Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA.
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, Yale University, 135 College Street, Suite 323, New Haven, CT, 06510, USA.
AIDS Behav. 2024 Aug;28(8):2755-2768. doi: 10.1007/s10461-024-04401-3. Epub 2024 Jun 15.
HIV stigma is a social determinant of health that can influence multiple health outcomes, including adherence to antiretroviral therapy (ART), engagement in HIV care, and viral suppression levels in people with HIV (PWH). In Peru, where the HIV epidemic is concentrated in men who have sex with men (MSM) and transgender women (TGW), stigma may play an important role in healthcare engagement. To understand the relationship between stigma and two outcome variables, ART adherence and engagement in HIV care in 400 MSM and TGW, we assessed factors from the Behavioral Model for Vulnerable Populations at two HIV clinics that tailor services for sexual and gender minorities. While some predisposing, need, and enabling resource factors were associated with optimal (≥ 90%) ART adherence or engagement in HIV care, none of the stigma subscales were correlated, suggesting that when LGBTQ-affirming care is provided to MSM/TGW, stigma may not influence HIV-related outcomes.
艾滋病毒污名是健康的一个社会决定因素，它可以影响多种健康结果，包括抗逆转录病毒治疗（ART）的依从性、艾滋病毒感染者（PLHIV）参与艾滋病毒护理以及病毒抑制水平。在秘鲁，艾滋病毒流行集中在男男性行为者（MSM）和跨性别女性（TGW）中，污名将在医疗保健参与中发挥重要作用。为了了解污名与两个结果变量（ART 依从性和艾滋病毒护理参与）之间的关系，我们评估了为性少数群体和性别少数群体提供服务的两家艾滋病毒诊所中脆弱人群行为模型的因素。虽然一些倾向因素、需要因素和使能资源因素与最佳（≥90%）ART 依从性或参与艾滋病毒护理相关，但没有一个污名亚量表与之相关，这表明当向 MSM/TGW 提供 LGBTQ 肯定的护理时，污名可能不会影响与艾滋病毒相关的结果。
JMIR Public Health Surveill. 2020-1-30
BMC Public Health. 2024-2-28
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Curr HIV/AIDS Rep. 2022-10
Rev Peru Med Exp Salud Publica. 2021
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