The Inherent Violence of Anti-Black Racism and its Effects on HIV Care for Black Sexually Minoritized Men.
The Inherent Violence of Anti-Black Racism and its Effects on HIV Care for Black Sexually Minoritized Men.
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反黑人种族主义的内在暴力及其对黑人性少数男性艾滋病毒护理的影响。
DOI：
10.1007/s11524-023-00823-x
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Voisin,DexterR
中科院分区：
文献类型：
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作者：
Quinn,KatherineG;Walsh,JenniferL;DiFranceisco,Wayne;Edwards,Travonne;Takahashi,Lois;Johnson,Anthony;Dakin,Andrea;Bouacha,Nora;Voisin,DexterR
本研究的目的是研究种族歧视、抑郁和黑人LGBTQ社区支持对艾滋病毒感染者中性少数黑人男性艾滋病毒护理结果的影响。我们对芝加哥107名感染艾滋病病毒的性少数黑人男性进行了横断面调查。使用路径模型来检验种族歧视、黑人LGBTQ社区支持、抑郁症状和错过抗逆转录病毒药物剂量和艾滋病毒护理预约之间的关系。路径模型的结果表明，经历过更多种族主义的男性有更多的抑郁症状，随后，错过了更多剂量的艾滋病毒抗逆转录病毒药物，错过了更多的艾滋病毒护理预约。在过去的一年里，更多的黑人LGBTQ社区支持与更少的错过艾滋病护理预约有关。这项研究表明，反黑人种族主义可能是艾滋病毒不平等的普遍和有害的决定因素，也是黑人SMM在抗逆转录病毒治疗依从性和艾滋病毒护理参与方面的种族差异的关键驱动因素。黑人LGBTQ社区的支持可以通过为黑人SMM提供安全、包容、支持性的空间来缓冲种族歧视对艾滋病护理结果的影响。
The goal of this study was to examine the effects of racial discrimination, depression, and Black LGBTQ community support on HIV care outcomes among a sample of Black sexually minoritized men living with HIV. We conducted a cross-sectional survey with 107 Black sexually minoritized men living with HIV in Chicago. A path model was used to test associations between racial discrimination, Black LGBTQ community support, depressive symptoms, and missed antiretroviral medication doses and HIV care appointments. Results of the path model showed that men who had experienced more racism had more depressive symptoms and subsequently, missed more doses of HIV antiretroviral medication and had missed more HIV care appointments. Greater Black LGBTQ community support was associated with fewer missed HIV care appointments in the past year. This research shows that anti-Black racism may be a pervasive and harmful determinant of HIV inequities and a critical driver of racial disparities in ART adherence and HIV care engagement experienced by Black SMM. Black LGBTQ community support may buffer against the effects of racial discrimination on HIV care outcomes by providing safe, inclusive, supportive spaces for Black SMM.