Evidence map›Paper›PMID 38990469›Full record

ArticleJournal of racial and ethnic health disparities2025

Sleep Disturbance Mediates the Associations Between HIV Stigma and Mental and Physical Health Among Black Adults with HIV.

Lu Dong, Laura M Bogart, Matt G Mutchler, David J Klein, Madhumita Bonnie Ghosh-Dastidar, Sean J Lawrence, Kathy Goggin, Glenn J Wagner

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In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [ART adherence and its association with depression, anxiety and stress].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lu DongRAND Corporation, 1776 Main Street, Santa Monica, CA, USA. ldong@rand.org.ORCID 0000-0002-1075-9374
Laura M BogartRAND Corporation, 1776 Main Street, Santa Monica, CA, USA.
Matt G MutchlerAPLA Health, Los Angeles, CA, USA.
David J KleinRAND Corporation, 1776 Main Street, Santa Monica, CA, USA.
Madhumita Bonnie Ghosh-DastidarRAND Corporation, 1776 Main Street, Santa Monica, CA, USA.
Sean J LawrenceAPLA Health, Los Angeles, CA, USA.
Kathy GogginChildren's Mercy Kansas City and University of Missouri-Kansas City Schools of Medicine and Pharmacy, Kansas City, MO, USA.
Glenn J WagnerRAND Corporation, 1776 Main Street, Santa Monica, CA, USA.

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Sung-Jae Lee · 1997 to 2026
$53.5M
A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African AmericansR01NR017334 · NINR · RAND CORPORATION · PI BOGART, LAURA M · 2017 to 2021
$3.1M
NIMH NIH HHS P30MH05810NIMH NIH HHS P30 MH058107NINR NIH HHS R01 NR017334NINR NIH HHS R01NR017334
6 · The paper itself

Abstract

objectivesBlack Americans have been disproportionally affected by the HIV epidemic, and experience significant disparities in sleep health, mental health, and physical health domains. Using longitudinal data from a sample of Black adults with HIV, the current study examined the associations between stigma and mental and physical health outcomes and how sleep disturbance may play a mediating role.

methodsData were drawn from a recent randomized controlled trial. Questionnaires were used to examine internalized and anticipated HIV stigma, perceived discrimination (enacted stigma) based on multiple social identities (i.e., HIV-serostatus, race, sexual orientation), sleep disturbance, mental health problems (depressive and posttraumatic stress disorder [PTSD] symptoms), and mental and physical health-related quality of life (HRQOL) at baseline, 7-month follow-up, and 13-month follow-up assessments. Linear mixed modeling was used to examine main effects of stigma on health outcomes; causal mediation analysis was used to estimate indirect paths through sleep disturbance.

resultsInternalized and anticipated HIV stigma and multiple discrimination were associated with more sleep disturbance, more depressive and PTSD symptoms, and poorer mental and physical HRQOL. Results also indicated significant indirect paths (i.e., mediation) through greater sleep disturbance between HIV-related stigma and discrimination and mental health and health-related quality of life.

conclusionsResults support that sleep disturbance is a mediating pathway through which different forms of stigmas impact health outcomes. Sleep may be an intervention target to help improve mental and physical well-being and reduce health disparities among racial and ethnic minority people with HIV.

Indexed as

Black or African AmericanHealth StatusHIV InfectionsMental HealthSleep Wake DisordersSocial StigmaAdultDepressionFemaleHealth Status DisparitiesHumansLongitudinal StudiesMaleMiddle AgedQuality of LifeSurveys and QuestionnairesBlack AmericansHIV stigmaMental healthPhysical healthSleep

Identifiers

PMID38990469
PMCPMC11724012

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.