Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women

Katryna McCoy, Lauren Lipira, Christopher G. Kemp, Paul E. Nevin, David Huh, Janet M Turan, Michael J. Mugavero, Susan E. Cohn, Mieoak Bahk, Jane M. Simoni, Michele P. Andrasik, Deepa Rao

Research output: Contribution to journalArticle

Abstract

Engagement in HIV care reduces HIV-related health disparities that persist across racial/ethnic and gender lines; yet, African American (AA) women face multiple challenges to remaining engaged in care, including HIV-related stigma. We analyzed longitudinal data from 239 participants in the Unity Health Study to estimate associations between HIV-related stigma and engagement in care among AA women linked to HIV care. In adjusted Poisson regression analyses, engagement in care was not associated with HIV-related stigma but was associated with older age (incidence rate ratio [IRR] = 1.01, 95% confidence interval [CI] = [1.00-1.01], p = .01), higher levels of education (IRR = 1.18, 95% CI = [1.02-1.35], p = .03), and higher levels of social support (IRR = 1.05, 95% CI = [1.01-1.09], p = .04). Our findings suggest the need for targeted interventions to enhance engagement in care and to incorporate social support into health promotion programming for AA women living with HIV.

Original languageEnglish (US)
Pages (from-to)167-175
Number of pages9
JournalThe Journal of the Association of Nurses in AIDS Care : JANAC
Volume31
Issue number2
DOIs
StatePublished - Mar 1 2020

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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    McCoy, K., Lipira, L., Kemp, C. G., Nevin, P. E., Huh, D., M Turan, J., Mugavero, M. J., Cohn, S. E., Bahk, M., Simoni, J. M., Andrasik, M. P., & Rao, D. (2020). Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women. The Journal of the Association of Nurses in AIDS Care : JANAC, 31(2), 167-175. https://doi.org/10.1097/JNC.0000000000000140