Does the Relationship Between HIV Stigma Subtypes and Viral Suppression Differ by Age?: A Stratified Analysis of Data from the Florida Medical Monitoring Project

HIV-related stigma is recognized as a top barrier to achieve viral suppression in the United States, but data describing who is most affected by HIV stigma is limited. The study sought to (1) identify the relationships between HIV-related stigma and unsuppressed viral load and (2) examine whether th...

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Published inAIDS and behavior Vol. 27; no. 6; pp. 1879 - 1885
Main Authors Williams, Renessa S., Zhou, Zhi, Cook, Christa, Lucero, Robert, Spencer, Emma C., Cook, Robert L.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.06.2023
Springer Nature B.V
Subjects
Adolescent
Adult
Age
Age groups
Florida - epidemiology
Gender differences
Health behavior
Health Psychology
Health surveillance
HIV
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Medicine
Medicine & Public Health
Middle Aged
Minority & ethnic groups
Older people
Original Paper
Public Health
Social Stigma
Stigma
United States
Viral Load
Young Adult
Florida
United States
United States > US
Medical Monitoring Project
HIV-related stigma
Age
Viral suppression
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Summary:HIV-related stigma is recognized as a top barrier to achieve viral suppression in the United States, but data describing who is most affected by HIV stigma is limited. The study sought to (1) identify the relationships between HIV-related stigma and unsuppressed viral load and (2) examine whether the association between HIV stigma subtypes and unsuppressed viral load differ by age group (i.e., 18–34, 35–49, and 50+ years-old) using surveillance data from the Florida Medical Monitoring Project (n = 1195). Most participants were 50+ years-old (55%), male (71%), and Black (51%). Enacted stigma was significantly associated with unsuppressed viral loads among the 18–34-year-old age group ( OR 1.68, CI 1.09–2.60). After adjusting for potential confounders, only enacted stigma was independently associated with unsuppressed viral load in the 18–34-year-old age group. Results highlight the need for targeted interventions to reduce enacted stigma among younger persons with HIV to achieve viral suppression.
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ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-022-03919-8