Does the Relationship Between HIV Stigma Subtypes and Viral Suppression Differ by Age?: A Stratified Analysis of Data from the Florida Medical Monitoring Project
HIV-related stigma is recognized as a top barrier to achieve viral suppression in the United States, but data describing who is most affected by HIV stigma is limited. The study sought to (1) identify the relationships between HIV-related stigma and unsuppressed viral load and (2) examine whether th...
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Veröffentlicht in: | AIDS and behavior 2023-06, Vol.27 (6), p.1879-1885 |
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creator | Williams, Renessa S. Zhou, Zhi Cook, Christa Lucero, Robert Spencer, Emma C. Cook, Robert L. |
description | HIV-related stigma is recognized as a top barrier to achieve viral suppression in the United States, but data describing who is most affected by HIV stigma is limited. The study sought to (1) identify the relationships between HIV-related stigma and unsuppressed viral load and (2) examine whether the association between HIV stigma subtypes and unsuppressed viral load differ by age group (i.e., 18–34, 35–49, and 50+ years-old) using surveillance data from the Florida Medical Monitoring Project (n = 1195). Most participants were 50+ years-old (55%), male (71%), and Black (51%). Enacted stigma was significantly associated with unsuppressed viral loads among the 18–34-year-old age group (
OR
1.68,
CI
1.09–2.60). After adjusting for potential confounders, only enacted stigma was independently associated with unsuppressed viral load in the 18–34-year-old age group. Results highlight the need for targeted interventions to reduce enacted stigma among younger persons with HIV to achieve viral suppression. |
doi_str_mv | 10.1007/s10461-022-03919-8 |
format | Article |
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OR
1.68,
CI
1.09–2.60). After adjusting for potential confounders, only enacted stigma was independently associated with unsuppressed viral load in the 18–34-year-old age group. Results highlight the need for targeted interventions to reduce enacted stigma among younger persons with HIV to achieve viral suppression.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-022-03919-8</identifier><identifier>PMID: 36371749</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Age ; Age groups ; Florida - epidemiology ; Gender differences ; Health behavior ; Health Psychology ; Health surveillance ; HIV ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minority & ethnic groups ; Older people ; Original Paper ; Public Health ; Social Stigma ; Stigma ; United States ; Viral Load ; Young Adult</subject><ispartof>AIDS and behavior, 2023-06, Vol.27 (6), p.1879-1885</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-a4aaf60022029e8545252d74edc610acab6d8b386fccc4f304ee15085e87b0333</cites><orcidid>0000-0003-4814-1534</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-022-03919-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-022-03919-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27327,27907,27908,33757,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36371749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, Renessa S.</creatorcontrib><creatorcontrib>Zhou, Zhi</creatorcontrib><creatorcontrib>Cook, Christa</creatorcontrib><creatorcontrib>Lucero, Robert</creatorcontrib><creatorcontrib>Spencer, Emma C.</creatorcontrib><creatorcontrib>Cook, Robert L.</creatorcontrib><title>Does the Relationship Between HIV Stigma Subtypes and Viral Suppression Differ by Age?: A Stratified Analysis of Data from the Florida Medical Monitoring Project</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>HIV-related stigma is recognized as a top barrier to achieve viral suppression in the United States, but data describing who is most affected by HIV stigma is limited. The study sought to (1) identify the relationships between HIV-related stigma and unsuppressed viral load and (2) examine whether the association between HIV stigma subtypes and unsuppressed viral load differ by age group (i.e., 18–34, 35–49, and 50+ years-old) using surveillance data from the Florida Medical Monitoring Project (n = 1195). Most participants were 50+ years-old (55%), male (71%), and Black (51%). Enacted stigma was significantly associated with unsuppressed viral loads among the 18–34-year-old age group (
OR
1.68,
CI
1.09–2.60). After adjusting for potential confounders, only enacted stigma was independently associated with unsuppressed viral load in the 18–34-year-old age group. Results highlight the need for targeted interventions to reduce enacted stigma among younger persons with HIV to achieve viral suppression.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age groups</subject><subject>Florida - epidemiology</subject><subject>Gender differences</subject><subject>Health behavior</subject><subject>Health Psychology</subject><subject>Health surveillance</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Older people</subject><subject>Original Paper</subject><subject>Public Health</subject><subject>Social Stigma</subject><subject>Stigma</subject><subject>United States</subject><subject>Viral Load</subject><subject>Young Adult</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kcFu1DAQhiMEoqXwAhyQJS5cAmM7sR0uaOlSWqkViEKvkeOMt14lcbAdoX0c3hRvt4DEgdOMRt__jz1_UTyn8JoCyDeRQiVoCYyVwBvalOpBcUxryUvO6uph7qGBUlJRHxVPYtwCQCNk87g44oJLKqvmuPi59hhJukXyBQednJ_irZvJe0w_ECdyfnFDrpPbjJpcL13azRnWU09uXNBDHs1zwBiziqydtRhItyOrDb57S1ZZF7KhddiT1aSHXXSReEvWOmligx_vtp4NPrhekyvsncmWV35yKY-mDfkc_BZNelo8snqI-Oy-nhTfzj58PT0vLz99vDhdXZaGM5FKXWltBeRjAGtQ1VXNatbLCnsjKGijO9GrjithjTGV5VAh0hpUjUp2wDk_KV4dfOfgvy8YUzu6aHAY9IR-iS2TvFZCMUEz-vIfdOuXkP-YKQVSKlCNyhQ7UCb4GAPadg5u1GHXUmj3AbaHANv85vYuwHYvenFvvXQj9n8kvxPLAD8Acd5fCcPf3f-x_QUL_KZ4</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Williams, Renessa S.</creator><creator>Zhou, Zhi</creator><creator>Cook, Christa</creator><creator>Lucero, Robert</creator><creator>Spencer, Emma C.</creator><creator>Cook, Robert L.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4814-1534</orcidid></search><sort><creationdate>20230601</creationdate><title>Does the Relationship Between HIV Stigma Subtypes and Viral Suppression Differ by Age?: A Stratified Analysis of Data from the Florida Medical Monitoring Project</title><author>Williams, Renessa S. ; Zhou, Zhi ; Cook, Christa ; Lucero, Robert ; Spencer, Emma C. ; Cook, Robert L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-a4aaf60022029e8545252d74edc610acab6d8b386fccc4f304ee15085e87b0333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age groups</topic><topic>Florida - 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Academic</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, Renessa S.</au><au>Zhou, Zhi</au><au>Cook, Christa</au><au>Lucero, Robert</au><au>Spencer, Emma C.</au><au>Cook, Robert L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does the Relationship Between HIV Stigma Subtypes and Viral Suppression Differ by Age?: A Stratified Analysis of Data from the Florida Medical Monitoring Project</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>27</volume><issue>6</issue><spage>1879</spage><epage>1885</epage><pages>1879-1885</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>HIV-related stigma is recognized as a top barrier to achieve viral suppression in the United States, but data describing who is most affected by HIV stigma is limited. The study sought to (1) identify the relationships between HIV-related stigma and unsuppressed viral load and (2) examine whether the association between HIV stigma subtypes and unsuppressed viral load differ by age group (i.e., 18–34, 35–49, and 50+ years-old) using surveillance data from the Florida Medical Monitoring Project (n = 1195). Most participants were 50+ years-old (55%), male (71%), and Black (51%). Enacted stigma was significantly associated with unsuppressed viral loads among the 18–34-year-old age group (
OR
1.68,
CI
1.09–2.60). After adjusting for potential confounders, only enacted stigma was independently associated with unsuppressed viral load in the 18–34-year-old age group. Results highlight the need for targeted interventions to reduce enacted stigma among younger persons with HIV to achieve viral suppression.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36371749</pmid><doi>10.1007/s10461-022-03919-8</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4814-1534</orcidid></addata></record> |
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subjects | Adolescent Adult Age Age groups Florida - epidemiology Gender differences Health behavior Health Psychology Health surveillance HIV HIV Infections - epidemiology Human immunodeficiency virus Humans Infectious Diseases Male Medicine Medicine & Public Health Middle Aged Minority & ethnic groups Older people Original Paper Public Health Social Stigma Stigma United States Viral Load Young Adult |
title | Does the Relationship Between HIV Stigma Subtypes and Viral Suppression Differ by Age?: A Stratified Analysis of Data from the Florida Medical Monitoring Project |
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