A Structural Equation Model of HIV-Related Stigma, Racial Discrimination, Housing Insecurity and Wellbeing among African and Caribbean Black Women Living with HIV in Ontario, Canada

African and Caribbean Black women in Canada have new HIV infection rates 7 times higher than their white counterparts. This overrepresentation is situated in structural contexts of inequities that result in social, economic and health disparities among African and Caribbean Black populations. Econom...

Celý popis

Uloženo v:

Podrobná bibliografie
Vydáno v:	PloS one Ročník 11; číslo 9; s. e0162826
Hlavní autoři:	Logie, Carmen H., Jenkinson, Jesse I. R., Earnshaw, Valerie, Tharao, Wangari, Loutfy, Mona R.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Public Library of Science 26.09.2016 Public Library of Science (PLoS)
Témata:	Acquired immune deficiency syndrome AIDS Biology and Life Sciences Black people Black white relations Black women Conceptual models Data processing Depression (Mood disorder) Discrimination Earth Sciences Economics Health Health disparities Health status HIV HIV carriers discrimination HIV infections HIV patients HIV tests Housing Human immunodeficiency virus Inequality Insecurity Lentivirus Maximum likelihood estimation Maximum likelihood method Medicine and Health Sciences Mental depression Model testing People and Places Preventive medicine Race discrimination Racial differences Racial discrimination Racism Representativeness Retroviridae Security Self evaluation Social aspects Social exclusion Social interactions Social networks Social Sciences Social support Socioeconomic factors Stigma Structural equation modeling Tests Well being Women Womens health Canada Haiti Toronto Ontario Canada United States > US
ISSN:	1932-6203, 1932-6203
On-line přístup:	Získat plný text
Tagy:	Přidat tag Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!

Popis
Shrnutí:	African and Caribbean Black women in Canada have new HIV infection rates 7 times higher than their white counterparts. This overrepresentation is situated in structural contexts of inequities that result in social, economic and health disparities among African and Caribbean Black populations. Economic insecurity is a distal driver of HIV vulnerability, reducing access to HIV testing, prevention and care. Less is known about how economic insecurity indicators, such as housing security, continue to influence the lives of women living with HIV following HIV-positive diagnoses. The aim of this study was to test a conceptual model of the pathways linking HIV-related stigma, racial discrimination, housing insecurity, and wellbeing (depression, social support, self-rated health). We implemented a cross-sectional survey with African and Caribbean Black women living with HIV in 5 Ontario cities, and included 157 participants with complete data in the analyses. We conducted structural equation modeling using maximum likelihood estimation to evaluate the hypothesized conceptual model. One-fifth (22.5%; n = 39) of participants reported housing insecurity. As hypothesized, racial discrimination had significant direct effects on: HIV-related stigma, depression and social support, and an indirect effect on self-rated health via HIV-related stigma. HIV-related stigma and housing insecurity had direct effects on depression and social support, and HIV-related stigma had a direct effect on self-rated health. The model fit the data well: χ2 (45, n = 154) = 54.28, p = 0.387; CFI = 0.997; TLI = 0.996; RMSEA = 0.016. Findings highlight the need to address housing insecurity and intersecting forms of stigma and discrimination among African and Caribbean Black women living with HIV. Understanding the complex relationships between housing insecurity, HIV-related stigma, racial discrimination, and wellbeing can inform multi-level interventions to reduce stigma and enhance health.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Conceptualization: MRL WT CHL. Data curation: CHL. Formal analysis: CHL. Funding acquisition: MRL WT. Investigation: CHL WT MRL. Methodology: CHL VE. Project administration: MRL WT. Software: CHL. Supervision: MRL WT CHL. Visualization: CHL. Writing – original draft: CHL JJ. Writing – review & editing: CHL JJ VE WT CHL. Competing Interests: The authors have declared that no competing interests exist. Dr. Mona Loutfy is a PLOS ONE Academic Editor. This does not alter our adherence to all the PLOS ONE policies on sharing data and materials.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0162826