Correlates of Internalized HIV Stigma: A Comprehensive Systematic Review

Yvonne L. van der Kooij; Chantal den Daas; Arjan E.R. Bos; Roy A. Willems; Sarah E. Stutterheim

doi:10.1521/aeap.2023.35.2.158

Correlates of Internalized HIV Stigma: A Comprehensive Systematic Review

Yvonne L. van der Kooij, Chantal den Daas, Arjan E.R. Bos, Roy A. Willems, Sarah E. Stutterheim

Research output: Contribution to journal › Review article › peer-review

2 Citations (Scopus)

Abstract

Internalized HIV stigma is prevalent and research on internalized HIV stigma has increased during the past 10 years. The aim of this systematic review was to synthesize research on internalized HIV stigma and relationships with various health-related variables in order to better inform the development of interventions aimed at reducing internalized HIV stigma. We reviewed 176 studies with a quantitative design reporting correlates that were peer-reviewed, published in English before January 2021, drawn from PubMed, PSYCHINFO, Web of Science, EBSCO, and Scopus. Synthesis showed consistent associations between internalized stigma and negative psychological (e.g., depression, anxiety), social (e.g., lack of social support, discrimination, nondisclosure, and intersecting stigmas), and health (e.g., substance use, treatment nonadherence, negative clinical HIV outcomes) variables. We argue for a more socioecological approach to internalized stigma, with greater attention for intersectional stigmas, and more longitudinal research, if we are to effectively develop interventions that reduce internalized stigma.

Original language	English
Pages (from-to)	158-172
Number of pages	15
Journal	AIDS education and prevention : official publication of the International Society for AIDS Education
Volume	35
Issue number	2
DOIs	https://doi.org/10.1521/aeap.2023.35.2.158
Publication status	Published - Apr 2023

Bibliographical note

Funding Information:
Yvonne L. van der Kooij, Arjan E.R. Bos, and Roy A. Willems are affiliated with Open University, Heer-len, the Netherlands. Chantal den Daas is affiliated with the Institute of Applied Health Sciences, Health Psychology Group, Aberdeen University, Aberdeen, Scotland and the National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands. Sarah E. Stutterheim is affilkiated with the Department of Health Promotion & Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands. We extend our gratitude to Moon Walden and Kyran Kuipers (Maastricht University) for their assistance with the data extraction of the systematic review. This work was supported by Viiv Healthcare, Gilead and Aidsfonds (research grant number AF-P.42601). The funders had no role in decisions regarding the study design, data analysis, or publication. The authors declare that they have no conflict of interest. Systematic Review Registration: PROSPERO CRD42020133475 Address correspondence to Y. L. van der Kooij, Vondellaan 202, 3521 GZ Utrecht, the Netherlands. E-mail: yvonne.vanderkooij@ou.nl

Keywords

HIV
internalized stigma
self-stigma
systematic review

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Correlates of Internalized HIV Stigma: A Comprehensive Systematic Review",

abstract = "Internalized HIV stigma is prevalent and research on internalized HIV stigma has increased during the past 10 years. The aim of this systematic review was to synthesize research on internalized HIV stigma and relationships with various health-related variables in order to better inform the development of interventions aimed at reducing internalized HIV stigma. We reviewed 176 studies with a quantitative design reporting correlates that were peer-reviewed, published in English before January 2021, drawn from PubMed, PSYCHINFO, Web of Science, EBSCO, and Scopus. Synthesis showed consistent associations between internalized stigma and negative psychological (e.g., depression, anxiety), social (e.g., lack of social support, discrimination, nondisclosure, and intersecting stigmas), and health (e.g., substance use, treatment nonadherence, negative clinical HIV outcomes) variables. We argue for a more socioecological approach to internalized stigma, with greater attention for intersectional stigmas, and more longitudinal research, if we are to effectively develop interventions that reduce internalized stigma.",

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note = "Funding Information: Yvonne L. van der Kooij, Arjan E.R. Bos, and Roy A. Willems are affiliated with Open University, Heer-len, the Netherlands. Chantal den Daas is affiliated with the Institute of Applied Health Sciences, Health Psychology Group, Aberdeen University, Aberdeen, Scotland and the National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands. Sarah E. Stutterheim is affilkiated with the Department of Health Promotion & Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands. We extend our gratitude to Moon Walden and Kyran Kuipers (Maastricht University) for their assistance with the data extraction of the systematic review. This work was supported by Viiv Healthcare, Gilead and Aidsfonds (research grant number AF-P.42601). The funders had no role in decisions regarding the study design, data analysis, or publication. The authors declare that they have no conflict of interest. Systematic Review Registration: PROSPERO CRD42020133475 Address correspondence to Y. L. van der Kooij, Vondellaan 202, 3521 GZ Utrecht, the Netherlands. E-mail: yvonne.vanderkooij@ou.nl ",

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AU - Willems, Roy A.

AU - Stutterheim, Sarah E.

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AB - Internalized HIV stigma is prevalent and research on internalized HIV stigma has increased during the past 10 years. The aim of this systematic review was to synthesize research on internalized HIV stigma and relationships with various health-related variables in order to better inform the development of interventions aimed at reducing internalized HIV stigma. We reviewed 176 studies with a quantitative design reporting correlates that were peer-reviewed, published in English before January 2021, drawn from PubMed, PSYCHINFO, Web of Science, EBSCO, and Scopus. Synthesis showed consistent associations between internalized stigma and negative psychological (e.g., depression, anxiety), social (e.g., lack of social support, discrimination, nondisclosure, and intersecting stigmas), and health (e.g., substance use, treatment nonadherence, negative clinical HIV outcomes) variables. We argue for a more socioecological approach to internalized stigma, with greater attention for intersectional stigmas, and more longitudinal research, if we are to effectively develop interventions that reduce internalized stigma.

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Correlates of Internalized HIV Stigma: A Comprehensive Systematic Review

Abstract

Bibliographical note

Keywords

UN SDGs

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