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06.04.2018

Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI

verfasst von: Lisa A. Eaton, Valerie A. Earnshaw, Jessica L. Maksut, Katherine R. Thorson, Ryan J. Watson, Jose A. Bauermeister

Erschienen in: Journal of Behavioral Medicine | Ausgabe 4/2018

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Abstract

Rates of HIV/STI transmission among Black men who have sex with men (BMSM) are alarmingly high and demand urgent public health attention. Stigma related concerns are a key barrier to accessing health care and prevention tools, yet limited research has been focused in this area. Experiences of stigma related to health care were evaluated among 151 BMSM residing in the Atlanta, GA area, both prior to and post HIV or STI diagnosis in a longitudinal study (data collected from 2014 to 2016). Findings demonstrated that inadequate health care engagement is associated with post-diagnosis anticipated stigma (b = − 0.38, SE = 0.17 p ≤ .05). Pre-diagnosis prejudice is a predictor of post-diagnosis enacted (b = 0.39, SE = 0.14, p < .01), anticipated (b = .28, SE = 0.14, p < .05), and internalized (b = .22, SE = 0.06, p < .001) stigmas. This study is the first of its kind to assess experiences of stigma among BMSM during a critical time (i.e., before and after diagnosis) for HIV/STI prevention and treatment. Results provide a novel understanding of how stigma unfolds over-time and provide direction for stigma intervention development.

Alonzo, A. A., & Reynolds, N. R. (1995). Stigma, HIV and AIDS: An exploration and elaboration of a stigma trajectory. Social Science and Medicine, 41, 303–315.CrossRefPubMed

Baral, S., Logie, C. H., Grosso, A., Wirtz, A. L., & Beyrer, C. (2013). Modified social ecological model: A tool to guide the assessment of the risks and risk contexts of HIV epidemics. BMC Public Health, 13, 482. https://doi.org/10.1186/1471-2458-13-482 CrossRefPubMedPubMedCentral

Cahill, S., Taylor, S. W., Elsesser, S. A., Mena, L., Hickson, D., & Mayer, K. H. (2017). Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts. AIDS Care, 29, 1351–1358. https://doi.org/10.1080/09540121.2017.1300633 CrossRefPubMedPubMedCentral

Calabrese, S. K., Krakower, D. S., & Mayer, K. H. (2017). Integrating HIV preexposure prophylaxis (PrEP) into routine preventive health care to avoid exacerbating disparities. American Journal of Public Health, 107, 1883–1889.CrossRefPubMed

CDC. (2010). The role of STD prevention and treatment in HIV prevention. https://www.cdc.gov/std/hiv/stds-and-hiv-fact-sheet-press.pdf. Accessed 15 Aug 2017.

CDC. (2015). STD & HIV screening recommendations. https://www.cdc.gov/std/prevention/screeningreccs.htm. Accessed 15 Aug 2017.

CDC. (2016). Half of black gay men and a quarter of Latino gay men projected to be diagnosed within their lifetime. http://www.cdc.gov/nchhstp/newsroom/2016/croi-press-release-risk.html. Accessed 15 Aug 2017.

Cohen, M. S., Chen, Y. Q., McCauley, M., Gamble, T., Hosseinipour, M. C., Kumarasamy, N., et al. (2011). Prevention of HIV-1 infection with early antiretroviral therapy. New England Journal of Medicine, 365, 493–505. https://doi.org/10.1056/NEJMoa1105243 CrossRefPubMed

Dowshen, N., Binns, H. J., & Garofalo, R. (2009). Experiences of HIV-related stigma among young men who have sex with men. AIDS Patient Care STDS, 23, 371–376. https://doi.org/10.1089/apc.2008.0256 CrossRefPubMedPubMedCentral

Earnshaw, V. A., & Chaudoir, S. R. (2009). From conceptualizing to measuring HIV stigma: A review of HIV stigma mechanism measures. AIDS and Behavior, 13, 1160–1177. https://doi.org/10.1007/s10461-009-9593-3 CrossRefPubMedPubMedCentral

Earnshaw, V. A., Smith, L. R., Chaudoir, S. R., Amico, K. R., & Copenhaver, M. M. (2013). HIV stigma mechanisms and well-being among PLWH: A test of the HIV stigma framework. AIDS and Behavior, 17, 1785–1795. https://doi.org/10.1007/s10461-013-0437-9 CrossRefPubMedPubMedCentral

Eaton, L. A., Kalichman, S. C., Kalichman, M. O., Driffin, D. D., Baldwin, R., Zohren, L., et al. (2017). Randomised controlled trial of a sexual risk reduction intervention for STI prevention among men who have sex with men in the USA. Sexually Transmitted Infections. https://doi.org/10.1136/sextrans-2016-052835 CrossRefPubMed

Fitzmaurice, G., Laird, N., & Ware, J. (2011). Applied longitudinal analysis (2nd ed.). New Jersey: Wiley.

Garofalo, R., Hotton, A. L., Kuhns, L. M., Gratzer, B., & Mustanski, B. (2016). Incidence of HIV infection and sexually transmitted infections and related risk factors among very young men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 72, 79–86. https://doi.org/10.1097/QAI.0000000000000933 CrossRefPubMed

Golub, S. A., & Gamarel, K. E. (2013). The impact of anticipated HIV stigma on delays in HIV testing behaviors: Findings from a community-based sample of men who have sex with men and transgender women in New York City. AIDS Patient Care STDS, 27, 621–627. https://doi.org/10.1089/apc.2013.0245 CrossRefPubMedPubMedCentral

Goodreau, S. M., Rosenberg, E. S., Jenness, S. M., Luisi, N., Stansfield, S. E., Millett, G. A., et al. (2017). Sources of racial disparities in HIV prevalence in men who have sex with men in Atlanta, GA, USA: A modelling study. Lancet HIV. https://doi.org/10.1016/S2352-3018(17)30067-X PubMedPubMedCentralCrossRef

Group, I. S. S., Lundgren, J. D., Babiker, A. G., Gordin, F., Emery, S., Grund, B., et al. (2015). Initiation of antiretroviral therapy in early asymptomatic HIV infection. New England Journal of Medicine, 373, 795–807. https://doi.org/10.1056/nejmoa1506816 CrossRef

Holzemer, W. L., Makoae, L. N., Greeff, M., Dlamini, P. S., Kohi, T. W., Chirwa, M. L., et al. (2009). Measuring HIV stigma for PLHAs and nurses over time in five African countries. SAHARA J, 6, 76–82.CrossRefPubMedPubMedCentral

Koblin, B. A., Mayer, K. H., Eshleman, S. H., Wang, L., Mannheimer, S., del Rio, C., et al. (2013). Correlates of HIV acquisition in a cohort of Black men who have sex with men in the United States: HIV prevention trials network (HPTN) 061. PLoS ONE, 8, e70413. https://doi.org/10.1371/journal.pone.0070413 CrossRefPubMedPubMedCentral

Lifson, A. R., Grund, B., Gardner, E. M., Kaplan, R., Denning, E., & Engen, N. (2017). Improved quality of life with immediate versus deferred initiation of antiretroviral therapy in early asymptomatic HIV infection. AIDS, 31, 953–963. https://doi.org/10.1097/qad.0000000000001417 CrossRefPubMedPubMedCentral

Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367, 528–529. https://doi.org/10.1016/S0140-6736(06)68184-1 CrossRefPubMed

Matthews, D. D., Herrick, A. L., Coulter, R. W., Friedman, M. R., Mills, T. C., Eaton, L. A., et al. (2016). Running backwards: Consequences of current HIV incidence rates for the next generation of Black MSM in the United States. AIDS and Behavior, 20, 7–16. https://doi.org/10.1007/s10461-015-1158-z CrossRefPubMedPubMedCentral

McNair, O. S., Gipson, J. A., Denson, D., Thompson, D. V., Sutton, M. Y., & Hickson, D. A. (2017). The associations of resilience and HIV risk behaviors among black gay, bisexual, other men who have sex with men (MSM) in the Deep South: The MARI study. AIDS and Behavior. https://doi.org/10.1007/s10461-017-1881-8 CrossRef

Millett, G. A., Peterson, J. L., Flores, S. A., Hart, T. A., Jeffries, W. L., Wilson, P. A., et al. (2012). Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: A meta-analysis. Lancet, 380, 341–348. https://doi.org/10.1016/S0140-6736(12)60899-X CrossRefPubMed

Millett, G. A., Peterson, J. L., Wolitski, R. J., & Stall, R. (2006). Greater risk for HIV infection of black men who have sex with men: A critical literature review. American Journal of Public Health, 96, 1007–1019. https://doi.org/10.2105/AJPH.2005.066720 CrossRefPubMedPubMedCentral

Mugavero, M. J., Amico, K. R., Horn, T., & Thompson, M. A. (2013). The state of engagement in HIV care in the United States: From cascade to continuum to control. Clinical Infectious Diseases, 57, 1164–1171. https://doi.org/10.1093/cid/cit420 CrossRefPubMed

Nyblade, L., Stangl, A., Weiss, E., & Ashburn, K. (2009). Combating HIV stigma in health care settings: What works? Journal of the International AIDS Society, 12, 15.CrossRefPubMedPubMedCentral

Quinn, K., Voisin, D. R., Bouris, A., Jaffe, K., Kuhns, L., Eavou, R., et al. (2017). Multiple dimensions of stigma and health related factors among young Black men who have sex with men. AIDS and Behavior, 21, 207–216. https://doi.org/10.1007/s10461-016-1439-1 CrossRefPubMedPubMedCentral

Scambler, G. (2009). Health-related stigma. Sociology of Health & Illness, 31, 441–455. https://doi.org/10.1111/j.1467-9566.2009.01161.x CrossRef

Sullivan, P. S., Peterson, J., Rosenberg, E. S., Kelley, C. F., Cooper, H., Vaughan, A., et al. (2014). Understanding racial HIV/STI disparities in Black and White men who have sex with men: A multilevel approach. PLoS ONE, 9, e90514. https://doi.org/10.1371/journal.pone.0090514 CrossRefPubMedPubMedCentral

Sullivan, P. S., Rosenberg, E. S., Sanchez, T. H., Kelley, C. F., Luisi, N., Cooper, H. L., et al. (2015). Explaining racial disparities in HIV incidence in Black and White men who have sex with men in Atlanta, GA: A prospective observational cohort study. Annals of Epidemiology, 25, 445–454. https://doi.org/10.1016/j.annepidem.2015.03.006 CrossRefPubMedPubMedCentral

Turan, B., Budhwani, H., Fazeli, P. L., Browning, W. R., Raper, J. L., Mugavero, M. J., et al. (2017a). How does stigma affect people living with HIV? The mediating roles of internalized and anticipated HIV stigma in the effects of perceived community stigma on health and psychosocial outcomes. AIDS and Behavior, 21, 283–291. https://doi.org/10.1007/s10461-016-1451-5 CrossRefPubMedPubMedCentral

Turan, B., Hatcher, A. M., Weiser, S. D., Johnson, M. O., Rice, W. S., & Turan, J. M. (2017b). Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes. American Journal of Public Health, 107, 863–869. https://doi.org/10.2105/AJPH.2017.303744 CrossRefPubMedPubMedCentral

Vanable, P. A., Carey, M. P., Blair, D. C., & Littlewood, R. A. (2006). Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS and Behavior, 10, 473–482. https://doi.org/10.1007/s10461-006-9099-1 CrossRefPubMedPubMedCentral

Villarosa, L. (2017). America’s hidden HIV epdidemic. New York Times. https://www.nytimes.com/2017/06/06/magazine/americas-hidden-hiv-epidemic.html?mcubz=0&_r=0. Accessed 10 June 2017.

Titel: Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI
verfasst von: Lisa A. Eaton
Valerie A. Earnshaw
Jessica L. Maksut
Katherine R. Thorson
Ryan J. Watson
Jose A. Bauermeister
Publikationsdatum: 06.04.2018
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 4/2018
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-018-9922-y

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Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI

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