ArticleAIDS (London, England)2019
Poverty stigma is associated with suboptimal HIV care and treatment outcomes among women living with HIV in the United States.
Article in AIDS (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- BIG cuts, BIG solutions: the case for basic income guarantee for low income people with HIV.AIDS (London, England) · 2026Article
- Article
- "I should learn from her": Multisystem resilience among mothers living with HIV and their children.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025Article
- Individual- and Neighborhood-Level Predictors of HIV Care Continuum Progression: Clark County, Nevada.Open forum infectious diseases · 2025Article
- Current Status of HIV-Stigma Reduction Interventions: A Need to Address the Root Causes at Multiple Levels.Current HIV/AIDS reports · 2025Review
- How Does Poverty Stigma Affect Depression Symptoms for Women Living with HIV? Longitudinal Mediating and Moderating Mechanisms.International journal of mental health and addiction · 2025Article
- Climate change and extreme weather events and linkages with HIV outcomes: recent advances and ways forward.Current opinion in infectious diseases · 2025Review
- 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 (1982) · 2025Article
- Factors affecting viral suppression or rebound in people living with HIV and receiving antiretroviral therapy in Ghana.Frontiers in public health · 2025Article
- Intersecting Stigma and the HIV Care Cascade: Qualitative Insights from Sex Workers, Men who have Sex with Men, and Transgender Women Living with HIV in Jamaica.AIDS and behavior · 2024Article
- A Moderated Mediation Analysis of HIV and Intersectional Stigmas and Antiretroviral Adherence in People Living with HIV in the Dominican Republic.AIDS and behavior · 2024Article
- Stigmatization of food insecurity helps explain the association between food insecurity and medication nonadherence among people living with HIV.Psychology, health & medicine · 2024Article
- The Impact of Stigma and Sexual Identity on PrEP Awareness and Use Among At-Risk Men Who Have Sex With Men in Four U.S. Cities (HPTN 078).Stigma and health · 2024Article
- Complementing the United States Household Food Security Survey Module with Items Reflecting Social Unacceptability.The Journal of nutrition · 2024Article
- Barriers and facilitators to engagement in care and medication adherence for women living with HIV in the Southern United States.AIDS care · 2024Article
- Exploring the determinants of health service utilization among people living with HIV: a qualitative study in Iran.BMC health services research · 2023Article
- Brief Report: Social Factors Associated With Trajectories of HIV-Related Stigma and Everyday Discrimination Among Women Living With HIV in Vancouver, Canada: Longitudinal Cohort Findings.Journal of acquired immune deficiency syndromes (1999) · 2023Article
- Resisting and disrupting HIV-related stigma: a photovoice study.BMC public health · 2023Article
- Understanding why racial/ethnic inequities along the HIV care continuum persist in the United States: a qualitative exploration of systemic barriers from the perspectives of African American/Black and Latino persons living with HIV.International journal for equity in health · 2023Article
- Factors associated with lack of care engagement among older, rural-dwelling adults living with HIV in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
objectiveTo examine whether experienced poverty stigma is associated with worse HIV care and treatment outcomes.
designWe analyzed cross-sectional data from 433 women living with HIV enrolled in the Women's Adherence and Visit Engagement substudy of the Women's Interagency HIV Study.
methodsExposure was experienced poverty stigma, measured using the Perceived Stigma of Poverty Scale. Outcomes were viral suppression, CD4 cell count at least 350 cells/μl, and attending all HIV care visits in the past 6 months. Multivariable logistic regression models adjusted for income, age, race/ethnicity, education, substance use, months taking antiretroviral therapy (ART), number of antiretroviral pills in ART regimen, unstable housing, relationship status, and exchanging sex for money, drugs, or shelter. We also explored whether self-reported at least 95% ART adherence mediated the relationship between poverty stigma and viral suppression and CD4 cell count at least 350 cells/μl.
resultsExperienced poverty stigma was associated with lower adjusted odds of viral suppression [adjusted odds ratio (aOR) 0.76; 95% confidence interval (CI) 0.61-0.96], CD4 cell count at least 350 cells/μl (aOR 0.69; 95% CI 0.52-0.91), and attending all HIV care visits (aOR 0.73; 95% CI: 0.54-0.98). Exploratory mediation analysis suggests that at least 95% ART adherence significantly mediates the relationship between experienced poverty stigma and viral suppression and CD4 cell count at least 350 cells/μl.
conclusionLongitudinal research should assess these relationships over time. Findings support interventions and policies that seek to reduce poverty stigma among people living with HIV.
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