感染艾滋病毒的黑人和拉丁裔人群中的歧视与心理健康:理解宗教和精神信仰的作用

Discrimination and Mental Health Among Black and Latino People Living with HIV: Understanding the Role of Religion and Spirituality.

作者信息

Lane Brittany L, Sabuncu Crim, Yang Yijiong, Okantey Beth, Campbell Daryl N, Bryant Ty-Runet, Sorkpor Setor, Millender Eugenia, Wong Frankie Y, Hall Casey D Xavier

机构信息

College of Nursing, Florida State University, 2010 Levy Avenue, Innovation Park, Building B, Suite 3600, Tallahassee, FL, USA.

Center of Population Sciences for Health Equity, College of Nursing, Florida State University, Tallahassee, FL, USA.

出版信息

AIDS Behav. 2025 Apr 17. doi: 10.1007/s10461-025-04720-z.

Abstract

Despite significant advances in HIV care and treatment, Black and Latino people living with HIV (PWH) still face substantial health disparities due to discrimination and systemic inequities, which adversely affect their mental health. Given the profound significance of religion and spirituality in Black and Latino communities, the effects of religiosity on the relationship between discrimination and mental health should be examined. This study examined religiosity as a moderator between discrimination and mental health among Black and Latino PWH. Using data from the All of Us Research Program collected from 2016 to 2022, we analyzed electronic health records and survey responses from 902 participants, employing descriptive statistics, Chi-squared test, principal component analysis, and binary logistic regression. Results showed significant associations between education, employment, income, discrimination, religiosity, and mental health. Compared with no or low religiosity, those with high religiosity had significant higher odds of good mental health (aOR:2.35, 95% CI:1.16-4.75). Those who experienced discrimination had 59% lower odds of good mental health compared to those who did not report experiences of discrimination (aOR:0.41, 95% CI:0.20-0.83). There was no significant interaction effect of religiosity on the relationship between discrimination and mental health. While religiosity positively influences mental health, it does not mitigate the detrimental effects of compounded discrimination that Black and Latino PWH face. Continued collaborations between religious and spiritual leaders, researchers, and community members is needed to understand better the relationship between these factors and to identify strategies to maximize the protective effect of religiosity.

摘要

尽管在艾滋病毒护理和治疗方面取得了重大进展,但感染艾滋病毒的黑人和拉丁裔人群(PLWH)仍因歧视和系统性不平等而面临巨大的健康差距,这对他们的心理健康产生了不利影响。鉴于宗教和灵性在黑人和拉丁裔社区具有深远意义,应研究宗教信仰对歧视与心理健康之间关系的影响。本研究考察了宗教信仰作为黑人和拉丁裔艾滋病毒感染者歧视与心理健康之间的调节因素。利用2016年至2022年从“我们所有人研究计划”收集的数据,我们分析了902名参与者的电子健康记录和调查回复,采用描述性统计、卡方检验、主成分分析和二元逻辑回归。结果显示,教育、就业、收入、歧视、宗教信仰和心理健康之间存在显著关联。与无宗教信仰或宗教信仰程度低的人相比,宗教信仰程度高的人心理健康状况良好的几率显著更高(调整后比值比:2.35,95%置信区间:1.16 - 4.75)。与未报告有歧视经历的人相比,经历过歧视的人心理健康状况良好的几率低59%(调整后比值比:0.41,95%置信区间:0.20 - 0.83)。宗教信仰对歧视与心理健康之间的关系没有显著的交互作用。虽然宗教信仰对心理健康有积极影响,但它并不能减轻黑人和拉丁裔艾滋病毒感染者面临的复合歧视的有害影响。宗教和灵性领袖、研究人员以及社区成员之间需要持续合作,以更好地理解这些因素之间的关系,并确定策略以最大限度地发挥宗教信仰的保护作用。

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