Do social support, stress, disclosure and stigma influence retention in HIV care for Latino and African American men who have sex with men and women?
Limited research has examined the role that social support, stress, stigma and HIV disclosure play in retention in HIV care for African Americans and Latinos. Among 398 Latino and African American men who have sex with men (MSM) and women, the major predictor of retention in HIV care was disclosure of HIV status to more social network members (OR = 1.5; 95% CI: 1.1, 1.9). Among those who had disclosed (n = 334), female gender (OR = 1.8, 95% CI: 1.1, 3.1) and disclosure of HIV status to more network members (OR = 1.5, 95% CI: 1.1, 1.9) was associated with retention in HIV care. General stress was associated with retention in care (OR = 1.2; 95% CI: 1.1, 1.3) for African American MSM who had disclosed. More MSM-stigma was associated with poorer retention (OR = 0.9; 95% CI: 0.8, 0.9) for Latino MSM. Interventions that help patients safely disclose their HIV status to more social network members may improve HIV care retention as would social network counseling for Latino MSM to reduce MSM-stigma.
Wohl
Amy Rock
AR
HIV Epidemiology Program, Los Angeles County Department of Public Health, 600 S. Commonwealth Avenue Suite 1920, Los Angeles, CA 90005, USA. awohl@ph.lacounty.gov
Galvan
Frank H
FH
Myers
Hector F
HF
Garland
Wendy
W
George
Sheba
S
Witt
Mallory
M
Cadden
Joseph
J
Operskalski
Eva
E
Jordan
Wilbert
W
Carpio
Felix
F
Lee
Martin L
ML
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D019380:Anti-HIV Agents / Q000627:therapeutic use; D001727:Bisexuality / Q000523:psychology; D002140:California; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000208:ethnology* / Q000523:psychology*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology*; D012309:Risk-Taking; D012747:Sexual Partners; D012944:Social Support; D013240:Stereotyping; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires; D014342:Truth Disclosure; D055815:Young Adult
D019380:Anti-HIV Agents