Ethnic Differences in Spirituality, Shame, and Stigma in People Living With HIV

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We hypothesized that the links between spirituality and lower HIV-related stigma would be accounted for by lower levels of shame, and that this mediation model would be moderated by ethnicity in 106 people living with HIV (PLWH). Moderated mediation analyses revealed that higher spirituality was associated with reduced levels of shame, which in turn was associated with lower levels of HIV-related stigma. The indirect effect of spirituality on lower stigma through reduced shame was significant for White but not for Non-White PLWH. It is possible that other mechanisms exist to explain how spirituality operates on stigma for minorities living with HIV.


Washington, D.C.