Derrick J Forney, Diana M Sheehan, Sannisha K Dale, Tan Li, Mario De La Rosa, Emma C Spencer, Mariana Sanchez
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引用次数: 0
Abstract
Background: Our study examines the effects of distinct HIV stigma subtypes on retention in care and racial-ethnic differences among persons with HIV (PWH).
Methods: Using Florida Medical Monitoring Project 2015-2017 data, we analyzed patients' clinical and behavioral characteristics. We analyzed 89,889 PWH in Florida (50.0% non-Hispanic Blacks, 20.8% Hispanics, 29.2% non-Hispanic whites). HIV stigma subtypes, negative self-image, anticipated stigma, personalized stigma, and retention in care were examined with logistic regressions.
Results: People with high negative self-image and anticipated stigma were less likely to be retained (CI: 0.84-0.92; 0.47-0.53). The association between HIV-related stigma subtypes and retention in care differed between Black, White, and Hispanic participants. Negative self-image was associated with higher retention rates among Hispanics (CI: 5.64-9.26) and Whites (CI: 1.04-1.27), while low retention rates among Blacks (0.617-0.686). The likelihood of staying in care was lower across all racial-ethnic groups when the anticipated stigma was high or moderate. In contrast, personalized stigma increased retention across all racial-ethnic groups.
Conclusion: Results showed that distinct types of HIV stigma differentially impact retention, and these associations differ by race and ethnicity. Future interventions should address the effect HIV stigma subtypes have on racially minoritized PWH retention.
在佛罗里达州感染艾滋病毒的成年人中，与艾滋病毒相关的污名化对保持艾滋病毒护理方面的种族/族裔差异的影响》（The Impact of HIV-Related Stigma on Racial/Ethnic Disparations in Retention in HIV Care among Adults Living HIV in Florida.
背景：我们的研究探讨了不同的 HIV 耻辱亚型对继续接受护理的影响以及 HIV 感染者（PWH）中的种族和民族差异：我们的研究探讨了不同的 HIV 耻辱亚型对继续接受护理的影响以及 HIV 感染者（PWH）的种族-民族差异：利用佛罗里达州医疗监测项目 2015-2017 年的数据，我们分析了患者的临床和行为特征。我们分析了佛罗里达州的89889名PWH（50.0%为非西班牙裔黑人，20.8%为西班牙裔，29.2%为非西班牙裔白人）。通过逻辑回归研究了艾滋病污名亚型、负面自我形象、预期污名、个人化污名以及继续接受护理的情况：结果：自我形象消极和预期污名化程度高的人接受治疗的可能性较低（CI：0.84-0.92；0.47-0.53）。黑人、白人和西班牙裔参与者的艾滋病相关污名亚型与继续接受护理之间的关系有所不同。在西班牙裔（CI：5.64-9.26）和白人（CI：1.04-1.27）中，消极的自我形象与较高的保留率相关，而在黑人中则与较低的保留率相关（0.617-0.686）。在所有种族-民族群体中，当预期成见较高或中等时，继续接受治疗的可能性较低。与此相反，在所有种族-族裔群体中，个性化的污名化会增加继续接受护理的可能性：结论：研究结果表明，不同类型的艾滋病耻辱感对保持率的影响各不相同，而且这些关联因种族和民族而异。未来的干预措施应解决艾滋病毒鄙视亚型对少数种族感染者保留率的影响问题。
期刊介绍：
Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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