Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms

  • Maria Jose Fuster-Ruiz de Apodaca Universidad Nacional de Educación a Distancia-Sociedad Española Interdisciplinaria del Sida
  • Fernando Molero Universidad Nacional de Educación a Distancia
  • Eneko Sansinenea Universidad del País Vasco- Euskal Herriko Unibertsitatea
  • Francisco-Pablo Holgado Universidad Nacional de Educación a Distancia
  • Alejandro Magallares Universidad Nacional de Educación a Distancia
  • Arrate Agirrezabal Universidad del País Vasco-Euskal Herriko Unibertsitatea
Keywords: HIV, lipodystrophy, stigma, psychological well-being.


This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participants' symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Self-perception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being were measured. Results of hierarchical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumulation and lipoatrophy. Results of structural equation modeling revealed that the negative effects of perceived discrimination on well-being were mediated to a large extent by self-exclusion. Invariance analysis revealed that the mediating role of self-exclusion was not the same in the three clusters. Complete mediation of self-exclusion in the groups without lipodystrophy and with predominant lipoaccumulation was confirmed. Regarding lipoatrophy, the negative effects of perceived discrimination were greater and only partly mediated by self-exclusion. In conclusion, having lipodystrophy exposed people to more discrimination; lipoatrophy was the most stigmatizing condition.


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Author Biography

Maria Jose Fuster-Ruiz de Apodaca, Universidad Nacional de Educación a Distancia-Sociedad Española Interdisciplinaria del Sida

Facultad de Psicología

Departamento de Psicología Social y las Organizaciones

Personal Docente e Investigador


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How to Cite
Fuster-Ruiz de Apodaca, M. J., Molero, F., Sansinenea, E., Holgado, F.-P., Magallares, A., & Agirrezabal, A. (2017). Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms. Anales De Psicología / Annals of Psychology, 34(1), 7-15.
Clinical and Health Psychology