The stigma related to HIV status, gender identity, and sexual orientation has negative implications for the quality of life of individuals. A qualitative study was conducted to explore the resources that these stigmatized groups recognize as tools to cope with stigma and maintain their psychological well-being. Four focus groups were conducted with gay men and transgender women divided by HIV status. A thematic analysis revealed that individual, interpersonal, and institutional resources are commonly recognized as coping resources. This article discusses the importance of enhancing self-acceptance, social support, and a legal framework that legitimizes these groups as right holders.
AntonovskyA (1988) Unraveling the Mystery of Health: How People Manage Stress and Stay Well. San Francisco, CA: Jossey-Bass Publishers.
2.
Argentina Ministry of Health (Ministerio de Salud de Argentina) (2015) Bulletin about HIV/AIDS and STD in Argentina, No 32 [Boletín sobre el VIH/SIDA e ITS en la Argentina, No 32]. Report. Buenos Aires: Argentina Ministry of Health.
3.
ArísteguiIVazquézM (2013) El impacto del estigma y la discriminación en la calidad de vida de personas transgénero viviendo con VIH. Hologramática19(6): 5–30.
4.
ArísteguiIRaduskyPDZalazarVet al. (2017) Impact of the gender identity law in Argentinean transgender women. International Journal of Transgenderism. Epub ahead of print 28April. DOI: 10.1080/15532739.2017.1314796.
5.
BaioccoRFontanesiLSantamariaFet al. (2014) Coming out during adolescence: Perceived parents’ reactions and internalized sexual stigma. Journal of Health Psychology21:1809–1813.
6.
BalsamKFMohrJJ (2007) Adaptation to sexual orientation stigma: A comparison of bisexual and lesbian/gay adults. Journal of Counseling Psychology54(3): 306–319.
7.
BauerGR (2014) Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science & Medicine110: 10–17.
8.
BaumeisterRFLearyMR (1995) The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin117: 497–529.
9.
BocktingWOMinerMHSwinburne RomineREet al. (2013) Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health103(5): 943–951.
10.
BonannoGA (2004) Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events?American Psychologist59(1): 20–28.
11.
BonannoGA (2012) Uses and abuses of the resilience construct: Loss, trauma, and health-related adversities. Social Science & Medicine74: 753–756.
12.
Castro SolanoA (2010) Fundaments of positive psychology [Fundamentos de psicología positive]. Buenos Aires: Paidós.
13.
ChambersLARuedaSBakerDNet al. (2015) Stigma, HIV and health: A qualitative synthesis. BMC Public Health15: 848.
14.
ConnorKMDavidsonRT (2003) Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety18: 76–82.
15.
CorriganPWMarkowitzFEWatsonACet al. (2003) An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior44: 162–179.
16.
CrenshawK (1989) Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University of Chicago Legal Forum1989(1): 139–167.
17.
CrockerJ (1999) Social stigma and self-esteem: Situational construction of self worth. Journal of Experimental Social Psychology35: 89–107.
18.
DaleSKCohenMHKelsoGAet al. (2014a) Resilience among women with HIV: Impact of silencing the self and socioeconomic factors. Sex Roles70: 221–231.
19.
DaleSKCohenMHWeberKet al. (2014b) Abuse and resilience in relation to HAART medication adherence and HIV viral load among women with HIV in the United States. AIDS Patient Care and STDs28(3): 136–143.
20.
EarnshawVASmithLRChaudoirSRet al. (2013) HIV stigma mechanisms and well-being among PLWH: A test of the HIV stigma framework. AIDS and Behavior17: 1785–1795.
21.
EarnshawVASmithLRCunninhamCOet al. (2015) Intersectionality of internalized HIV stigma and internalized substance use stigma: Implications for depressive symptoms. Journal of Health Psychology20(8): 1083–1089.
22.
Fundación Huésped (2012) Perceptions and Experiences of Stigma and Discrimination in Transgender, MSM and Drug Users [Percepciones y experiencias sobre estigma y discriminación en poblaciones trans, HSH y usuarios de drogas]. Buenos Aires: Fundación Huésped.
23.
GoffmanE (1963) Stigma: Notes on the Management of Spoiled Identity (1st edn). Englewood Cliffs, NJ: Prentice Hall.
24.
HancockAM (2007) When multiplication doesn’t equal quick addition: Examining intersectionality as a research paradigm. Perspectives on Politics5(1): 63–79.
25.
HatzenbuehlerMLPhelanJCLinkBG (2013) Stigma as a fundamental cause of population health inequalities. American Journal of Public Health103: 813–821.
26.
HerekGMGarnetsLD (2007) Sexual orientation and mental health. Annual Review of Clinical Psychology3: 353–375.
27.
JeffriesWLTownsendESGelaudeDJet al. (2015) HIV stigma experienced by young men who have sex with men (MSM) living with HIV infection. AIDS Education and Prevention27(1): 58–71.
28.
Law No. 26,618 (2010) Equal Marriage Law [Ley de matrimonio entre personas del mismo sexo]. Boletín Oficial, Buenos Aires, 22July.
29.
Law No. 26,743 (2012) Gender Identity Law [Ley de Identidad de Género]. Boletín Oficial, Buenos Aires, 24May.
30.
LeningerM (2003) Criteria for evaluation and review of qualitative research studies. In: MorseJ (ed.) Critical Issues in Qualitative Research Methods [Criterios de evaluación y crítica de los estudios de investigación cualitativa. En: Asuntos críticos en los métodos de investigación cualitativa]. Medellín: Editorial de la Universidad de Antioquia, pp. 114–137.
31.
LinkBGPhelanJC (2001) Conceptualizing stigma. Annual Review of Sociology27: 363–385.
32.
LivingstonJDBoydJ (2010) Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine7: 2150–2161.
33.
LogieCGadallaTM (2009) Meta-analysis of health and demographic correlates of stigma towards people living with HIV/AIDS. AIDS Care21(6): 742–753.
34.
MeyerIH (2003) Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin129(5): 674–697.
35.
MolinaYRamírez-VallesJ (2013) HIV/AIDS stigma: Measurement and relationships to psycho-behavioral factors in Latino gay/bisexual men and transgender women. AIDS Care25(12): 1559–1568.
36.
OlssonCABondLBurnsJMet al. (2003) Adolescent resilience: A concept analysis. Journal of Adolescence26(1): 1–11.
37.
ParkC (2013) The meaning making model: A framework for understanding meaning, spirituality, and stress-related growth in health psychology. The European Health Psychologist15(2): 40–47.
38.
PechenyM (2008) Study of the Social Situation of People Living with HIV in Argentina [Estudio sobre la situación social de las personas viviendo con VIH en la Argentina]. Buenos Aires: UBATEC.
39.
PetracciMRomeoM (2011) Stigma Index in People Living with HIV: Argentina [Índice de estigma en personas que viven con VIH: Argentina]. Buenos Aires: Fundación Huésped.
40.
RyffC (1989) Happiness is everything, or is it? Exploration on the meaning of psychological well-being. Journal of Personality and Social Psychology57(6): 1069–1081.
41.
SaewycEM (2011) Research on adolescent sexual orientation: Development, health disparities, stigma, and resilience. Journal of Research on Adolescence21(1): 256–272.
42.
SchmittMTSpearsRBranscombeNR (2003) Constructing a minority group identity out of shared rejection: The case of international students. European Journal of Social Psychology33: 1–12.
43.
SeligmanMCsikszentmyhalyiM (2000) Positive psychology: An introduction. American Psychologist55(1): 5–14.
44.
ShihM (2004) Positive stigma: Examining resilience and empowerment in overcoming stigma. The ANNALS of the American Academy of Political and Social Science591: 175–185.
45.
SimbayiLCKalichmanSStrebelAet al. (2007) Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Social Science & Medicine64: 1823–1831.
46.
SnyderCRLópezSJ (2002) Handbook of Positive Psychology. New York: Oxford University Press.
47.
SocíasMEMarshallBDLArísteguiIet al. (2014) Factors associated with healthcare avoidance among transgender women in Argentina. International Journal for Equity in Health13(1): 81.
48.
WeiszBMQuinnDMWilliamsM (2015) Out and healthy: Being more “out” about a concealable stigmatized identitymayboost the health benefits of social support. Journal of Health Psychology21(12): 2934–2943.
49.
WilliamsKD (2007) Ostracism. Annual Review of Psychology58: 425–452.
