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Neighborhood Characteristics, Intersectional Discrimination, Mental Health, and HIV Outcomes Among Black Women Living With HIV, Southeastern United States, 2019‒2020.

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Title: Neighborhood Characteristics, Intersectional Discrimination, Mental Health, and HIV Outcomes Among Black Women Living With HIV, Southeastern United States, 2019‒2020.
Authors: Wright, Ian A., Reid, Rachelle, Shahid, Naysha, Ponce, Amanda, Nelson, C. Mindy, Sanders, Jasmyn, Gardner, Nadine, Liu, Jingxin, Simmons, Ervin, Phillips, Arnetta, Pan, Yue, Alcaide, Maria L., Rodriguez, Allan, Ironson, Gail, Feaster, Daniel J., Safren, Steven A., Dale, Sannisha K.
Source: American Journal of Public Health. 2022 Suppl 4, Vol. 112, pS433-S443. 11p.
Subjects: Neighborhood characteristics, HIV-positive persons, Evaluation of medical care, Black people, Discrimination (Sociology), Viral load, Women, Mental health, Social stigma, Post-traumatic stress disorder, Crime, Antiretroviral agents, Socioeconomic factors, Mental depression, Employment, Drugs, Patient compliance, Housing, Educational attainment
Geographic Terms: Southern States
Abstract: Objectives. To examine the effects of within-neighborhood and neighboring characteristics on discrimination, stigma, mental health, and HIV outcomes among Black women living with HIV (BWLWH). Methods. A total of 151 BWLWH in a southeastern US city provided baseline data (October 2019‒January 2020) on experienced microaggressions and discrimination (race-, gender-, sexual orientation-, or HIV-related), mental health (e.g., depression, posttraumatic stress disorder), and HIV outcomes (e.g., viral load, antiretroviral therapy adherence). Neighborhood characteristics by census tract were gathered from the American Community Survey and the National Center for Charitable Statistics. Spatial econometrics guided the identification strategy, and we used the maximum likelihood technique to estimate relationships between a number of predictors and outcomes. Results. Within-neighborhood and neighboring characteristics (employment, education, crime, income, number of religious organizations, and low-income housing) were significantly related to intersectional stigma, discrimination, mental health, HIV viral load, and medication adherence. Conclusions. Policy, research, and interventions for BWLWH need to address the role of neighborhood characteristics to improve quality of life and HIV outcomes. (Am J Public Health. 2022;112(S4):S433–S443. https://doi.org/10.2105/AJPH.2021.306675) [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Neighborhood Characteristics, Intersectional Discrimination, Mental Health, and HIV Outcomes Among Black Women Living With HIV, Southeastern United States, 2019‒2020.
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. 2022 Suppl 4, Vol. 112, pS433-S443. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Southern+States%22">Southern States</searchLink>
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  Data: Objectives. To examine the effects of within-neighborhood and neighboring characteristics on discrimination, stigma, mental health, and HIV outcomes among Black women living with HIV (BWLWH). Methods. A total of 151 BWLWH in a southeastern US city provided baseline data (October 2019‒January 2020) on experienced microaggressions and discrimination (race-, gender-, sexual orientation-, or HIV-related), mental health (e.g., depression, posttraumatic stress disorder), and HIV outcomes (e.g., viral load, antiretroviral therapy adherence). Neighborhood characteristics by census tract were gathered from the American Community Survey and the National Center for Charitable Statistics. Spatial econometrics guided the identification strategy, and we used the maximum likelihood technique to estimate relationships between a number of predictors and outcomes. Results. Within-neighborhood and neighboring characteristics (employment, education, crime, income, number of religious organizations, and low-income housing) were significantly related to intersectional stigma, discrimination, mental health, HIV viral load, and medication adherence. Conclusions. Policy, research, and interventions for BWLWH need to address the role of neighborhood characteristics to improve quality of life and HIV outcomes. (Am J Public Health. 2022;112(S4):S433–S443. https://doi.org/10.2105/AJPH.2021.306675) [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/ajph.2021.306675
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        Text: English
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      – SubjectFull: Neighborhood characteristics
        Type: general
      – SubjectFull: HIV-positive persons
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      – SubjectFull: Evaluation of medical care
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      – SubjectFull: Social stigma
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      – SubjectFull: Post-traumatic stress disorder
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      – SubjectFull: Crime
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      – SubjectFull: Antiretroviral agents
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      – SubjectFull: Socioeconomic factors
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