Division of HIV and STD Programs, Los Angeles County Department of Public Health, 600 S. Commonwealth Avenue, Suite 1920, Los Angeles, CA 90005, USA.
AIDS Behav. 2013 May;17(4):1454-64. doi: 10.1007/s10461-012-0385-9.
Little research has examined differences in HIV stigma versus MSM stigma and the role of these stigmas in depression for HIV-positive Latino and African American men who have sex with men (MSM), subgroups disproportionately impacted by HIV in the US. MSM stigma, HIV stigma, depression, stress and social support were examined among HIV-positive Latino (n = 100) and African American (n = 99) MSM patients at five HIV clinics in Los Angeles County, California. In multiple regression models, Latino MSM had higher HIV stigma scores (p = 0.002) but lower MSM stigma scores (p < 0.001) compared to African American MSM. General support and stress were associated with HIV stigma (p < 0.001), but not MSM stigma. Both HIV stigma (p < 0.0001) and MSM stigma (p < 0.0001) were associated with depression. These data underscore the differences in experienced stigma for Latino and African American MSM and can be used to shape effective stigma reduction programs and behavioral counseling.
针对美国 HIV 感染率较高的拉丁裔和非裔美国男男性行为者（MSM）亚群，鲜有研究考察 HIV 污名与 MSM 污名的差异，以及这些污名在他们的抑郁中的作用。本研究在加利福尼亚州洛杉矶县的五家 HIV 诊所中，对 100 名 HIV 阳性拉丁裔 MSM 和 99 名 HIV 阳性非裔美国 MSM 患者进行了 MSM 污名、HIV 污名、抑郁、压力和社会支持的研究。在多元回归模型中，与非裔美国 MSM 相比，拉丁裔 MSM 的 HIV 污名评分更高（p = 0.002），但 MSM 污名评分更低（p < 0.001）。一般支持和压力与 HIV 污名相关（p < 0.001），但与 MSM 污名无关。HIV 污名（p < 0.0001）和 MSM 污名（p < 0.0001）均与抑郁相关。这些数据突出了拉丁裔和非裔美国 MSM 所经历的污名差异，可用于制定有效的污名减少计划和行为咨询。
