Objective: HIV stigma undermines health and well-being of people living with HIV (PLWH). Conceptual work on stigma mechanisms suggests that experiences of stigma or discrimination increase internalised stigma. However, not all PLWH may internalise the HIV discrimination they experience. We aimed to investigate the role of stress associated with events of HIV-related discrimination on internalised HIV stigma, as well as the downstream effects on depressive symptoms and alcohol use severity.
Design: 199 participants were recruited from an HIV clinic in the southeastern United States.
Main study measures: HIV-related discrimination was assessed using items adapted from measures of enacted HIV stigma and discrimination. Participants rated perceived stress associated with each discrimination item. Internalised HIV stigma was assessed using the internalised stigma subscale of the HIV Stigma Mechanisms Scale. Depressive symptoms were assessed with the Centre for Epidemiological Studies-Depression Index. Alcohol use severity was assessed with the Alcohol Use Disorders Identification Test.
Results: In serial mediation models, HIV-related discrimination was indirectly associated with both depressive symptoms and alcohol use severity through its associations with stress and internalised HIV stigma.
Conclusions: Understanding the mechanisms through which PLWH internalise HIV stigma and lead to poor health outcomes can yield clinical foci for intervention. 相似文献
Multiracial people experience an accumulation of racial stress for both their minority and their multiracial identities, yet no research has examined the physiological impact of this stress. This within-groups experimental study examined whether two race-related stressors—identity invalidation and discrimination from family—affect cardiovascular reactivity for Black/White multiracial adults (N = 60). The authors found a Condition × Phase interaction effect indicating that discrimination from family affected blood pressure. Invalidation had no effect on blood pressure. Las personas multirraciales experimentan una acumulación de estrés racial tanto a causa de su identidad multirracial como de su identidad como minoría, pero no hay investigaciones que hayan examinado el impacto psicológico de este estrés. Este estudio experimental dentro de grupos examinó si dos factores causantes de estrés relacionados con la raza (la invalidación de la identidad y la discriminación por parte de la familia) afectan a la reactividad cardiovascular de personas adultas multirraciales blancas/negras (N = 60). Los autores hallaron un efecto de interacción Condición × Fase que indica que la discriminación por parte de la familia tuvo un efecto sobre la presión sanguínea. La invalidación no tuvo efecto sobre la presión sanguínea. 相似文献
Past research has demonstrated the negative impact of perceived ethnic discrimination (PED) on psychological well‐being among children. Given research demonstrating the benefits of cross‐ethnic friendship for children's intergroup attitudes, we examined whether cross‐ethnic friendships would attenuate the effects of PED on well‐being and resilience within a multi‐ethnic context. Two hundred and forty‐seven South Asian British children (M =11 years) recruited from 37 classrooms completed measures of perceived cross‐ethnic friendship quantity and quality, PED, psychological well‐being, and resilience. Friendship quality, but not quantity, had direct positive associations with psychological well‐being and resilience. A higher quantity of cross‐ethnic friendships moderated the negative effects of PED on both outcomes. Results suggest that cross‐ethnic friendships are beneficial for South Asian British children by functioning as a protective factor from the negative effects of discrimination within a multi‐ethnic context. 相似文献
The aim of present study was to explore relationships between experienced and anticipated discrimination, internalized stigma, and empowerment among people with physical disabilities in Serbia. The convenience sample consisted of persons with different types of physical disabilities. The following scales were administrated: The Discrimination and Stigma Scale, the Internalized Stigma of Mental Illness Scale, and the Boston University Empowerment Scale. An analysis showed that internalized stigma was correlated with experienced and anticipated discrimination and empowerment, while no correlation was found between empowerment and discrimination. People with physical disabilities who experienced and anticipated discrimination are at higher risk of reporting internalized stigma. 相似文献
Though it is often taken for granted that feminists necessarily must condemn the exclusion of women from the Roman Catholic priesthood, the author demonstrates that the "politics of difference," if pursued consistently, reopens this question. International feminist arguments for honoring gender differences, the teachings of John Paul II concerning women, and Catholic social justice teachings, taken jointly, suggest that the current Catholic exclusion of women from the priesthood is unjust not because the reservation of a social role to a single sex is inherently unacceptable, but because of the asymmetry in power between the roles accorded men and women in the governance of the Catholic Church. To be just, sex-specific reservation of roles must meet the criteria of balance, proportion, power, and particularity. 相似文献
Discriminating temporal relationships in speech is crucial for speech and language development. However, temporal variation of vowels is difficult to perceive for young infants when it is determined by surrounding speech sounds. Using a familiarization-discrimination paradigm, we show that English-learning 6- to 9-month-olds are capable of discriminating non-native acoustic vowel duration differences that systematically vary with subsequent consonantal durations. Furthermore, temporal regularity of stimulus presentation potentially makes the task easier for infants. These findings show that young infants can process fine-grained temporal aspects of speech sounds, a capacity that lays the foundation for building a phonological system of their ambient language(s). 相似文献
ABSTRACT Racial discrimination contributes to stress-related health disparities among African Americans, but less is known about the acute effects of racial exclusion on the hypo-pituitary-adrenocortical response and psychological mediators. Participants were 276 Black/African American emerging-adults (54% female; Mage = 21.74, SD = 2.21) who were randomly assigned to be excluded or included by White peers via the game Cyberball. Racial exclusion (vs. inclusion) predicted: greater negative affect (F(1, 276) = 104.885, p < .0001), lower perceived control (F(1, 276) = 205.523, p < .0001), and greater cortisol release (F(1, 274) = 4.575, p = .033). Racial exclusion’s impact on cortisol release was mediated by lower perceived control (95% CI: .027, .112), but not negative affect (?.041, .013). These findings suggest that racial exclusion contributes to acute cortisol release, and that reduced perceived control is a consequence of racial discrimination that has important implications for the health of those who experience discrimination. 相似文献
ABSTRACTRelative deprivation theory suggests that discrimination increases the risk of violence. While religious armed conflicts have been increasing in sub-Saharan Africa, effects of religious discrimination have rarely been investigated. Using the new Religion and State dataset and other sources, this contribution investigates this question in a two-level analysis. The analysis yields three main results. First, religious discrimination has been increasing over the last 15 years but in interregional comparison sub-Saharan Africa has a low level of discrimination. Second, at the cross-country level there is a significant correlation between religious discrimination and armed conflict over religious content. Third, looking closer at four pertinent country cases (the Comoros, the Gambia, Mali and Mauritania) reveals that discrimination is probably not a direct driver of religious conflicts. High levels of discrimination are embedded in problematic state-religion relations and existing cleavages become mobilised along religious lines through transnational influences and geography. 相似文献