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HIV-Related Stigmas, Health Care Empowerment, and Self- Rated Health Among People Living With HIV in Ontario
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HIV-Related Stigmas, Health Care Empowerment, and Self- Rated Health Among People Living With HIV in Ontario
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Dissertation
HIV-Related Stigmas, Health Care Empowerment, and Self- Rated Health Among People Living With HIV in Ontario
2023
Overview
HIV-related stigma negatively impacts the health of people living with HIV; however, uncertainty remains around the mechanisms through which this occurs. Health care empowerment, which is defined as being engaged and committed to one’s care, and resilient to setbacks in health, may be a significant factor. As such, this study examined if health care empowerment mediated the relationship between HIV-related stigmas and self-rated health and how demographics may play a role, using the 2018 Ontario People Living with HIV Stigma Index Study. Results using ANOVA/Students t-tests and multiple linear regression/mediation showed that internalized, enacted, and anticipated stigma were all significantly elevated and related to self-rated health. Additionally, health care empowerment mediated internalized stigma and self-rated health’s association and was significantly lower for those who were younger, living with HIV for 10 or less years, heterosexual, and had less than high school education. Findings suggest the potential benefits of focused interventions.
