MMWR Morb Mortal Wkly Rep. 2022 Oct 14;71(41):1293-1300. doi: 10.15585/mmwr.mm7141a1.
Hispanic or Latino (Hispanic) persons with HIV experience disparities in HIV health outcomes compared with some other racial and ethnic groups. A previous report found that the percentages of Hispanic persons who received HIV care, were retained in care, and were virally suppressed were lower than those among non-Hispanic White persons with HIV (1). HIV stigma and discrimination are human rights issues associated with adverse HIV outcomes; eliminating stigma and discrimination among persons with HIV is a national priority* (2,3). CDC analyzed data from the Medical Monitoring Project (MMP), an annual, cross-sectional study designed to report nationally representative estimates of experiences and outcomes among adults with diagnosed HIV. Data from the 2018-2020 cycles were analyzed to assess self-reported stigma and health care discrimination using adapted versions of validated multi-component scales among 2,690 adult Hispanic persons with HIV in the United States overall and by six characteristics. The median HIV stigma score on a scale of 0-100 was 31.7, with women (35.6) and American Indian or Alaska Native (AI/AN) persons (38.9) reporting the highest scores among Hispanic persons with HIV. HIV stigma was primarily attributed to disclosure concerns (e.g., fearing others will disclose one's HIV status and being careful about who one tells about one's HIV status). Nearly one in four (23%) Hispanic persons with HIV experienced health care discrimination. Health care discrimination was experienced more frequently by Hispanic men (23%) than by Hispanic women (18%) and by Black or African American (Black) Hispanic persons (28%) than by White Hispanic persons (21%). Understanding disparities in experiences of stigma and discrimination is important when designing culturally appropriate interventions to reduce stigma and discrimination.
感染艾滋病毒的西班牙裔或拉丁裔（西班牙语裔）人在艾滋病毒健康结果方面与一些其他种族和族裔群体存在差异。之前的一份报告发现，接受艾滋病毒护理、在护理中保留和病毒抑制的西班牙裔人的比例低于感染艾滋病毒的非西班牙裔白种人（1）。艾滋病毒耻辱感和歧视是与人的艾滋病毒不良结果相关的人权问题；消除艾滋病毒感染者中的耻辱感和歧视是国家的优先事项（2、3）。疾病预防控制中心分析了医疗监测项目（MMP）的数据，这是一项年度横断面研究，旨在报告全国代表性的诊断为艾滋病毒的成年人的经验和结果估计数。对来自美国所有 2690 名感染艾滋病毒的西班牙裔成年人和六个特征的人使用经过验证的多组分量表的改编版本，分析了 2018-2020 年周期的数据，以评估自我报告的耻辱感和医疗保健歧视。在 0-100 的分数范围内，艾滋病毒耻辱感的中位数为 31.7，其中女性（35.6）和美国印第安人或阿拉斯加原住民（AI/AN）（38.9）的分数在感染艾滋病毒的西班牙裔人中最高。艾滋病毒耻辱感主要归因于披露问题（例如，担心别人会透露自己的艾滋病毒状况，并且对告诉自己的艾滋病毒状况的人要小心）。近四分之一（23%）的感染艾滋病毒的西班牙裔人经历过医疗保健歧视。西班牙裔男性（23%）比西班牙裔女性（18%）和西班牙裔黑人或非裔美国人（黑人）（28%）更频繁地经历医疗保健歧视，而西班牙裔白人（21%）则较少。在设计文化上适当的干预措施以减少耻辱感和歧视时，了解耻辱感和歧视方面的差异很重要。
