Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI.
Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI.
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DOI：
10.1007/s10865-018-9922-y
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发表时间：
2018-08
影响因子：
3.1
通讯作者：
Bauermeister JA
中科院分区：
文献类型：
--
作者：
Eaton LA;Earnshaw VA;Maksut JL;Thorson KR;Watson RJ;Bauermeister JA
与男性发生性关系的黑人男性（BMSM）的艾滋病毒/性传播感染率高得惊人，迫切需要公共卫生关注。与耻辱感有关的问题是获得保健和预防工具的一个主要障碍，但这方面的研究有限。在一项纵向研究中，对居住在佐治亚州亚特兰大地区的151名BMSM在艾滋病毒或性传播感染诊断之前和之后与医疗保健相关的耻辱经历进行了评估（数据收集自2014-2016年）。研究结果表明，医疗保健参与不足与诊断后预期的耻辱感相关（B =-0.38，SE = 0.17 p = <.05）。诊断前偏见是诊断后实施（B = 0.39，SE = 0.14，p <0.01）、预期（B = 0.28，SE = 0.14，p <0.05）和内化（B = 0.22，SE = 0.06，p <0.001）污名的预测因子。这项研究是第一个评估BMSM在关键时期（即，诊断前后）进行艾滋病毒/性传播感染预防和治疗。结果为污名如何随着时间的推移而展开提供了新的理解，并为污名干预的发展提供了方向。
Rates of HIV/STI transmission among Black men who have sex with men (BMSM) are alarmingly high and demand urgent public health attention. Stigma related concerns are a key barrier to accessing health care and prevention tools, yet limited research has been focused in this area. Experiences of stigma related to health care were evaluated among 151 BMSM residing in the Atlanta, GA area, both prior to and post HIV or STI diagnosis in a longitudinal study (data collected from 2014–2016). Findings demonstrated that inadequate health care engagement is associated with post-diagnosis anticipated stigma (b = −0.38, SE = 0.17 p = <.05). Pre-diagnosis prejudice is a predictor of post-diagnosis enacted (b = 0.39, SE = 0.14, p < .01), anticipated (b = .28, SE = 0.14, p < .05), and internalized (b = .22, SE = 0.06, p < .001) stigmas. This study is the first of its kind to assess experiences of stigma among BMSM during a critical time (i.e., before and after diagnosis) for HIV/STI prevention and treatment. Results provide a novel understanding of how stigma unfolds over-time and provide direction for stigma intervention development.
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影响因子：
4.9
作者：
Golub, Sarit A.;Gamarel, Kristi E.
通讯作者：
Gamarel, Kristi E.
DOI：
10.1097/qai.0000000000000933
发表时间：
2016-05-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Garofalo R;Hotton AL;Kuhns LM;Gratzer B;Mustanski B
通讯作者：
Mustanski B
影响因子：
1.7
作者：
Cahill S;Taylor SW;Elsesser SA;Mena L;Hickson D;Mayer KH
通讯作者：
Mayer KH
影响因子：
4.4
作者：
Matthews DD;Herrick AL;Coulter RW;Friedman MR;Mills TC;Eaton LA;Wilson PA;Stall RD;POWER Study Team
通讯作者：
POWER Study Team
影响因子：
4.4
作者：
Quinn, Katherine;Voisin, Dexter R.;Schneider, John
通讯作者：
Schneider, John