John Cabot University ScholarShip

Recent Submissions

  • Publication
    Exploring the influence of age, gender, stigma, and years living with HIV on mental health outcomes.
    (2025) Welter Wendt, Guilherme; Wiehe Chaves, Lara; Brandelli Costa, Angelo
    Background People living with HIV/AIDS face a myriad of discrimination and social stigma experiences. As a result of progress observed throughout the HIV epidemic, an ageing population of people living with HIV/AIDS exists, potentially facing greater mental health challenges from combined chronic conditions and stigma. Hence, this research aims to determine the additional value of age, years living with HIV, and gender, in conjunction with overall and internalized stigma in predicting clinically significant symptoms of depression and anxiety. Methods The sample consists of 1666 people living with HIV PLHA, aged between 18 and 76 years who participated in a community-based study across Brazil. Participants provided responses on HIV-related stigma, Internalized AIDS-Related Stigma, and to the Patient Health Questionnaire, which demonstrated excellent psychometric proprieties. Results Gender and stigma increased the likelihood of significant symptoms of anxiety, accounting for the influence of age and years of living with HIV. Odds were higher among those who reported transgender identity (ORa = 2.05; 95% CI: 1.13, 3.70). Also, women reported significantly higher chances for anxiety (ORa = 1.36; 95% CI: 1.05, 1.76). Both HIV-related (ORa = 1.05; 95% CI: 1.01, 1.08) and internalized stigma (ORa = 1.30; 95% CI: 1.21, 1.40) were associated with anxiety. General and internalized stigma were the unique predictors for depression, with adjusted OR ranging from 1.07 (95% CI: 1.03, 1.10) to 1.41 (95% CI: 1.31, 1.53), respectively. Conclusions Stigma constitutes a significant obstacle for initiatives aimed at HIV prevention and therapeutic programmes, and the main findings of this study revealed that factors associated with clinically significant symptoms of depression and anxiety were predominantly allied with psychosocial stressors and gender identity indicators. Limitations, implications for practice and policy are addressed.
  • Publication
    The Impact of Race, Education, Economic Vulnerability, and Stigma on Viral Load Detectability Among People Living with HIV in Brazil.
    (2025) Brandelli Costa, Angelo; Graeff Bins-Ely, Isadora; Penzato, Valentina; Vaitses Fontanari, Anna Martha; Alckmin-Carvalho, Felipe; Pereira, Henrique; Welter Wendt, Guilherme
    Background: Understanding barriers to viral undetectability is crucial for developing targeted interventions for populations struggling with treatment adherence. The aim of this study was to investigate the impact of race, education, economic vulnerability and HIV-related stigma on viral load detectability among people living with HIV (PLWHA) in Brazil. Methods: This was a cross-sectional, community-based study. The sample consisted of 1767 participants. We used the Brazilian version of the HIV Stigma Index 2.0 questionnaire, the Internalized AIDS-Related Stigma Scale, and a sociodemographic questionnaire. Viral load was self-reported. Data were collected by 30 PLHV themselves in 2019, after receiving training on the Brazilian Stigma Index. Data was analyzed with both descriptive and inferential statistics using SPSS. Results: Our generalized linear model showed that participants who were non-white, with low education and of lower economic status had a lower likelihood of reporting undetectable viral load (UVL) compared compared to their respective counterparts (white participants, those with higher education, and those of higher economic status). Key population group membership was not significantly associated with UVL. Higher internalized stigma was negatively associated with lower UVL. Conclusion: Our findings highlight the impact of racial, educational and economic disparities and internalized stigma on HIV outcomes and underscore the need for tailored interventions that address the specific challenges faced by different racial/ethnic and more vulnerable groups. These findings challenge the dominant treatment-as-prevention framework that focuses primarily on key populations, suggesting the need to broaden our focus to include other vulnerable populations, such as non-whites and those experiencing economic hardship. Such approach is critical to avoid overlooking situations where community viral load remains high.
  • Publication
    Blending Digital and Physical Experiences in Luxury Wine Hospitality: An Experiential Approach to Technology Integration
    (2025) Bartoli, Chiara; Baccelloni, Angelo; Di Leo, Alessio; Mattiacci, Alberto
    Purpose – This study explores luxury wine hospitality by considering physical activities and activities created by integrating the physical domain with digital technology. In doing so, it aims to identify the different types of wine tourism-related luxury experiences and build a framework for interpreting hybrid luxury experiences in wine hospitality in the digital era. Design/methodology/approach – An explorative mixed-methods approach was adopted to investigate types of luxury wine hospitality using cluster analysis and in-depth interviews with producers of wines with controlled and guaranteed designation of origin in Italy’s Sangiovese area. Findings – This study presents a framework for understanding hybrid digital and physical experiences in wine hospitality by examining the core components of luxury experiences. We identify six types of luxury experiences in wine hospitality that combine a physical experiential component with varying degrees of integration with digital technologies. Practical implications – Our findings provide wine businesses operating in hospitality within the luxury segment with a useful tool for optimising the integration of digital technology into physical experiences to add value to visitors’ activities and highlight the importance of digital skills for wineries that organise luxury experiences. Originality/value – This study systematises the integration of digital technologies into physical activities related to wine hospitality. It presents a hybrid physical–digital analytical framework that adopts an experiential outline of the strategic design of wine hospitality businesses.
  • Publication
    Israele oggi
    (2025) Pagliarulo, Diego
  • Publication
    Cinema
    (2023) Capoferri, Federica

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