Research has shown that HIV-related stigma contributes to people living with HIV having a higher risk of mental health disorders. Our study examines the association between enacted HIV-related stigma and symptoms of anxiety and depression among PLWH. We used baseline data from 932 PLWH collected from the Florida Cohort study between 2014 and 2018. The sample was majority 45 + years of age (63.5%), male (66.0%), and Black (58.1%). The majority had previously experienced enacted HIV-related stigma (53.1%). Additionally, 56.6% and 65.2% showed mild to moderate/severe levels of anxiety and depression, respectively. Those who experienced any levels of enacted HIV-related stigma (vs none) had significantly greater odds of mild and moderate/severe levels of anxiety (vs no/minimal) (AOR[CI] 1.54[1.13, 2.10], p = 0.006; AOR[CI] 3.36[2.14, 5.26], p < 0.001, respectively) and depression (AOR[CI] 1.61[1.19, 2.18], p = 0.002; AOR[CI] 3.66[2.32, 5.77], p < 0.001, respectively). Findings suggest a need to evaluate interventions for PLWH to reduce the deleterious effects of enacted HIV-related stigma on mental health.

研究表明，与艾滋病毒相关的污名会导致艾滋病毒感染者患精神疾病的风险更高。我们的研究检查了艾滋病病毒相关的污名与感染者中焦虑和抑郁症状之间的关系。我们使用了 2014 年至 2018 年间从佛罗里达队列研究中收集的 932 名 PLWH 的基线数据。样本大多数为 45 岁以上（63.5%）、男性（66.0%）和黑人（58.1%）。大多数人以前曾经历过与艾滋病毒相关的污名（53.1%）。此外，分别有 56.6% 和 65.2% 的人表现出轻度至中度/重度的焦虑和抑郁。经历过任何程度的 HIV 相关污名（与无）的人出现轻度和中度/重度焦虑的几率显着增加（与无/最小）（AOR[CI] 1.54[1.13, 2.10]，p = 0.006； AOR[CI] 3.36[2.14, 5.26]，p < 0。001）和抑郁症（AOR[CI] 1.61[1.19, 2.18], p = 0.002; AOR[CI] 3.66[2.32, 5.77], p < 0.001）。研究结果表明，有必要评估对 PLWH 的干预措施，以减少已实施的 HIV 相关污名对心理健康的有害影响。