Associations Between Experienced HIV Stigma, Resulting Consequences, and the HIV Care Continuum: Moderating Effects of T
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Associations Between Experienced HIV Stigma, Resulting Consequences, and the HIV Care Continuum: Moderating Effects of Two Resilience Characteristics Among Persons Living with HIV (PLWH) in Louisiana Russell Brewer 1 & Kristina B. Hood 2 & Anna Hotton 1 & Mary Moore 3 & Andrew Spieldenner 4 & Christopher Daunis 5 & Snigdha Mukherjee 6 & Laurel Sprague 7 & John A. Schneider 1 & Meta Smith-Davis 8 & Gina Brown 9 & Brandi Bowen 10 Received: 8 June 2020 / Revised: 6 November 2020 / Accepted: 9 November 2020 # W. Montague Cobb-NMA Health Institute 2020
Abstract Introduction HIV-related stigma continues to serve as a major barrier to HIV care. HIV stigma reduction interventions are urgently needed to promote and protect the health of persons living with HIV (PLWH). Resilience has been identified as a potential leverage to mitigate the impact of HIV-related stigma among PLWH. Methods We examined whether two resilience measures (i.e., social support and resilience assets and resources [RAR]) moderated the relationship between experienced HIV stigma and the HIV care continuum as well as how they moderated the relationship between the consequences of experienced HIV stigma (CES) and the HIV care continuum among 300 PLWH in Louisiana. Separate bootstrapping analyses were conducted to test for evidence of moderated moderation. Results Most participants were Black (79%) and had been living with HIV for 10 years or more. A relatively high sample of men who have sex with men (MSM) were enrolled (37%). The most common CES were depression (67%). The most common manifestation of experienced HIV stigma was being gossiped about (53%). Participants reported moderate levels of social support. In terms of RAR, most participants (71%) reported that they knew of groups that could support them in responding to experienced HIV stigma. After adjusting for potential covariates, social support and RAR both significantly moderated the
* Russell Brewer [email protected]
Gina Brown [email protected] Brandi Bowen [email protected]
Kristina B. Hood [email protected] Anna Hotton [email protected] Mary Moore [email protected] Andrew Spieldenner [email protected] Christopher Daunis [email protected] Snigdha Mukherjee [email protected] Laurel Sprague [email protected] John A. Schneider [email protected] Meta Smith-Davis [email protected]
1
Department of Medicine, University of Chicago, 5837 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA
2
Virginia Commonwealth University, Richmond, VA, USA
3
Loyola University, Chicago, IL, USA
4
California State University-San Marcos, San Marcos, CA, USA
5
CrescentCare, New Orleans, LA, USA
6
Foundation for Advancement of International Medical Education and Research, Philadelphia, PA, USA
7
Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland
8
Open Health Care Clinic, Baton Rouge, LA, USA
9
Southern AIDS Coalition, Birmingham, AL, USA
10
New Orleans Regional AIDS Planning Council, New Orleans, LA
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