HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia
Little is known about the intersection of HIV stigma and substance use stigma. Using data from 188 HIV-positive people who inject drugs (PWID) in Russia, we examined the associations of these stigmas and their interaction with access and utilization of healthcare. While substance use stigma was sign...
Gespeichert in:
| Veröffentlicht in: | AIDS and behavior 2021-09, Vol.25 (9), p.2815-2826 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2826 |
|---|---|
| container_issue | 9 |
| container_start_page | 2815 |
| container_title | AIDS and behavior |
| container_volume | 25 |
| creator | Vetrova, Marina V. Cheng, Debbie M. Bendiks, Sally Gnatienko, Natalia Lloyd-Travaglini, Christine Jiang, Wenqing Luoma, Jason Blokhina, Elena Krupitsky, Evgeny Lioznov, Dmitry Ekstrand, Maria L. Raj, Anita Samet, Jeffrey H. Lunze, Karsten |
| description | Little is known about the intersection of HIV stigma and substance use stigma. Using data from 188 HIV-positive people who inject drugs (PWID) in Russia, we examined the associations of these stigmas and their interaction with access and utilization of healthcare. While substance use stigma was significantly associated with poor access to care (AOR 2.31, 95%CI 1.50–3.57), HIV stigma was not. HIV stigma was associated with lower inpatient care utilization (AOR 0.32, 95%CI 0.14–0.65), while substance use stigma was not. We did not detect a significant interaction between the two forms of stigma for either of the primary outcomes. However, those with high levels of both substance use stigma and HIV stigma had higher odds of poor general access to healthcare (AOR 1.86, 95%CI 1.19–2.92), and lower odds of recent general outpatient (AOR 0.52, 95%CI 0.32–0.85) and any inpatient (AOR 0.48, 95%CI 0.22–0.99) care utilization compared to those with low levels of both types of stigma. Interventions addressing both substance use and HIV stigma in general healthcare settings might improve care in this HIV key population. |
| doi_str_mv | 10.1007/s10461-021-03172-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8316484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2562366850</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-135453b642bc82f8816a1daa7ae95461203084ec50dac938717ea40cee41caff3</originalsourceid><addsrcrecordid>eNp9kU1vFDEMhiMEoqXwBzigSFwZcL5nLkhV-diVKlFRCsfIm_FsU-1mSjJTqf--obsUuHCwYtmvX8d6GHsp4K0AcO-KAG1FA7KGEk425hE7FMapRkmjH9ccOmicsOaAPSvlCgA667qn7EApA1aBOWT9YvmdY-r5-bwqE6ZA_KIQP5_ieotv-DJNlAuFKY4JN_vyvX5BuJkuA2bix9sxrXk1as7GEqd4Q_zsx_IDj4l_nUuJ-Jw9GXBT6MX-PWIXnz5-O1k0p18-L0-OT5ugnZ4aoYw2amW1XIVWDm0rLIoe0SF1pl4qQUGrKRjoMXSqdcIRaghEWgQcBnXE3u98r-fVlvpAacq48dc5bjHf-hGj_7eT4qVfjze-VcLqVleD13uDPP6cqUz-apxzvbx4aaxU1rYGqkruVCGPpWQaHjYI8L_I-B0ZX8n4ezLe1KFXf__tYeQ3iipQO0GprbSm_Gf3f2zvAPV1mOU</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2562366850</pqid></control><display><type>article</type><title>HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia</title><source>Sociological Abstracts</source><source>SpringerLink Journals - AutoHoldings</source><creator>Vetrova, Marina V. ; Cheng, Debbie M. ; Bendiks, Sally ; Gnatienko, Natalia ; Lloyd-Travaglini, Christine ; Jiang, Wenqing ; Luoma, Jason ; Blokhina, Elena ; Krupitsky, Evgeny ; Lioznov, Dmitry ; Ekstrand, Maria L. ; Raj, Anita ; Samet, Jeffrey H. ; Lunze, Karsten</creator><creatorcontrib>Vetrova, Marina V. ; Cheng, Debbie M. ; Bendiks, Sally ; Gnatienko, Natalia ; Lloyd-Travaglini, Christine ; Jiang, Wenqing ; Luoma, Jason ; Blokhina, Elena ; Krupitsky, Evgeny ; Lioznov, Dmitry ; Ekstrand, Maria L. ; Raj, Anita ; Samet, Jeffrey H. ; Lunze, Karsten</creatorcontrib><description>Little is known about the intersection of HIV stigma and substance use stigma. Using data from 188 HIV-positive people who inject drugs (PWID) in Russia, we examined the associations of these stigmas and their interaction with access and utilization of healthcare. While substance use stigma was significantly associated with poor access to care (AOR 2.31, 95%CI 1.50–3.57), HIV stigma was not. HIV stigma was associated with lower inpatient care utilization (AOR 0.32, 95%CI 0.14–0.65), while substance use stigma was not. We did not detect a significant interaction between the two forms of stigma for either of the primary outcomes. However, those with high levels of both substance use stigma and HIV stigma had higher odds of poor general access to healthcare (AOR 1.86, 95%CI 1.19–2.92), and lower odds of recent general outpatient (AOR 0.52, 95%CI 0.32–0.85) and any inpatient (AOR 0.48, 95%CI 0.22–0.99) care utilization compared to those with low levels of both types of stigma. Interventions addressing both substance use and HIV stigma in general healthcare settings might improve care in this HIV key population.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-021-03172-5</identifier><identifier>PMID: 33506305</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Drug use ; Health care ; Health care access ; Health Psychology ; Health services ; HIV ; Human immunodeficiency virus ; Infectious Diseases ; Intersectionality ; Medicine ; Medicine & Public Health ; Original Paper ; Public Health ; Stigma ; Substance abuse ; Substance use ; Utilization</subject><ispartof>AIDS and behavior, 2021-09, Vol.25 (9), p.2815-2826</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-135453b642bc82f8816a1daa7ae95461203084ec50dac938717ea40cee41caff3</citedby><cites>FETCH-LOGICAL-c474t-135453b642bc82f8816a1daa7ae95461203084ec50dac938717ea40cee41caff3</cites><orcidid>0000-0002-9698-0327</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/s10461-021-03172-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-021-03172-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27342,27922,27923,33772,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33506305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vetrova, Marina V.</creatorcontrib><creatorcontrib>Cheng, Debbie M.</creatorcontrib><creatorcontrib>Bendiks, Sally</creatorcontrib><creatorcontrib>Gnatienko, Natalia</creatorcontrib><creatorcontrib>Lloyd-Travaglini, Christine</creatorcontrib><creatorcontrib>Jiang, Wenqing</creatorcontrib><creatorcontrib>Luoma, Jason</creatorcontrib><creatorcontrib>Blokhina, Elena</creatorcontrib><creatorcontrib>Krupitsky, Evgeny</creatorcontrib><creatorcontrib>Lioznov, Dmitry</creatorcontrib><creatorcontrib>Ekstrand, Maria L.</creatorcontrib><creatorcontrib>Raj, Anita</creatorcontrib><creatorcontrib>Samet, Jeffrey H.</creatorcontrib><creatorcontrib>Lunze, Karsten</creatorcontrib><title>HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Little is known about the intersection of HIV stigma and substance use stigma. Using data from 188 HIV-positive people who inject drugs (PWID) in Russia, we examined the associations of these stigmas and their interaction with access and utilization of healthcare. While substance use stigma was significantly associated with poor access to care (AOR 2.31, 95%CI 1.50–3.57), HIV stigma was not. HIV stigma was associated with lower inpatient care utilization (AOR 0.32, 95%CI 0.14–0.65), while substance use stigma was not. We did not detect a significant interaction between the two forms of stigma for either of the primary outcomes. However, those with high levels of both substance use stigma and HIV stigma had higher odds of poor general access to healthcare (AOR 1.86, 95%CI 1.19–2.92), and lower odds of recent general outpatient (AOR 0.52, 95%CI 0.32–0.85) and any inpatient (AOR 0.48, 95%CI 0.22–0.99) care utilization compared to those with low levels of both types of stigma. Interventions addressing both substance use and HIV stigma in general healthcare settings might improve care in this HIV key population.</description><subject>Drug use</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infectious Diseases</subject><subject>Intersectionality</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Public Health</subject><subject>Stigma</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Utilization</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><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>eNp9kU1vFDEMhiMEoqXwBzigSFwZcL5nLkhV-diVKlFRCsfIm_FsU-1mSjJTqf--obsUuHCwYtmvX8d6GHsp4K0AcO-KAG1FA7KGEk425hE7FMapRkmjH9ccOmicsOaAPSvlCgA667qn7EApA1aBOWT9YvmdY-r5-bwqE6ZA_KIQP5_ieotv-DJNlAuFKY4JN_vyvX5BuJkuA2bix9sxrXk1as7GEqd4Q_zsx_IDj4l_nUuJ-Jw9GXBT6MX-PWIXnz5-O1k0p18-L0-OT5ugnZ4aoYw2amW1XIVWDm0rLIoe0SF1pl4qQUGrKRjoMXSqdcIRaghEWgQcBnXE3u98r-fVlvpAacq48dc5bjHf-hGj_7eT4qVfjze-VcLqVleD13uDPP6cqUz-apxzvbx4aaxU1rYGqkruVCGPpWQaHjYI8L_I-B0ZX8n4ezLe1KFXf__tYeQ3iipQO0GprbSm_Gf3f2zvAPV1mOU</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Vetrova, Marina V.</creator><creator>Cheng, Debbie M.</creator><creator>Bendiks, Sally</creator><creator>Gnatienko, Natalia</creator><creator>Lloyd-Travaglini, Christine</creator><creator>Jiang, Wenqing</creator><creator>Luoma, Jason</creator><creator>Blokhina, Elena</creator><creator>Krupitsky, Evgeny</creator><creator>Lioznov, Dmitry</creator><creator>Ekstrand, Maria L.</creator><creator>Raj, Anita</creator><creator>Samet, Jeffrey H.</creator><creator>Lunze, Karsten</creator><general>Springer US</general><general>Springer Nature B.V</general><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>5PM</scope><orcidid>https://orcid.org/0000-0002-9698-0327</orcidid></search><sort><creationdate>20210901</creationdate><title>HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia</title><author>Vetrova, Marina V. ; Cheng, Debbie M. ; Bendiks, Sally ; Gnatienko, Natalia ; Lloyd-Travaglini, Christine ; Jiang, Wenqing ; Luoma, Jason ; Blokhina, Elena ; Krupitsky, Evgeny ; Lioznov, Dmitry ; Ekstrand, Maria L. ; Raj, Anita ; Samet, Jeffrey H. ; Lunze, Karsten</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-135453b642bc82f8816a1daa7ae95461203084ec50dac938717ea40cee41caff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Drug use</topic><topic>Health care</topic><topic>Health care access</topic><topic>Health Psychology</topic><topic>Health services</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Infectious Diseases</topic><topic>Intersectionality</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Public Health</topic><topic>Stigma</topic><topic>Substance abuse</topic><topic>Substance use</topic><topic>Utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vetrova, Marina V.</creatorcontrib><creatorcontrib>Cheng, Debbie M.</creatorcontrib><creatorcontrib>Bendiks, Sally</creatorcontrib><creatorcontrib>Gnatienko, Natalia</creatorcontrib><creatorcontrib>Lloyd-Travaglini, Christine</creatorcontrib><creatorcontrib>Jiang, Wenqing</creatorcontrib><creatorcontrib>Luoma, Jason</creatorcontrib><creatorcontrib>Blokhina, Elena</creatorcontrib><creatorcontrib>Krupitsky, Evgeny</creatorcontrib><creatorcontrib>Lioznov, Dmitry</creatorcontrib><creatorcontrib>Ekstrand, Maria L.</creatorcontrib><creatorcontrib>Raj, Anita</creatorcontrib><creatorcontrib>Samet, Jeffrey H.</creatorcontrib><creatorcontrib>Lunze, Karsten</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Sociology (Proquest)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vetrova, Marina V.</au><au>Cheng, Debbie M.</au><au>Bendiks, Sally</au><au>Gnatienko, Natalia</au><au>Lloyd-Travaglini, Christine</au><au>Jiang, Wenqing</au><au>Luoma, Jason</au><au>Blokhina, Elena</au><au>Krupitsky, Evgeny</au><au>Lioznov, Dmitry</au><au>Ekstrand, Maria L.</au><au>Raj, Anita</au><au>Samet, Jeffrey H.</au><au>Lunze, Karsten</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>25</volume><issue>9</issue><spage>2815</spage><epage>2826</epage><pages>2815-2826</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>Little is known about the intersection of HIV stigma and substance use stigma. Using data from 188 HIV-positive people who inject drugs (PWID) in Russia, we examined the associations of these stigmas and their interaction with access and utilization of healthcare. While substance use stigma was significantly associated with poor access to care (AOR 2.31, 95%CI 1.50–3.57), HIV stigma was not. HIV stigma was associated with lower inpatient care utilization (AOR 0.32, 95%CI 0.14–0.65), while substance use stigma was not. We did not detect a significant interaction between the two forms of stigma for either of the primary outcomes. However, those with high levels of both substance use stigma and HIV stigma had higher odds of poor general access to healthcare (AOR 1.86, 95%CI 1.19–2.92), and lower odds of recent general outpatient (AOR 0.52, 95%CI 0.32–0.85) and any inpatient (AOR 0.48, 95%CI 0.22–0.99) care utilization compared to those with low levels of both types of stigma. Interventions addressing both substance use and HIV stigma in general healthcare settings might improve care in this HIV key population.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33506305</pmid><doi>10.1007/s10461-021-03172-5</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-9698-0327</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1090-7165 |
| ispartof | AIDS and behavior, 2021-09, Vol.25 (9), p.2815-2826 |
| issn | 1090-7165 1573-3254 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8316484 |
| source | Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Drug use Health care Health care access Health Psychology Health services HIV Human immunodeficiency virus Infectious Diseases Intersectionality Medicine Medicine & Public Health Original Paper Public Health Stigma Substance abuse Substance use Utilization |
| title | HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T16%3A15%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=HIV%20and%20Substance%20Use%20Stigma,%20Intersectional%20Stigma%20and%20Healthcare%20Among%20HIV-Positive%20PWID%20in%20Russia&rft.jtitle=AIDS%20and%20behavior&rft.au=Vetrova,%20Marina%20V.&rft.date=2021-09-01&rft.volume=25&rft.issue=9&rft.spage=2815&rft.epage=2826&rft.pages=2815-2826&rft.issn=1090-7165&rft.eissn=1573-3254&rft_id=info:doi/10.1007/s10461-021-03172-5&rft_dat=%3Cproquest_pubme%3E2562366850%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2562366850&rft_id=info:pmid/33506305&rfr_iscdi=true |