1. Center for Psychosocial Health Research

3. HIV stigma is related to negative psychosocial outcomes in people living with HIV (PLH), and is a barrier to seeking screening and healthcare for HIV (Dowshen, Binns, & Garofalo, 2009). Disengaging coping strategies have adverse implications on the mental health of PLH (Moskowitz, et al., 2009).

4. Center for Psychosocial Health Research Stress Challenge Threat Primary Appraisal Positive Stress Secondary Appraisal Negative Stress; Increased Negative Self- Image Positive Stress Reappraisal Transactional Model of Stress and Coping (Lazarus and Folkman, 1984)

5. Center for Psychosocial Health Research

7. N= 215 VariableN%M(SD)Range Female9644.7% African American13755.8% European American7730.7% Latino/a2610.2% Other10 3.3% Age (years)41(8.52)19-68 Education (years)12(2.63)1-22 Income < $10,0006530.2% Unemployed18686.5% LGB18285.7% Duration of Infection (years) 7.7(5.24).08-21.6

8. Center for Psychosocial Health Research

10. Behavioral Disengagement Subscale: α =.65 Self Distractions Subscale: α =.71

11. Center for Psychosocial Health Research Negative Self-Image Subscale: α =.84

12. Center for Psychosocial Health Research Mean(SD) Possible Range Actual Range Calculated α Behavioral Disengagement 3.8(1.79)2-8.63 Self Distraction 4.9(1.76)2-8.50 Perceived Stress19.6(6.37)0-401-40.66 Negative Self-Image Stigma 29.9(8.89)13-52.90 Univariate

13. Center for Psychosocial Health Research 1.2.3.4.5.6.7.8.9.10.11. 1. Age- 2. Gender -.11- 3. Education.19** -.24**- 4. <10,000.04 -.15*.27**- 5. Duration.23** -.06.00 - 6. Sexual Orientation -.08 -.59**.24**.19**.11- 7. Employment -.02.04-.14**-.29**-.04-.06- 8. African American.13*.02.04-.10.02-.10.04- 9. Behavioral Disengagement -.13*.04-.19**-.13*-.01.01.10.07- 10. Self Distraction -.06.02.03.09-.01.03 -.00-.02.36**- 11. Perceived Stress -.10.17**-.05-.02-.06.03.06-.06.29** - 12. Neg. Self-Image Stigma -.06.04 -.17**-.01.05.04-.02.32**.27**.37**

14. Center for Psychosocial Health Research IV β tpTolVIF Perceived Stress.284.06<.001.901.1 Behavioral Disengagement.162.34<.05.901.1 Self Distraction.162.31<.05.981.0 (Adj. R squared:.21 (F (11, 203) = 8.26, p <.01)

15. Center for Psychosocial Health Research