Department of Psychology, Howard University, 2041 Georgia Ave, Northwest, Washington, DC, 20059, USA.
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, USA.
AIDS Behav. 2021 Nov;25(11):3712-3720. doi: 10.1007/s10461-021-03166-3. Epub 2021 Feb 1.
Perceived HIV stigma and mental health are fluid across the lifespan for people living with perinatally-acquired HIV (PHIV). The process of navigating discredited identities over time in the context of other life demands potentially exerts a toll on the mental health of adolescents and young adults living with PHIV (AYAPHIV). Based on data from a longitudinal study in New York City examining mental health and health risk behaviors among 182 AYAPHIV, we examined if increased perceived HIV stigma predicted mental health, future orientation, HIV-disclosure, and healthcare transition over time (2003-2018). Findings from linear mixed-effects modeling indicated that older age predicted poorer mental health, less future orientation, more HIV-serostatus disclosure, and adult medical services utilization. Perceived stigma was the only significant predictor of mental health and mediated the association between age and mental health-highlighting the importance of addressing stigma across development for AYAPHIV while addressing systems that perpetuate them.
对于那些通过母婴垂直传播感染 HIV 的人（PHIV）而言，他们在一生中对 HIV 的污名和心理健康感知是不断变化的。随着时间的推移，在其他生活需求的背景下，对被污名化的身份进行调整，这可能会对 PHIV 青少年和青年成年人（AYAPHIV）的心理健康造成影响。基于一项在纽约市进行的纵向研究，该研究调查了 182 名 AYAPHIV 的心理健康和健康风险行为，我们考察了随着时间的推移（2003-2018 年），感知到的 HIV 污名是否会对心理健康、未来取向、HIV 披露和医疗保健过渡产生影响。线性混合效应模型的研究结果表明，年龄越大则心理健康状况越差，未来取向越弱，HIV 阳性状态的披露越多，以及利用成人医疗服务的频率也越高。感知到的污名是心理健康的唯一显著预测因素，并在年龄和心理健康之间的关系中起中介作用——这凸显了在解决 AYAPHIV 发展过程中的污名问题的同时，解决造成污名的系统问题的重要性。
