Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada

•Intersectional stigma research examining pathways to HIV outcomes is limited.•Adapted conceptual frameworks to examine intersectional stigma and health outcomes.•Stigma interacted with social/institutional support to increase depression.•Depression led to maladaptive coping, lowering adherence and...

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Bibliographic Details
Published in:Social science & medicine (1982) 2019-07, Vol.232, p.129-138
Main Authors: 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
Format: Article
Language:English
Subjects:
Behavior problems
Clinical outcomes
Coping
Coping strategies
Gender
Health problems
Health status
HIV
Human immunodeficiency virus
Immune response
Infections
Institutional aspects
Intersectionality
Low income groups
Mental depression
Mental health
Minority & ethnic groups
Public health
Race
Racism
Sex discrimination
Sexuality
Social support
Sociodemographics
Stigma
Violence
Women
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Description
Summary:•Intersectional stigma research examining pathways to HIV outcomes is limited.•Adapted conceptual frameworks to examine intersectional stigma and health outcomes.•Stigma interacted with social/institutional support to increase depression.•Depression led to maladaptive coping, lowering adherence and CD4 count.•Argues for multi-level strategies, including women-centred HIV care.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2019.04.044