Multiple Dimensions of Stigma and Health Related Factors Among Young Black Men Who Have Sex with Men
Multiple Dimensions of Stigma and Health Related Factors Among Young Black Men Who Have Sex with Men
复制标题
DOI：
10.1007/s10461-016-1439-1
复制
发表时间：
2017-01-01
影响因子：
4.4
通讯作者：
Schneider, John
中科院分区：
文献类型：
--
作者：
Quinn, Katherine;Voisin, Dexter R.;Schneider, John
这项研究是第一个研究艾滋病毒相关的耻辱和健康相关的多个领域之间的关联，包括病毒载量和年轻黑人男性与男性发生性关系（N = 92）的药物依从性。个体Logistic回归分析，以检查艾滋病毒相关的耻辱感和各种健康和心理社会结果之间的假设关系。除了检查总的耻辱，我们还检查了艾滋病毒耻辱的四个领域。研究结果显示，不同领域的耻辱对健康相关的结果有不同的影响。报告总耻辱和个性化耻辱水平较高的个体不太可能受到病毒抑制（OR 0.96，95%CI 0.91-1.00和OR 0.50，95%CI 0.25-1.02）。关注公众对HIV的态度与药物依从性（OR 2.18，95%CI 1.20-3.94）和心理困扰（OR 5.02，95%CI 1.54-16.34）呈正相关。艾滋病毒污名的各个领域对健康和心理社会结果的影响不同，我们的研究结果表明，某些形式的艾滋病毒污名可能会显着影响该人群的病毒载量和药物依从性。需要在照顾和治疗方面采取了解成见的办法，同时沿着纳入心理和社会支持。
This study is among the first to examine the association between multiple domains of HIV-related stigma and health-related correlates including viral load and medication adherence among young Black men who have sex with men (N = 92). Individual logistic regressions were done to examine the hypothesized relationships between HIV-related stigma and various health and psychosocial outcomes. In addition to examining total stigma, we also examined four domains of HIV stigma. Findings revealed the various domains of stigma had differential effects on health-related outcomes. Individuals who reported higher levels of total stigma and personalized stigma were less likely to be virally suppressed (OR 0.96, 95 % CI 0.91-1.00 and OR 0.50, 95 % CI 0.25-1.02, respectively). Concerns about public attitudes toward HIV were positively related to medication adherence (OR 2.18, 95 % CI 1.20-3.94) and psychological distress (OR 5.02, 95 % CI 1.54-16.34). The various domains of HIV stigma differentially affected health and psychosocial outcomes, and our findings suggest that some forms of HIV stigma may significantly affect viral load and medication adherence among this population. Stigma-informed approaches to care and treatment are needed, along with incorporated psychological and social supports.