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Multiple Dimensions of Stigma and Health Related Factors Among Young Black Men Who Have Sex with Men. AIDS Behav 2017 Jan;21(1):207-216

Date

05/29/2016

Pubmed ID

27233249

Pubmed Central ID

PMC5124546

DOI

10.1007/s10461-016-1439-1

Scopus ID

2-s2.0-84970953988 (requires institutional sign-in at Scopus site)   54 Citations

Abstract

This study is among the first to examine the association between multiple domains of HIV-related stigma and health-related correlates including viral load and medication adherence among young Black men who have sex with men (N = 92). Individual logistic regressions were done to examine the hypothesized relationships between HIV-related stigma and various health and psychosocial outcomes. In addition to examining total stigma, we also examined four domains of HIV stigma. Findings revealed the various domains of stigma had differential effects on health-related outcomes. Individuals who reported higher levels of total stigma and personalized stigma were less likely to be virally suppressed (OR 0.96, 95 % CI 0.91-1.00 and OR 0.50, 95 % CI 0.25-1.02, respectively). Concerns about public attitudes toward HIV were positively related to medication adherence (OR 2.18, 95 % CI 1.20-3.94) and psychological distress (OR 5.02, 95 % CI 1.54-16.34). The various domains of HIV stigma differentially affected health and psychosocial outcomes, and our findings suggest that some forms of HIV stigma may significantly affect viral load and medication adherence among this population. Stigma-informed approaches to care and treatment are needed, along with incorporated psychological and social supports.

Author List

Quinn K, Voisin DR, Bouris A, Jaffe K, Kuhns L, Eavou R, Schneider J

Author

Katherine Quinn PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Bisexuality
HIV Infections
Health Risk Behaviors
Homosexuality, Male
Humans
Logistic Models
Male
Medication Adherence
Sexual and Gender Minorities
Social Stigma
Social Support
Stress, Psychological
Unsafe Sex
Viral Load
Young Adult