Untangling Discrimination: The Impact of Internalizing Oppression on HIV Treatment Engagement Among Young Black Sexual Minority Men in the Southern US.
Black sexual minority men living with HIV (BSMM+) in the Southern United States encounter multiple forms of discrimination, which are associated with decreased HIV care engagement. We analyzed data from 166 BSMM + in the South to assess direct associations between experiences of racism, heterosexism...
| Publicado en: | AIDS & Behavior Vol. 29; no. 10; pp. 3264 - 3275 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188353305&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188353305 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Oct2025 vid: 29 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 188353305 185707841 188353305 188353305 10.1007/s10461-025-04774-z 188353305 ppf: 3264 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Untangling Discrimination: The Impact of Internalizing Oppression on HIV Treatment Engagement Among Young Black Sexual Minority Men in the Southern US. aug: au: Nacht, Carrie L. Lentz, Cody Vincent, Wilson Siconolfi, Daniel Pollack, Lance M. Kegeles, Susan M. Campbell, Chadwick K. Ogunbajo, Adedotun Storholm, Erik D. affil: https://ror.org/0264fdx42 School of Public Health, San Diego State University, San Diego, CA, USA sug: subj: HIV Infections Drug Therapy Anti-Retroviral Agents Therapeutic Use Patient Participation Evaluation African Americans Psychosocial Factors Sexual and Gender Minorities Psychosocial Factors Sexual and Gender Minorities Psychosocial Factors Men Psychosocial Factors Racism Evaluation Heterosexuality Evaluation Discrimination Evaluation HIV Infections Psychosocial Factors Internalized Racism Evaluation Stigma Evaluation Risk Assessment Human HIV-Positive Persons Psychosocial Factors Funding Source Association (Research) Mediation Analysis Texas Cross Sectional Studies Viral Load Self Report Univariate Statistics Path Analysis Exploratory Research Analytic Research Income Age Factors Continuity of Patient Care Minority Stress Psychological Theory Gay Men Psychosocial Factors Summated Rating Scaling Descriptive Statistics Data Analysis Software Regression Correlation Coefficient Confidence Intervals Scales Adolescence Young Adult Adult Adolescent: 13-18 years Adult: 19-44 years ab: Black sexual minority men living with HIV (BSMM+) in the Southern United States encounter multiple forms of discrimination, which are associated with decreased HIV care engagement. We analyzed data from 166 BSMM + in the South to assess direct associations between experiences of racism, heterosexism, and HIV-related discrimination with HIV care engagement. We further investigated indirect associations through three mediators: internalized racism, internalized heterosexism, and internalized HIV stigma. Experienced heterosexism was indirectly associated with HIV care engagement through internalized HIV stigma (bindirect = −0.039, p = 0.098). HIV discrimination was associated with internalized heterosexism (bdirect = 0.577, p = 0.007) and internalized racism (bdirect = 0.253, p = 0.009). There were significant direct associations between internalized HIV stigma and HIV care engagement (bdirect = −0.040, p = 0.001) and experienced heterosexism and internalized HIV stigma (bdirect = 0.974, p = 0.050). These findings aim to understand the factors affecting HIV care engagement among this population to improve HIV care engagement. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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