Open AccessRelationship of Stigma to HIV Risk Among Women with Mental Illness
Author(s) -
Collins Pamela Y.,
Elkington Katherine S.,
Sweetland Annika,
Unger Hella,
Wright Eric R.,
Zybert Patricia A.
Publication year - 2008
Publication title -
american journal of orthopsychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.959
H-Index - 93
eISSN - 1939-0025
pISSN - 0002-9432
DOI - 10.1037/a0014581
Subject(s) - mental illness , stigma (botany) , casual , psychiatry , psychological intervention , mental health , psychology , ethnic group , clinical psychology , human sexuality , medicine , gender studies , materials science , sociology , anthropology , composite material
Urban women with severe mental illness (SMI) are vulnerable to stigma and discrimination related to mental illness and other stigmatized labels. Stigma experiences may increase their risk for negative health outcomes, such as HIV infection. This study tests the relationship between perceived stigma and HIV risk behaviors among women with SMI. The authors interviewed 92 women attending community mental health programs using the Stigma of Psychiatric Illness and Sexuality Among Women Questionnaire. There were significant relationships between personal experiences of mental illness and substance use accompanying sexual intercourse; perceived ethnic stigma and having a riskier partner type; and experiences of discrimination and having a casual or sex‐exchange partner. Higher scores on relationship stigma were associated with a greater number of sexual risk behaviors. The findings underscore the importance of exploring how stigma attached to mental illness intersects with other stigmatized labels to produce unique configurations of HIV risk. HIV risk reduction interventions and prevention research should integrate attention to stigmatized identities in the lives of women with SMI.