Ian A. Wright is with the Department of Economics, University of Miami Herbert Business School, Miami, FL. Rachelle Reid, Naysha Shahid, Amanda Ponce, Jasmyn Sanders, Nadine Gardner Sanders, Ervin Simmons, Gail Ironson, Steven A. Safren, and Sannisha K. Dale are with the Department of Psychology, College of Arts and Sciences, University of Miami. C. Mindy Nelson, Jingxin Liu, Yue Pan, and Daniel J. Feaster are with the Department of Public Health Sciences, University of Miami Miller School of Medicine. Arnetta Phillips is with the Department of Psychiatry, University of Miami Miller School of Medicine. Maria L. Alcaide and Allan Rodriguez are with the Department of Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine.
Am J Public Health. 2022 Jun;112(S4):S433-S443. doi: 10.2105/AJPH.2021.306675.
To examine the effects of within-neighborhood and neighboring characteristics on discrimination, stigma, mental health, and HIV outcomes among Black women living with HIV (BWLWH). A total of 151 BWLWH in a southeastern US city provided baseline data (October 2019‒January 2020) on experienced microaggressions and discrimination (race-, gender-, sexual orientation-, or HIV-related), mental health (e.g., depression, posttraumatic stress disorder), and HIV outcomes (e.g., viral load, antiretroviral therapy adherence). Neighborhood characteristics by census tract were gathered from the American Community Survey and the National Center for Charitable Statistics. Spatial econometrics guided the identification strategy, and we used the maximum likelihood technique to estimate relationships between a number of predictors and outcomes. Within-neighborhood and neighboring characteristics (employment, education, crime, income, number of religious organizations, and low-income housing) were significantly related to intersectional stigma, discrimination, mental health, HIV viral load, and medication adherence. Policy, research, and interventions for BWLWH need to address the role of neighborhood characteristics to improve quality of life and HIV outcomes. (. 2022;112(S4):S433-S443. https://doi.org/10.2105/AJPH.2021.306675).
为了探究邻里内和邻里间特征对受艾滋病影响的黑人女性（BWLWH）中的歧视、污名、心理健康和艾滋病毒结局的影响。美国东南部一个城市的 151 名 BWLWH 提供了基线数据（2019 年 10 月至 2020 年 1 月），包括经历的微侵犯和歧视（种族、性别、性取向或艾滋病毒相关）、心理健康（如抑郁、创伤后应激障碍）和艾滋病毒结局（如病毒载量、抗逆转录病毒治疗依从性）。邻里特征由普查区的美国社区调查和国家慈善统计中心收集。空间计量经济学指导了识别策略，我们使用最大似然技术来估计多个预测因素和结果之间的关系。邻里内和邻里间特征（就业、教育、犯罪、收入、宗教组织数量和低收入住房）与交叉污名、歧视、心理健康、艾滋病毒病毒载量和药物依从性显著相关。需要针对 BWLWH 的政策、研究和干预措施来解决邻里特征的作用，以改善生活质量和艾滋病毒结局。（2022；112（S4）：S433-S443。https://doi.org/10.2105/AJPH.2021.306675）。
