Prevalence of Internalized HIV-Related Stigma Among HIV-Infected Adults in Care, United States, 2011-2013
Prevalence of Internalized HIV-Related Stigma Among HIV-Infected Adults in Care, United States, 2011-2013
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DOI：
10.1007/s10461-017-1712-y
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发表时间：
2017-09-01
影响因子：
4.4
通讯作者：
Shouse, R. Luke
中科院分区：
文献类型：
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作者：
Baugher, Amy R.;Beer, Linda;Shouse, R. Luke
感染艾滋病毒的美国成年人报告了与艾滋病毒相关的内在耻辱；然而，全国范围内耻辱的普遍程度尚不清楚。我们试图确定接受护理的成年人中与艾滋病毒相关的耻辱感的流行情况，描述哪些社会人口群体承受着最大的耻辱感，并评估耻辱感与持续的艾滋病毒病毒抑制之间的关联。医疗监测项目使用全国概率样本来衡量接受护理的美国艾滋病毒感染者的特征。我们使用了 2011 年 6 月至 2014 年 5 月期间收集的加权数据，并根据六项陈述的一致性评估了自我报告的内在耻辱。总体而言，79.1% 的人赞同 ae1 与艾滋病毒相关的耻辱陈述 (n = 13,841)。平均耻辱分数为 2.4（满分为 6 分）。白人男性的耻辱感得分最低，而西班牙裔/拉丁裔女性和多种族或其他种族的变性人的耻辱感得分最高。尽管耻辱与病毒抑制有关，但在调整年龄后不再相关。在护理中感染艾滋病毒的成年人中，耻辱很常见。结果表明，可能需要对个人和社区耻辱进行干预，特别是对于年龄 < 50 岁或西班牙裔/拉丁裔的人。耻辱与病毒抑制并不独立相关；然而，该样本仅限于接受护理的成年人。对不受护理的艾滋病毒感染者进行检查可能会阐明耻辱感与病毒抑制的关联。
HIV-infected U.S. adults have reported internalized HIV-related stigma; however, the national prevalence of stigma is unknown. We sought to determine HIV-related stigma prevalence among adults in care, describe which socio-demographic groups bear the greatest stigma burden, and assess the association between stigma and sustained HIV viral suppression. The Medical Monitoring Project measures characteristics of U.S. HIV-infected adults receiving care using a national probability sample. We used weighted data collected from June 2011 to May 2014 and assessed self-reported internalized stigma based on agreement with six statements. Overall, 79.1% endorsed ae1 HIV-related stigma statements (n = 13,841). The average stigma score was 2.4 (out of a possible high score of six). White males had the lowest stigma scores while Hispanic/Latina females and transgender persons who were multiracial or other race had the highest. Although stigma was associated with viral suppression, it was no longer associated after adjusting for age. Stigma was common among HIV-infected adults in care. Results suggest individual and community stigma interventions may be needed, particularly among those who are < 50 years old or Hispanic/Latino. Stigma was not independently associated with viral suppression; however, this sample was limited to adults in care. Examining HIV-infected persons not in care may elucidate stigma's association with viral suppression.