Intersectional stigmas are associated with lower viral suppression rates and antiretroviral therapy adherence among women living with HIV.

ABSTRACT:

Objectives

To explore the associations between intersectional poverty, HIV, sex, and racial stigma, adherence to antiretroviral therapy (ART), and viral suppression among women with HIV (WHIV).

Design

We examined intersectional stigmas, self-report ART adherence, and viral suppression using cross-sectional data.

Methods

Participants were WHIV ( N  = 459) in the Women's Adherence and Visit Engagement, a Women's Interagency HIV Study substudy. We used Multidimensional Latent Class Item Response Theory and Bayesian models to analyze intersectional stigmas and viral load adjusting for sociodemographic and clinical covariates.

Results

We identified five intersectional stigma-based latent classes. The likelihood of viral suppression was approximately 90% lower among

SUBMITTER: Norcini Pala A 

PROVIDER: S-EPMC9529955 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature