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Tytuł pozycji:

Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women.

Tytuł:
Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women.
Autorzy:
McCoy K
Lipira L
Kemp CG
Nevin PE
Huh D
M Turan J
Mugavero MJ
Cohn SE
Bahk M
Simoni JM
Andrasik MP
Rao D
Źródło:
The Journal of the Association of Nurses in AIDS Care : JANAC [J Assoc Nurses AIDS Care] 2020 Mar-Apr; Vol. 31 (2), pp. 167-175.
Typ publikacji:
Journal Article; Research Support, N.I.H., Extramural
Język:
English
Imprint Name(s):
Publication: 2019- : [Philadelphia, PA] : Wolters Kluwer Health
Original Publication: Philadelphia, PA : Nursecom, Inc., 1989-
MeSH Terms:
Health Status Disparities*
Patient Participation*
Social Stigma*
Black or African American/*psychology
Depression/*psychology
HIV Infections/*psychology
Patient Acceptance of Health Care/*psychology
Adult ; Black People ; Depression/epidemiology ; Female ; HIV Infections/ethnology ; Humans ; Middle Aged ; Patient Acceptance of Health Care/ethnology ; Social Support ; Stereotyping
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Grant Information:
P30 AI027757 United States AI NIAID NIH HHS; R01 MH098675 United States MH NIMH NIH HHS
Entry Date(s):
Date Created: 20191115 Date Completed: 20200930 Latest Revision: 20221207
Update Code:
20240105
PubMed Central ID:
PMC7093210
DOI:
10.1097/JNC.0000000000000140
PMID:
31725104
Czasopismo naukowe
Engagement in HIV care reduces HIV-related health disparities that persist across racial/ethnic and gender lines; yet, African American (AA) women face multiple challenges to remaining engaged in care, including HIV-related stigma. We analyzed longitudinal data from 239 participants in the Unity Health Study to estimate associations between HIV-related stigma and engagement in care among AA women linked to HIV care. In adjusted Poisson regression analyses, engagement in care was not associated with HIV-related stigma but was associated with older age (incidence rate ratio [IRR] = 1.01, 95% confidence interval [CI] = [1.00-1.01], p = .01), higher levels of education (IRR = 1.18, 95% CI = [1.02-1.35], p = .03), and higher levels of social support (IRR = 1.05, 95% CI = [1.01-1.09], p = .04). Our findings suggest the need for targeted interventions to enhance engagement in care and to incorporate social support into health promotion programming for AA women living with HIV.

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