Experiences of Stigma and Spirituality of Older Black Men Living with HIV

Abstract

Previous research on HIV stigma and the use of spirituality by people living with HIV/AIDS is scarce. Moreover, the research with older Black men who have sex with men is scant. This study aimed to investigate experiences of HIV stigma and the use of spirituality among older HIV positive Black men who sleep with men. In-depth interviews were conducted with a sample of ten men. Data were analyzed utilizing to the modified van Kaam data analysis method. Three major themes were identified that explores the participants lived experiences with HIV stigma and use of spirituality: experiences of stigma reinforcing the use of spirituality; defining spirituality as a functional concept; and self-empowerment through the use of spirituality. The findings could guide social workers and other helping professionals in developing informed assessments and interventions regarding HIV stigma and the use of spirituality. Future qualitative and quantitative research is needed to achieve generalizable knowledge about the relationship between stigma on the use of spirituality.     

Strategies for the Management of Stigma through Social Work

Summary Stigma management should be part of social work practice, inaddition to attempts to combat stigma by social policy initiatives.The objectives of stigma management are to reduce awarenessand length of dependence on social services, to demonstrateclients' contribution to society, and to reduce social and spatialdistance between clients and others. Strategies are identified,which include the selection of various combinations of targetsfor intervention from three aspects of stigma (the attribute,the stereotype and the relationship between them) and from thepossibilities of work with the audience, both public and professionaland the stigmatised person, or both. Factors to evaluate inassessment; methods of intervention, including help in passing,group identification, social exchanges, public reviews, theuse of agents, benefactor relationships and elevation ceremonies;and reducing stigma at the end of social work intervention areconsidered.     

Welfare Stigma of Social Assistance on Women Recipients in Urban China

Abstract

In urban China, the study of the welfare stigma of poor females receiving social assistance is neglected. An in-depth interview method was used with 16 urban female assistance recipients aged 16–70?years old in the city of Chengdu to examine the forms and the consequences of welfare stigma on them. The purpose of the study is to examine the issue of welfare stigma of female assistance recipients in urban China by means of empirical evidence. The findings suggest that female assistance recipients suffer from welfare stigma in three forms: identity stigma, treatment stigma, and procedure stigma. The three kinds of stigmas mingled with each other are imposed on the female assistance recipients and make them victims of constructed welfare stigma. Welfare stigma does not affect the decision to apply for assistance to meet basic living expenses. Suffering from welfare stigma positions female recipients in a state of isolation and exclusion. The study’s results suggest that efforts should be made to reduce and eliminate welfare stigma of social assistance on female assistance recipients in urban China. Future study should be broadened to consider the comparison of the stigma on female recipients with that on male recipients.     

Adolescents' disclosure to best and good friends: The effects of gender and topic intimacy

The disclosure of 227 7th- through 12th-grade adolescents to four other persons – their closest same- and cross-sex best friends, and lesser-but-good same- and cross-sex friends – about 40 topics varying widely in intimacy was examined; in addition, each subject rated every topic's intimacy. A (2) gender × (2) friend's gender × (2) closeness × (3) age × (3) intimacy level ANOVA yielded two large main effects (partial ω² > .15), closeness and topic intimacy. Three large interaction effects – gender by friend's gender, friend's gender by intimacy, and gender by closeness by intimacy – were also found, as was a moderate-sized closeness by gender by friend's gender interaction (partial co₂= .08). A number of other effects were statistically significant but of only small magnitude. The perceived intimacy of 6 of the studied topics varied across age groups, and one topic, “your weight” was rated differently by males and females. The data are discussed in relation to previous research on adolescent gender differences in friendship and disclosure.     

Adult children of parents with mental illness: Family stigma and coping on sense of self

Family stigma is associated with persistent negative outcomes among adult children of parents with mental illness (ACOPMI). Loss of sense of self has been reported by ACOPMI; however, the role of family stigma on sense of self remains unclear. Additionally, research suggests coping behaviour (i.e. adaptive or maladaptive) influences the effect of stigmatization on sense of self. This study investigated the impact of family stigma and coping on sense of self among ACOPMI (N = 134, 63.4% female). As hypothesized, high family stigma was associated with weak sense of self (p < 0.001), and ACOPMI who endorsed adaptive coping demonstrated higher sense of self than those who coped maladaptively (p < 0.001). Further, coping moderated the relationship between family stigma and sense of self (p < 0.001). Unexpectedly, this relationship was only significant for ACOPMI with adaptive coping skills (p < 0.001). At higher levels of stigmatization, post hoc analysis revealed coping styles did not exert an influence on sense of self. Results suggest family stigma contributes to loss of sense of self among ACOPMI, with adaptive coping being protective only at lower levels of family stigma. Findings highlight the need for a systemic approach to eradicate family stigma.     

Racial Differences in Attitudes Toward Professional Mental Health Treatment: The Mediating Effect of Stigma

Stigma associated with mental illness continues to be a pervasive barrier to mental health treatment, leading to negative attitudes about treatment and deterring appropriate care seeking. Empirical research suggests that the stigma of mental illness may exert an adverse influence on attitudes toward mental health treatment and service utilization patterns by individuals with a mental illness, particularly African Americans. However, little research has examined the impact of stigma on racial differences in attitudes toward seeking mental health treatment. This study examined the hypothesis that stigma partially mediates the relationship between race and attitudes towards mental health treatment in a community-based sample of 101 African American and White older adults. Multiple regression analyses and classic path analysis was utilized to test the partial mediation model. Controlling for socio-demographic factors, African American older adults were more likely to have negative attitudes toward mental health treatment, and they also reported more public and internalized stigma than their White counterparts. As hypothesized, the relationship between race and attitudes toward mental health treatment was partially mediated by internalized stigma, suggesting that internalized stigma may cause older adults to develop negative attitudes about mental health treatment. The partial mediation model was not significant for public stigma, however. Implications for social work research and practice are discussed.     

Associations between HIV stigma and social support for people living with HIV in Hyderabad,India

The present study examined the association between social support and Human Immunodeficiency Virus (HIV) stigma through a survey of 150 people living with HIV (PLWH) in Hyderabad, India. Survey items to assess social support were adapted from the HIV Cost Services and Utilization Survey. HIV stigma was measured using Zelaya and Jeyaseelan scales that were previously validated in India. Multiple linear regression analysis revealed an inverse association between social support and HIV stigma across both stigma scales. Depression further intensified the level of stigma faced by PLWH who had lower levels of social support. Third-gender individuals experienced significantly higher HIV stigma and lower social support than cisgender men. Social support must be used as a protective factor in current HIV stigma reduction interventions. Findings highlight the need to adopt a gender-sensitive social support framework in HIV care policies to better address HIV stigma in the Indian context.     

Generalized Population Aging in China: A National-Level Analysis Based on Provincial Simulations

The age structure of the Chinese population is entering a process of generalized aging in which the major age groupings will see a fall in the ratio of younger age groups and a rise in the ratio of older age groups, with varying levels of socioeconomic significance for the entire population system. The implementation of the unconditional two-child policy (quanmian erhai zhengce) has not changed this general trend. The early stage of population aging (2011-2060) is one of the high-speed development of generalized aging with multiple growth peaks and fluctuations in the size, growth rate and internal structure of the major age groupings. From the perspective of generalized population aging, China’s future contains four major systemic demographic dividends and faces four major systemic demographic risks. The early stage of aging is the most important period for the transformation of the population age structure. If society can adjust to the aging trend and the phased nature of the development of this trend, it will be able to seize the initiative in long-term development.     

Redefining “Old Age” and “Dependency” in East Asia: Is “Prospective Aging” A More Helpful Concept?

East Asian societies are currently some of the most rapidly aging in the world. Projections of the traditional old‐age dependency ratios (OADR) present a daunting future of the size of the aged population both in absolute terms and, in the context of low fertility, relative to the future workforce. Recently scholars, especially Sanderson and Scherbov, have argued that OADR is inadequate as a guide to future levels of dependency based, as it is, on past scenarios of “old age” and “dependency” rather than current and future notions. Indeed, in the context of rapidly aging settings in East Asia with developmental welfare states, the OADR has probably never been truly relevant, is profoundly unhelpful and could lead to policy paralysis. As such, Sanderson and Scherbov suggested a new method to measure aging prospectively to take into account both improved life expectancy and health across the life‐course. We introduce these new measurements as a possible new, more radical and optimistic way to think about aging in East Asia. These measurements more accurately demonstrate the “boundaries” to “dependency” and, hence, demonstrate the potential room for social policy interventions to maximize “active aging” for the population currently, perhaps incorrectly, defined as “old” and “dependent”.     

An Ecological Systems Comparison Between Homeless Sexual Minority Youths and Homeless Heterosexual Youths

ABSTRACT

This study examined risk and protective outcomes by comparing homeless sexual minority youths to heterosexual homeless youths regarding family, peer behaviors, school, mental health, stigma, discrimination, substance use, and sexual risk behaviors. Structured interviews (N = 147) were conducted with individuals aged 16 to 24 years old in Toronto. Bivariate analyses indicated statistically significant differences between homeless sexual minorities (n = 66) and their heterosexual counterparts (n = 81) regarding all variables: family, peer behaviors, stigma, discrimination, mental health, substance use, and sexual risk behaviors, with the exception of school belonging. Implications for future research are suggested.     

Hardiness,Successful Aging,and HIV: Implications for Social Work

ABSTRACT

With dramatic developments in the treatment of HIV/AIDS, life expectancy is increasing, resulting in more middle-aged and older adults living with this disease. Little is known about the problems, and especially the strengths, of those living and aging with HIV. Hardiness is used in the gerontological literature to describe and explain how people age successfully, despite traumatic life events and chronic diseases. Similarly, the concept of hardiness may be used to guide clinicians, researchers, and clients on how to age successfully with HIV. This article provides a review of hardiness in aging and HIV, and emphasizes its importance in facilitating successful aging with this disease. Conceptual and methodological concerns in studying hardiness and successful aging are addressed. Potential interventions and clinical implications for social work are posited for augmenting qualities of hardiness in people aging with HIV.     

HIV/AIDS treatments

Although fewer people are being diagnosed with AIDS in the U.S. and deaths continue to decline, the number of adults age 50 and older who are living with HIV/AIDS is larger than ever. It is likely that older people will continue to comprise an increasingly larger proportion of individuals diagnosed with HIV/AIDS, reflecting both the ineffective prevention efforts targeting older adults and the highly effective antiretroviral therapies that allow many people to live for significantly longer periods of time. These recent trends have created two distinct populations of older persons with HIV/AIDS: those who were infected later in life and those infected earlier and now aging with HIV disease. Aging with HIV/AIDS presents unique psychosocial challenges that may be exacerbated by the aging process. HIV-related stigma, social support and coping issues and evidence-based psychosocial interventions for older adults with HIV/AIDS are reviewed in this paper and suggestions for future research are discussed.     

The quality of mother‐adolescent disclosure: Links with predictors and adolescents’ sociomoral outcomes

Previous work on adolescents’ disclosure has focused on the frequency of disclosure to parents, but not the quality of that disclosure. Therefore, there is a need to examine factors that predict the quality of adolescents’ disclosure, as well as the consequences of the quality for adolescents’ outcomes. In this study, 100 adolescents (M age = 14.27 years; 57 girls; 70.7% White, European American) disclosed to mothers a recent past event in which they felt excluded; the videotaped and transcribed conversations were rated for indices of the quality of disclosure (i.e., the quality of elaboration and emotion discussed). Adolescents completed measures of sociomoral behavior and parental warmth and mothers completed measures of their moral identity, circle of moral regard, and moral socialization. The quality of adolescents’ disclosure was related to adolescents’ sociomoral outcomes (including prosocial behaviors, empathy, and sociability). Adolescents’ disclosure quality was predicted by gender and by aspects of mothers’ moral sophistication. Findings highlight the importance of high‐quality self‐disclosure by adolescents for promoting adolescents’ moral development, potentially because such disclosure gives parents the opportunity to help adolescents cope with challenging peer experiences potentially through emotion coaching and problem‐solving. Moreover, the findings are novel because they highlight how maternal moral processes might promote adolescents’ disclosure.     

Confronting Sexual Stigma and Prejudice: Theory and Practice

This article explores theoretical and applied questions that are relevant to social scientists' efforts to understand and confront sexual stigma. A framework is presented for conceptualizing such stigma as a cultural phenomenon with structural and individual manifestations. The latter include enacted stigma and felt stigma, as well as internalized stigma, which encompasses self-stigma among sexual minorities and sexual prejudice among heterosexuals. Insights suggested by the model for reducing sexual prejudice are discussed. At the structural level, the framework highlights processes whereby heterosexism legitimates and perpetuates sexual stigma and the power differentials that it creates. Social and behavioral scientists, roles in working to eliminate heterosexism are discussed, and psychologists' contributions to court cases challenging state sodomy laws are described. It is argued that confronting sexual stigma will not only address an important social problem but will also enrich scientific understanding of human behavior.     

Stigma of ink: Tattoo attitudes among college students

We test a structural equations model of stigma against tattooed persons and attitudes toward future tattoos among 195 tattooed and 257 non-tattooed college students. Having tattooed friends and family members undermines stigma against tattooed persons while beliefs about negative side effects of tattooing reinforces stigma assignment. The variables above and the respondent having a tattoo predict attitude toward future tattoos. We test a second model, stigma victimization, drawing on data from the 195 tattooed respondents. While greater tattoo abundance results in greater stigma victimization, respondents with more tattoos also report a greater commitment to their current tattoos and less desire for removal. We discuss results using attitude theory, stigma theory, and the contact theory of prejudice.     

Restructuring Long-Term Care in Spain: The Impact of The Economic Crisis on Social Policies and Social Work Practice

ABSTRACT

Care needs of the aging population are increasing in Southern European countries. The purpose of this article is to explore the implications of meeting these needs while taking into account the recent economic crisis, which has deeply affected countries such as Spain. This study is part of a European project (ISCH COST Action IS1102) and is based mainly on qualitative information that focuses on in-depth interviews with social service workers (n = 19) who provide the service and program recipients or their caregivers (n = 14). In addition, two discussion groups were conducted with professionals (n = 9) and program volunteers (n = 5), as well as a workshop/discussion group (n = 28) with politicians, service providers, and participants. Six thematic premises were identified with differing views being highlighted relevant to the participants' roles in the program. Future research should explore social service strategies to deal with the increase in care needs as well as community-based responses.     

Getting There is Only Half the Battle: Stigma Consciousness and Maintaining Diversity in Higher Education

Increases in stigma consciousness since arriving at a primarily White college could predict the college performance and self-esteem of the academically stigmatized. After reviewing relevant research, the authors report on a study in which 44 stigmatized (African Americans and Latinos/Latinas) and 79 nonstigmatized (Whites and Asian Americans) students completed measures of stigma consciousness, GPA, disengagement from academics, and self-esteem. Among stigmatized males, increases in stigma consciousness predicted lower GPAs and greater disengagement. Although stigmatized females had low GPAs regardless of their increases in stigma consciousness, with increases in stigma consciousness came less disengagement from school and lower self-esteem. The discussion offers suggestions for how to minimize these negative effects of heightened stigma consciousness levels.     

Sexual Behaviors and Perceptions of HIV Risk in a Multiethnic U.S. Sample of Women Who Have Sex with Women

Abstract

This study investigated the sexual practices and perceptions of HIV risk in a national sample women who have sex with women (WSW). A multiethnic sample of 239 WSW aged 18–68?years attending GLBTQ pride events in three U.S. cities (Chicago, Atlanta, and Fort Lauderdale) completed an anonymous survey regarding their sexual behaviors, thoughts and perceptions of HIV risk. In the past 6?months, 18% of participants reported one or more male partners. Perception of HIV risk was associated with having more male partners (r?=?.244, p?r?=?.185, p?r?=?.191, p?r?=?.169, p?r?=?.208, p?相似文献   

Perceptions of Stigma and User Involvement in Child Welfare Services

Correspondence to Dr E. M. Scholte, Department of Social and Behavioural Sciences/Centre for Research on Youth Welfare, University of Leiden, PO Box 9555, 2300 RB Leiden, The Netherlands. Summary This paper explores the perceptions of social disqualificationor ‘stigma’ that service users attributed to publicchild welfare services in random samples of service users takenfrom the Netherlands, a part of Spain (Catalonia) and a partof the United Kingdom (Wales). It was found that, in all threesamples, foster and residential care invoked the greatest senseof stigma, while the health related and the preventive familyservices were perceived as the least stigmatizing types of publicwelfare services. Comparative analysis further revealed thata positive attitude towards the use of public welfare services,a perception of supportive or non-stigmatizing social normsregarding the use of such services, and a perception of publicwelfare services as helpful correlated in all three sampleswith higher levels of user satisfaction and involvement in theservices. It was further found that, in the British and Spanishsamples, a positive attitude towards public welfare services,as well as a perception of public welfare services as helpfulfor their recipients, were the predominating factors promotinghigher levels of satisfactory user involvement in the services,while, in the Dutch sample, a perception of supportive socialnorms was the factor that most promoted satisfactory user involvement.