ArticleJournal of behavioral medicine2025
Diminished social support as an explanatory mechanism in the relationship between stigma and engagement HIV care.
Article in Journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Explaining the Link Between HIV Stigma and Treatment Outcomes: From Stigma Avoidance to Socially Motivated Nonadherence.International journal of behavioral medicine · 2026Article
- Social processes and engagement along the HIV care continuum: a mixed methods exploratory study with diverse African American/Black and Latine emerging adults living with HIV.International journal for equity in health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
HIV-related stigma experiences impede healthcare engagement and adversely impact people living with HIV. However, the mechanisms that account for the association between stigma and poor health are not fully known. Grounded in contemporary theories of stigma and health, we conducted a 16-month prospective cohort study of 435 younger people living with HIV (ages 18-36), with 352 (81%) retained over 16 months. We tested two primary hypotheses: (a) in cross-sectional analyses, perceived social support would mediate for the association between HIV stigma experiences and missing recent HIV care appointments; and (b) in prospective analyses, the association between stigma and HIV viral load would be serially mediated by perceived social support and missed care appointments. We tested these associations for both past stigma experiences (e.g., enacted stigma) and expectancies for future stigma (e.g., anticipated stigma). Results confirmed both hypotheses: perceived social support mediated the association between both enacted and anticipated stigma and recently missed care appointments; and the association between both enacted and anticipated stigma and viral load were serially mediated by perceived social support and missed care appointments. These findings affirm that diminished social support may explain the association between HIV-related stigma and poor health outcomes in younger people living with HIV. Results are discussed in the context of interventions designed to mitigate the adverse effects of stigma by building sustainable support networks among younger people living with HIV.
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Identifiers
41006892What OpenQuestion holds
Registered trials
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.