Amsterdam 2015
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| Abstract #2318 - Psychological dimensions | ||||
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Session: 12.4: Psychological dimensions (Oral poster discussion) on Wednesday @ 13.30-14.30 in Poster room 1 Chaired by Shilpa Zacharia Authors: Presenting Author: Dr Maria Jose Fuster-RuizdeApodaca - SEISIDA, Spain |
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| Additional Authors: | ||||
| Aim: The goal of this study was to analyse 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 lipodystrophy. | ||||
| Method / Issue: A cross-sectional retrospective study with a sample of 706 people with HIV was conducted. The variables measured were self-perception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being. Non-hierarchical cluster analysis was performed to obtain homogeneous groups as a function of the symptoms. It was proposed that self-exclusion played a mediational role between perceived discrimination and psychological well-being. Structural equations modeling were used to analyse the proposed model and the invariance of the model among the clusters found. | ||||
| Results / Comments: Cluster analysis revealed that participants could be categorised into three groups: (a) no lipodystrophy, (b) mixed syndrome with predominant lipoaccumulation and (c) lipoatrophy. Perceived discrimination and self-exclusion were lower in those who had no lipodystrophy. It was found that the negative effects of discrimination on well-being were mediated to a large extent by self-exclusion. In the lipoatrophy group the negative effects of discrimination were greater and only partly mediated by self-exclusion. | ||||
| Discussion: Having lipodystrophy exposed people to more discrimination lipoatrophy was the most stigmatising condition, with worse effects on well-being. The results may be helpful in designing interventions to help people to cope with stigmatisation due to their appearance. | ||||
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