Springer Science+Business Media, Inc.
Keywords: adult; controlled study; major clinical study; human immunodeficiency virus infection; prediction; social support; statistical significance; distress syndrome; sick role; new york city; attitude; self concept; asia; symptomatology; socioeconomic factors; hiv infections; stigma; psychometrics; disease transmission; pacific islander; asian; interpersonal relations; personality inventory; prejudice; hiv/aids; hiv seropositivity; public opinion; asian americans; multiple regression; social class; asians; oceanic ancestry group; pacific islands; pacific islanders; cultural characteristics; social values; rejection (psychology)
Journal Title: AIDS and Behavior
Volume: 9
Issue: 2
ISSN: 1090-7165
Publisher: Springer  
Date Published: 2005-06-01
Start Page: 145
End Page: 154
Language: English
DOI: 10.1007/s10461-005-3896-9
PUBMED: 15933834
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 16" - "Export Date: 24 October 2012" - "CODEN: AIBEF" - "Source: Scopus"
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  1. Bruce D Rapkin
    47 Rapkin