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Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis

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  • Norcini-Pala, Andrea
  • Stringer, Kristi L.
  • Kempf, Mirjam-Colette
  • Konkle-Parker, Deborah
  • Wilson, Tracey E.
  • Tien, Phyllis C.
  • Wingood, Gina
  • Neilands, Torsten B.
  • Johnson, Mallory O.
  • Weiser, Sheri D.
  • Logie, Carmen H.
  • Topper, Elizabeth F.
  • Turan, Janet M.
  • Turan, Bulent

Abstract

In the US, Women, especially Black and Latina women living in disadvantaged environments, are disproportionally affected by HIV. Women living with HIV (WLHIV) have higher rates of suboptimal antiretroviral therapy (ART) adherence, and detectable viral load (VL). Experiences of intersectional poverty, HIV, gender, and racial stigmas may increase the rates of detectable VL through suboptimal ART adherence.

Suggested Citation

  • Norcini-Pala, Andrea & Stringer, Kristi L. & Kempf, Mirjam-Colette & Konkle-Parker, Deborah & Wilson, Tracey E. & Tien, Phyllis C. & Wingood, Gina & Neilands, Torsten B. & Johnson, Mallory O. & Weiser, 2025. "Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis," Social Science & Medicine, Elsevier, vol. 366(C).
    • Handle: RePEc:eee:socmed:v:366:y:2025:i:c:s0277953624010979
    DOI: 10.1016/j.socscimed.2024.117643
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    References listed on IDEAS

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    1. Bartolucci, Francesco & Bacci, Silvia & Gnaldi, Michela, 2014. "MultiLCIRT: An R package for multidimensional latent class item response models," Computational Statistics & Data Analysis, Elsevier, vol. 71(C), pages 971-985.
    2. 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, 2019. "Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada," Social Science & Medicine, Elsevier, vol. 232(C), pages 129-138.
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    5. Yang, Lawrence Hsin & Kleinman, Arthur & Link, Bruce G. & Phelan, Jo C. & Lee, Sing & Good, Byron, 2007. "Culture and stigma: Adding moral experience to stigma theory," Social Science & Medicine, Elsevier, vol. 64(7), pages 1524-1535, April.
    6. Rice, Whitney S. & Logie, Carmen H. & Napoles, Tessa M. & Walcott, Melonie & Batchelder, Abigail W. & Kempf, Mirjam-Colette & Wingood, Gina M. & Konkle-Parker, Deborah J. & Turan, Bulent & Wilson, Tra, 2018. "Perceptions of intersectional stigma among diverse women living with HIV in the United States," Social Science & Medicine, Elsevier, vol. 208(C), pages 9-17.
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