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Methods in HIV-Related Intersectional Stigma Research: Core Elements and Opportunities.

Valerie A Earnshaw1, H Jonathon Rendina1, Greta R Bauer1

  • 1Valerie A. Earnshaw is with the Department of Human Development and Family Sciences, College of Education and Human Development, University of Delaware, Newark. H. Jonathon Rendina is with the Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC. Greta R. Bauer is with the Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada. Stephen Bonett is with the School of Nursing, University of Pennsylvania, Philadelphia. Lisa Bowleg is an AJPH Associate Editor and is with the Department of Psychological and Brain Sciences, George Washington University. Joseph Carter is with the Department of Psychology, Hunter College, New York, NY. Devin English is with the Department of Urban-Global Public Health, School of Public Health, Rutgers University, New Brunswick, NJ. M. Reuel Friedman is with the Department of Infectious Diseases and Microbiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Mark L. Hatzenbuehler is with the Department of Psychology, Harvard University, Cambridge, MA. Mallory O. Johnson and Torsten B. Neilands are with the Department of Medicine, University of California, San Francisco. Donna H. McCree is with the National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Katherine G. Quinn is with the Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee. Gabriel Robles is with the School of Social Work, Rutgers University, New Brunswick. Ayden I. Scheim is with the Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA. Justin C. Smith is with Positive Impact Health Centers, Atlanta. Laramie R. Smith is with the Division of Global Public Health and Infectious Diseases, School of Medicine, University of California, San Diego. Laurel Sprague is with the Department of Gender Equality, Human Rights, and Community Engagement, Joint United Nations Programme on HIV/AIDS, Geneva, Switzerland. Tamara Taggart and Deanna L. Kerrigan are with the Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University. Alexander C. Tsai is with the Center for Global Health and Mongan Institute, Massachusetts General Hospital, Boston. Bulent Turan is with the Department of Psychology, Koc University, Istanbul, Turkey. Lawrence H. Yang is with the Department of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY. José A. Bauermeister is with the Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia. Note. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

American Journal of Public Health
|June 28, 2022
PubMed
Summary

Researchers propose core elements for studying intersectional stigma in HIV research. These multidimensional, multilevel, and action-oriented methods aim to transform oppressive systems and advance the Ending the HIV Epidemic initiative.

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Area of Science:

  • Public Health
  • Social Epidemiology
  • Health Equity

Background:

  • Growing recognition of intersectional stigma's importance in HIV research.
  • Challenges in operationalizing and measuring intersectional stigma in HIV.
  • Need for frameworks to guide future research and methodological innovation.

Purpose of the Study:

  • To propose core elements for future HIV-related intersectional stigma research.
  • To guide methodological innovation and ensure alignment with intersectionality frameworks.
  • To advance research aimed at transforming interlocking systems of oppression.

Main Methods:

  • Proposing multidimensional, multilevel, and multidirectional research approaches.
  • Emphasizing action-oriented methods to address systemic oppression.
  • Identifying opportunities for resource enhancement and capacity building.

Main Results:

  • A framework of core elements for conducting HIV intersectional stigma research.
  • Strategies for reducing barriers and strengthening investments in research resources.
  • Pathways for research to generate meaningful structural change.

Conclusions:

  • Incorporating core elements will align HIV research with intersectionality's transformative potential.
  • Improved research positioning to achieve goals of Ending the HIV Epidemic (US and globally).
  • Potential for research to produce structural change and advance health equity.