Facing stigma on both HIV and sexuality by the larger society puts significant pressure and stress on the LGBTQ living with HIV to cope with their diagnosis. The promotion of coping strategies as an intervention to increase well-being among PLHIV needs to consider current findings to remain relevant. This systematic review took 17 articles from 2008 to 2018 to provide a comprehensive analysis of issues that influenced coping strategies and investigate the association of the chosen coping strategy with their mental health. The results indicated that the impact of double stigma amplifies the challenge faced by the LGBTQ community to deal with their HIV diagnosis and had a significant impact on their mental health wellbeing. Both positive and negative coping styles were present as coping strategies employed with positive coping being used more as a chosen strategy. Each presenting coping strategy was reviewed, with depression and anxiety becoming the baseline indicator to reflect mental health status. This systematic review also revealed that the positive coping strategy does not necessarily lead to a positive psychological state as it is dependent on the changeability of the stressor faced. The findings emphasized the complexities in untangling the influence of coping on wellbeing among PLHIV. More attention should be paid to the mechanisms of stressor appraisal in selecting a more suitable coping strategy.
