Carrie L Nacht, Cody Lentz, Wilson Vincent, Daniel Siconolfi, Lance M Pollack, Susan M Kegeles, Chadwick K Campbell, Adedotun Ogunbajo, Erik D Storholm
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引用次数: 0
摘要
在美国南部,感染艾滋病毒的黑人性少数男性(BSMM+)遭遇多种形式的歧视,这与艾滋病毒护理参与度降低有关。我们分析了来自南方166名BSMM +的数据,以评估种族主义、异性恋和艾滋病相关歧视经历与艾滋病护理参与之间的直接联系。通过内化种族主义、内化异性恋和内化HIV污名这三个中介因素,我们进一步研究了间接关联。有经验的异性恋者通过内化的HIV污名与HIV护理参与间接相关(bindirect = -0.039, p = 0.098)。HIV歧视与内化异性恋(bdirect = 0.577, p = 0.007)和内化种族主义(bdirect = 0.253, p = 0.009)相关。内化HIV污名与HIV护理参与(bdirect = -0.040, p = 0.001)、经历异性恋与内化HIV污名(bdirect = 0.974, p = 0.050)存在显著的直接关联。这些发现旨在了解影响这一人群艾滋病毒护理参与的因素,以提高艾滋病毒护理参与。
Untangling Discrimination: The Impact of Internalizing Oppression on HIV Treatment Engagement Among Young Black Sexual Minority Men in the Southern US.
Black sexual minority men living with HIV (BSMM+) in the Southern United States encounter multiple forms of discrimination, which are associated with decreased HIV care engagement. We analyzed data from 166 BSMM + in the South to assess direct associations between experiences of racism, heterosexism, and HIV-related discrimination with HIV care engagement. We further investigated indirect associations through three mediators: internalized racism, internalized heterosexism, and internalized HIV stigma. Experienced heterosexism was indirectly associated with HIV care engagement through internalized HIV stigma (bindirect = -0.039, p = 0.098). HIV discrimination was associated with internalized heterosexism (bdirect = 0.577, p = 0.007) and internalized racism (bdirect = 0.253, p = 0.009). There were significant direct associations between internalized HIV stigma and HIV care engagement (bdirect = -0.040, p = 0.001) and experienced heterosexism and internalized HIV stigma (bdirect = 0.974, p = 0.050). These findings aim to understand the factors affecting HIV care engagement among this population to improve HIV care engagement.
期刊介绍:
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76