Brief Report: Social Factors Associated With Trajectories of HIV-Related Stigma and Everyday Discrimination Among Women Living With HIV in Vancouver, Canada: Longitudinal Cohort Findings

Logie, Carmen H., Shannon, Kate, Braschel, Melissa, Krüsi, Andrea, Norris, Candiceb, Zhu, Haoxuan and Deering, Kathleen, (2023). Brief Report: Social Factors Associated With Trajectories of HIV-Related Stigma and Everyday Discrimination Among Women Living With HIV in Vancouver, Canada: Longitudinal Cohort Findings. JAIDS Journal of Acquired Immune Deficiency, 190-195

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  • Sub-type Journal article
    Author Logie, Carmen H.
    Shannon, Kate
    Braschel, Melissa
    Krüsi, Andrea
    Norris, Candiceb
    Zhu, Haoxuan
    Deering, Kathleen
    Title Brief Report: Social Factors Associated With Trajectories of HIV-Related Stigma and Everyday Discrimination Among Women Living With HIV in Vancouver, Canada: Longitudinal Cohort Findings
    Appearing in JAIDS Journal of Acquired Immune Deficiency
    Publication Date 2023-11-01
    Place of Publication Philadelphia
    Publisher Wolters Kluwer Health, Inc.
    Start page 190
    End page 195
    Language eng
    Abstract Abstract Introduction: Women living with HIV (WLHIV) experience stigma rooted in social inequities. We examined associations between social factors (food insecurity, housing insecurity, violence, sexual minority identity, and substance use) and HIV-related stigma and Everyday Discrimination trajectories among WLHIV. Methods: This community-based open longitudinal cohort study with WLHIV living in and/or accessing HIV care in Metro Vancouver, Canada, plotted semiannual averages (2015–2019) of recent (past 6-month) HIV-related stigma and Everyday Discrimination. We examined distinct trajectories of HIV-related stigma and Everyday Discrimination using latent class growth analysis (LCGA) and baseline correlates of each trajectory using multinomial logistic regression. Findings: Among participants (HIV-related stigma sample: n = 197 participants with n = 985 observations; Everyday Discrimination sample: n = 203 participants with n = 1096 observations), LCGA identified 2 distinct HIV-related stigma and Everyday Discrimination trajectories: sustained low and consistently high. In multivariable analysis, concurrent food and housing insecurity (adjusted odds ratio [AOR]: 2.15, 95% confidence interval [CI] 1.12–4.12) and physical/sexual violence (AOR: 2.57, 95% CI: 1.22–5.42) were associated with higher odds of the consistently high (vs. sustained low) HIV-related stigma trajectory. Sexual minority identity (AOR: 2.84, 95% CI: 1.49–5.45), concurrent food and housing insecurity (AOR: 2.65, 95% CI: 1.38–5.08), and non injection substance use (less than daily vs. none) (AOR: 2.04, 95% CI: 1.03–4.07) were associated with higher odds of the consistently high (vs. sustained low) Everyday Discrimination trajectory. Conclusions: Social inequities were associated with consistently high HIV-related stigma and Everyday Discrimination among WLHIV. Multilevel strategies can address violence, economic insecurity, intersecting stigma, and discrimination to optimize health and rights among WLHIV.
    Keyword HIV
    Discrimination
    Women
    Copyright Holder Wolters Kluwer Health, Inc.
    Copyright Year 2023
    Copyright type All rights reserved
    ISSN 1525-4135
    DOI 10.1097/QAI.0000000000003247
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    Created: Sat, 21 Sep 2024, 01:52:27 JST by Haideh Beigi on behalf of UNU INWEH