Boston University School of Public Health, Boston, MA, USA.
Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, MA, 02118, USA.
AIDS Behav. 2023 Feb;27(2):462-472. doi: 10.1007/s10461-022-03781-8. Epub 2022 Aug 2.
People with HIV (PWH) who inject drugs often experience coexisting HIV- and substance use-related stigma manifestations. We assessed correlates of HIV stigma (Berger HIV stigma scale), substance use stigma (Substance Abuse Self-stigma scale) and intersectional HIV and substance use stigma in a cohort of PWH with a lifetime history of drug use in St. Petersburg, Russia. Intersectional stigma was defined as having a score greater than the median for both forms of stigma. Of the 208 participants, 56 (27%) had intersectional stigma. Depressive symptoms and alcohol dependence were significantly associated with a higher HIV and substance stigma score, but not with intersectional stigma. Individual and community interventions to reduce the impact of HIV stigma and substance use stigma affecting PWH who inject drugs should consider assessing and addressing mental health and unhealthy substance use. Further work with longitudinal data is needed to understand mechanisms leading to intersectional stigma.
HIV 感染者（PWH）经常同时经历与 HIV 和物质使用相关的污名化表现。我们评估了俄罗斯圣彼得堡一组有药物使用史的 PWH 中 HIV 污名（Berger HIV 污名量表）、物质使用污名（物质滥用自我污名量表）和 HIV 与物质使用交叉污名的相关性。交叉污名定义为两种污名形式的得分均高于中位数。在 208 名参与者中，有 56 人（27%）存在交叉污名。抑郁症状和酒精依赖与 HIV 和物质污名评分较高显著相关，但与交叉污名无关。为了减少影响注射吸毒的 HIV 感染者的 HIV 污名和物质使用污名的影响，应该考虑评估和解决心理健康和不健康的物质使用问题。需要进一步使用纵向数据来了解导致交叉污名的机制。
