Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada

•Intersectional stigma research examining pathways to HIV outcomes is limited.•Adapted conceptual frameworks to examine intersectional stigma and health outcomes.•Stigma interacted with social/institutional support to increase depression.•Depression led to maladaptive coping, lowering adherence and...

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Published inSocial science & medicine (1982) Vol. 232; pp. 129 - 138
Main Authors Logie, Carmen H., Williams, Charmaine C., Wang, Ying, Marcus, Natania, Kazemi, Mina, Cioppa, Lynne, Kaida, Angela, Webster, Kath, Beaver, Kerrigan, de Pokomandy, Alexandra, Loutfy, Mona
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.07.2019
Pergamon Press Inc
Subjects
Behavior problems
Clinical outcomes
Coping
Coping strategies
Gender
Health problems
Health status
HIV
Human immunodeficiency virus
Immune response
Infections
Institutional aspects
Intersectionality
Low income groups
Mental depression
Mental health
Minority & ethnic groups
Public health
Race
Racism
Sex discrimination
Sexuality
Social support
Sociodemographics
Stigma
Violence
Women
Canada
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Summary:•Intersectional stigma research examining pathways to HIV outcomes is limited.•Adapted conceptual frameworks to examine intersectional stigma and health outcomes.•Stigma interacted with social/institutional support to increase depression.•Depression led to maladaptive coping, lowering adherence and CD4 count.•Argues for multi-level strategies, including women-centred HIV care.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2019.04.044