{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T09:10:21Z","timestamp":1790327421872,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":267,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100018734","name":"Joint United Nations Programme on HIV\/AIDS","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018734","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Aging Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Despite comprising nearly one in 10 people living with HIV (PLHIV) in Brazil, older adults aged 60\u2009years and above remain profoundly underrepresented in psychosocial research. This multicenter study is the first age\u2010restricted (\u2265\u200960\u2009years) subgroup analysis of the Brazilian PLHIV Stigma Index 2.0. The present secondary analysis yielded a sample of 138 older adults (M age\u2009=\u200964.3\u2009years, SD\u2009=\u20094.1; 52.9% male; 57.2% Black or Brown). Path analysis with 5000\u2010resample bootstrapping and full\u2010information maximum likelihood estimation confirmed a statistically significant indirect effect of general stigma on depression mediated by internalized stigma (indirect effect\u2009=\u20090.087, 95% CI [0.037, 0.173],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.009), with no significant direct pathway (c\u2019\u2009=\u20090.058,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.324). A parallel model confirmed that internalized stigma also mediated the effect of general stigma on anxiety (indirect effect\u2009=\u20090.071, 95% CI [0.029, 0.146],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.012). A moderated mediation model testing whether resilience buffers the stigma\u2013internalization pathway found that resilience did not significantly moderate the a\u2010path (interaction\n                    <jats:italic>b<\/jats:italic>\n                    \u2009=\u20090.003,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.817) but maintained a significant inverse main effect on internalized stigma (\n                    <jats:italic>b<\/jats:italic>\n                    \u2009=\u2009\u22120.091,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.014), supporting an upstream rather than buffering mechanism. Complementary network analysis using regularized partial correlations (EBICglasso) confirmed internalized stigma as the dominant psychosocial hub (strength centrality\u2009=\u20090.896). Network predictability was highest for depression (\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.41) and internalized stigma (R\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.32). Neither age nor time since diagnosis independently predicted psychological distress. These findings support a mechanistic model in which internalized stigma mediates the effect of social discrimination on both depressive and anxious symptomatology, and resilience acts as an upstream protective factor. Stigma\u2010focused, resilience\u2010building, and aging\u2010sensitive psychosocial interventions are indicated as priority components of HIV care for aging populations.\n                  <\/jats:p>","DOI":"10.1155\/jare\/5024899","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:35:39Z","timestamp":1790325339000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial Determinants of Mental Health in Older Adults Living With HIV: The Protective Role of Resilience Against Internalized Stigma"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8005-9772","authenticated-orcid":false,"given":"Victoria Tischer","family":"Sawka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9014-6120","authenticated-orcid":false,"given":"Guilherme Welter","family":"Wendt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0742-8152","authenticated-orcid":false,"given":"Angelo","family":"Brandelli Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_12_1_2","volume-title":"Global HIV & AIDS Fact Sheet 2025","author":"UNAIDS","year":"2025"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001374"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000071"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-009-9560-z"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303744"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2022.0185"},{"key":"e_1_2_12_7_2","article-title":"Association of Experienced Stigma in Healthcare Settings With Health Outcomes Among Black Women Living With HIV: Mediating Roles of Internalized Stigma, Anticipated Stigma, and Trust in HIV Care","author":"Yigit I.","year":"2025","journal-title":"AIDS and Behavior"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-014-0929-y"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/46.6.781"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2348-z"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2014.1003281"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2017.1328482"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050212-185608"},{"key":"e_1_2_12_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.2034"},{"key":"e_1_2_12_15_2","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311XEN021925"},{"key":"e_1_2_12_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011453"},{"key":"e_1_2_12_17_2","doi-asserted-by":"publisher","DOI":"10.2989\/16085906.2020.1797841"},{"key":"e_1_2_12_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000002602"},{"key":"e_1_2_12_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2007.01882.x"},{"key":"e_1_2_12_20_2","doi-asserted-by":"publisher","DOI":"10.1037\/met0000481"},{"key":"e_1_2_12_21_2","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-017-0862-1"},{"key":"e_1_2_12_22_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.50.6.613"},{"key":"e_1_2_12_23_2","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-based Approach","author":"Hayes A. 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