Association Between Intersectional Stigma and Psychological Well-Being Among Men Who Have Sex with Men Living with HIV.

Men who have sex with men (MSM) living with HIV face considerable psychosocial challenges, including stigma and discrimination, which may affect their mental health. Instead of considering each stigmatized identity in isolation, this study investigated the association between intersected HIV- and MS...

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Publicado en:AIDS & Behavior Vol. 29; no. 11; pp. 3514 - 3526
Autores principales: Mi, Tianyue, Yang, Xueying, Lan, Guanghua, Qiao, Shan, Shen, Zhiyong, Zhou, Yuejiao, Li, Xiaoming
Formato: research tables/charts Journal Article
Publicado: Springer Nature Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10461-025-04795-8
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        atl: Association Between Intersectional Stigma and Psychological Well-Being Among Men Who Have Sex with Men Living with HIV.
      aug:
        au:
          Mi, Tianyue
          Yang, Xueying
          Lan, Guanghua
          Qiao, Shan
          Shen, Zhiyong
          Zhou, Yuejiao
          Li, Xiaoming
        affil: https://ror.org/02b6qw903 Department of Health Promotion, Education, and Behavior & South Carolina SmartState Center for Healthcare Quality (CHQ), University of South Carolina, 915 Greene St, 29208, Columbia, SC, USA
      sug:
        subj:
          HIV Infections Psychosocial Factors
          HIV-Positive Persons Psychosocial Factors
          Men Who Have Sex With Men Psychosocial Factors
          Intersectionality
          Stigma
          Psychological Well-Being
          Mental Health
          Depression Psychosocial Factors
          Anxiety Psychosocial Factors
          Human
          Male
          Adult
          Middle Age
          Cross Sectional Studies
          China
          Structural Equation Modeling
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Surveys
          Minority Groups
          Psychometrics
          Sexual Behavior
          Public Health
          Community Health Services
          Coefficient alpha
          Purposive Sample
          Sociodemographic Factors
          Bivariate Statistics
          Age Factors
          Ethnic Groups
          Hospitals, Public China
          Educational Status
          Marital Status
          Employment Status
          Sexual Identity
          Income
          Funding Source
          Center for Epidemiological Studies Depression Scale
          Self-Rating Anxiety Scale
          Scales
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: Men who have sex with men (MSM) living with HIV face considerable psychosocial challenges, including stigma and discrimination, which may affect their mental health. Instead of considering each stigmatized identity in isolation, this study investigated the association between intersected HIV- and MSM-related stigma and psychological well-being of MSM living with HIV. Data of 402 MSM living with HIV were collected through a cross-sectional study in Guangxi, China, focusing on the association between HIV-/MSM-related stigma and HIV-related health outcomes among MSM living with HIV. Latent Moderated Structural Equations Approach was employed to examine the moderation effect of MSM-related stigma on the relationship between HIV-related stigma and mental health outcomes. The findings revealed that with a lower level of MSM-related stigma, the associations between HIV-related stigma and depression (β = 0.99, 95%CI [-0.63, 2.61], p = 0.23) or anxiety (β = 1.61, 95%CI [-0.44, 3.65], p = 0.12) were not significant; with a higher level of MSM-related stigma, the association between HIV-related stigma and depression (β = 3.32, 95%CI [1.67, 4.96], p < 0.001) or anxiety (β = 4.95, 95%CI [2.68, 7.22], p < 0.001) showed significant positive associations. The study demonstrates that higher levels of MSM-related stigma can intensify the relationship between HIV-related stigma and depression/anxiety among MSM. By emphasizing the role of intersectional stigma in adverse mental health outcomes, these findings will inform the development of effective and sustainable health strategies, policies, and services, including tailored mental health services and community-led stigma reduction programs aimed at the enhancement of well-being among MSM living with HIV.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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