南佛罗里达州艾滋病毒感染者多重边缘化身份和内化艾滋病毒污名:一个交叉方法
Megan A Jones1, Elliott R Weinstein2,3, Steven A Safren3
1Department of Prevention & Community Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, United States of America.
PloS one
|August 19, 2025
概括
对于具有多个边缘化身份的艾滋病毒感染者 (PLWH) 内部化艾滋病毒污名更高. 跨界身份,如性别和种族,显著影响污名化水平,为更好的艾滋病毒治疗结果提供有针对性的干预措施.
科学领域:
- 社会流行病学 社会流行病学
- 健康心理学 心理健康心理学
- 公共卫生 公共卫生
背景情况:
- 内化艾滋病毒污名对艾滋病毒感染者 (PLWH) 的心理和身体健康产生负面影响.
- 少数群体的压力和结构性压迫可能会加剧边缘化身份的PLWH内部化HIV污名.
- 交叉性,社会分类的相互连接性,对于理解这些复杂的经验至关重要.
研究的目的:
- 检查跨界边缘化群体身份与PLWH内部化艾滋病毒污名之间的关联.
- 为了确定是否有多个边缘化身份,与单个身份相比,可以放大或减轻内化艾滋病污名.
- 确定可能受益于有针对性的干预措施的PLWH的特定子组.
主要方法:
- 分析了佛罗里达州南部1343名艾滋病毒感染者的样本.
- 使用等级线性回归模型来评估关联.
- 交互术语被用来测试交叉身份对内化艾滋病毒污名的乘法效应.
主要成果:
- 参与者报告了中等程度的内化艾滋病毒污名.
- 主要影响表明,年龄,种族,种族和/或性别认同被边缘化的人群的耻辱感更高.
- 显著的相互作用表明,结合性别和种族边缘化,年龄和种族边缘化,预测了更高的耻辱.
- 相反,结合年龄和种族边缘化,以及年龄和性取向边缘化,预测了较低的耻辱感.
结论:
- 交叉边缘化身份在很大程度上影响了PLWH内部化的艾滋病毒污名.
- 了解这些交叉动态对于开发有效干预至关重要.
- 研究结果可以指导建立有针对性的支持系统,以改善艾滋病毒治疗结果和减少耻辱感.
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