Identifying Subgroups of Intersectional Stigma, Discrimination, and the Association with Mental Health Outcomes Among HIV-Positive Men Who Have Sex with Men: A Latent Class Analysis

被引：0

作者：

Liying Wang ^{[1
]}

Kathy Trang ^{[2
]}

Casey Xavier Hall ^{[12
]}

Lin Zhu ^{[3
]}

R. N. Eugenia Millender ^{[2
]}

Crim Sabuncu ^{[4
]}

Jack Barile ^{[5
]}

Grace Ma ^{[6
]}

Avrum Gillespie ^{[2
]}

Gina Simoncini ^{[4
]}

Frankie Wong ^{[2
]}

机构：

[1] Florida State University,Institute on Digital Health and Innovation, College of Nursing

[2] Florida State University,Center of Population Sciences for Health Equity, College of Nursing

[3] Harvard TH Chan School of Public Health,Department of Epidemiology

[4] Florida State University,College of Social Work

[5] Temple University,Center for Asian Health, Lewis Katz School of Medicine

[6] Temple University,Department of Urban Health and Population Science, Lewis Katz School of Medicine

[7] University of Hawaii at Manoa,Department of Psychology

[8] Lewis Katz School of Medicine at Temple University,Section of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine

[9] AIDS Healthcare Foundation (AHF),School of Public Health

[10] Fudan University,John D. Bower School of Population Health, Department of Population Health Science

[11] University Mississippi Medical Center,undefined

[12] Florida State University,undefined

来源：

AIDS and Behavior | 2025年 / 29卷 / 3期

关键词：

Stigma; Discrimination; Mental health; LCA; HIV; MSM;

D O I：

10.1007/s10461-024-04583-w

中图分类号：

学科分类号：

摘要：

This study aimed to (1) identify latent classes of stigma and discrimination experiences among men who have sex with men (MSM) living with HIV; (2) examine the associations between class membership and mental health outcomes, and (3) investigate the moderating effects of social support and resilience. The study used the baseline (N = 224) and six-month follow-up data (N = 118) from a longitudinal cohort study on HIV and hypertension among African American and Asian Pacific American MSM in Hawai’i and Philadelphia from 2019 to 2023. Latent class analysis was conducted to characterize the patterns of stigma and discrimination experience. Multivariable regression was conducted to examine the association between class membership and mental health outcomes. Interaction terms were added to examine the moderation effects of social support and resilience on the association between class memberships and mental health outcomes. A five-class model was identified: Class (1) high on internalized homophobia and low on all discrimination experiences; Class (2) high on racial discrimination; Class (3) high on sexual identity discrimination; Class (4) low on internalized homophobia and all discrimination experiences; Class (5) high on physical disability discrimination and internalized homophobia. Class 5 consistently predicted worse mental health outcomes, compared to Class 4. The association between Class 2 (high racial discrimination) and depression was moderated by perceived social support. The study reveals complex experiences of intersectional stigma and discrimination among MSM living with HIV, highlighting the need for further research on the intersecting effects of multiple disadvantages among aging sexual minorities.

引用

页码：1011 / 1027

页数：16