This study examined the demographic and clinical correlates of HIV stigma and evaluated how HIV stigma was associated with physical and mental health outcomes one year later in a primary-care based cohort of persons living with HIV (PLHIV; N = 584). HIV stigma was measured using a modified Berger HIV stigma scale, which includes four subscales: (1) personalized stigma; (2) disclosure concerns; (3) negative self-image; and (4) concerns around public attitudes towards PLHIV. Physical and mental health were assessed using the 12-item short form survey (SF-12). Compared to whites, African Americans were more likely to have higher personalized stigma scores (adjusted prevalence ratio [aPR] 1.54 [95% confidence interval 1.10–2.15]), disclosure concerns (aPR 1.40 [1.03–1.92]), and concerns with public attitudes about PLHIV (aPR 1.61 [1.11–2.34]). Hispanic/Latinx participants were more likely to have concerns around public attitudes towards PLHIV (aPR 1.50 [1.11–2.02]) than whites. Compared to men, women were more likely to have higher negative self-image scores (aPR 1.50 [1.08–2.08]). Higher stigma scores were associated with poorer subsequent self-reported physical and mental health functional status. Our findings highlight the substantial need for addressing HIV stigma, particularly among minority subgroups.

本研究检查了 HIV 污名的人口统计学和临床​​相关性，并评估了一年后 HIV 污名如何与基于初级保健的 HIV 感染者队列（PLHIV；N = 584）的身心健康结果相关联。HIV 耻辱感是使用改良的 Berger HIV 耻辱感量表测量的，该量表包括四个分量表：（1）个性化耻辱感；(2) 披露问题；(3) 负面的自我形象；(4) 对公众对 PLHIV 态度的担忧。使用 12 项简短调查 (SF-12) 评估身心健康。与白人相比，非裔美国人更有可能有更高的个性化污名评分（调整后的患病率 [aPR] 1.54 [95% 置信区间 1.10-2.15]）、披露问题（aPR 1.40 [1.03-1.92]）以及对公众的担忧对 PLHIV 的态度（aPR 1.61 [1.11–2.34]）。西班牙裔/拉丁裔参与者比白人更可能担心公众对 PLHIV 的态度（aPR 1.50 [1.11-2.02]）。与男性相比，女性的负面自我形象得分更高（aPR 1.50 [1.08–2.08]）。较高的污名评分与较差的随后自我报告的身心健康功能状态相关。我们的研究结果强调了解决艾滋病毒耻辱感的必要性，特别是在少数群体中。