This study elucidated the prevalence and correlates of four types of HIV stigma among women living with HIV (WLWH). Data were drawn from 2 years (September 1/15 to August 31/17) of follow-up from a longitudinal community-based open cohort of 215 cisgender or transgender WLWH who lived and/or accessed care in Metro Vancouver, Canada (2014-present). Bivariate and multivariable cumulative logistic regression using generalized estimating equations for repeated measures were used to examine correlates of HIV stigma, including: (1) anticipated; (2) enacted; (3) internalized; and (4) perceived stigma. In multivariable analysis, disclosure of HIV status without consent was significantly associated with heightened: anticipated; enacted; and perceived stigma. Verbal and/or physical violence related to HIV status was significantly associated with heightened enacted, internalized and perceived stigma. Negative physical effects/symptoms of HIV was significantly associated with all stigma outcomes. Results suggest a need to support safe disclosure of HIV status and address social and structural violence against WLWH.

本研究阐明了 HIV 感染妇女 (WLWH) 中四种类型的 HIV 耻辱感的流行程度和相关性。数据来自 2 年（9 月 15 日至 2017 年 8 月 31 日）的随访，该队列由 215 名在加拿大大温哥华地区居住和/或接受护理的顺性别或跨性别 WLWH 组成的纵向社区开放队列（2014-当下）。使用重复测量的广义估计方程的双变量和多变量累积逻辑回归用于检查 HIV 污名的相关性，包括：（1）预期；(2) 制定；(3)内化；(4) 感知到的污名。在多变量分析中，未经同意披露 HIV 状况与以下因素显着相关：预期；颁布; 和感知到的污名。与艾滋病毒状况相关的言语和/或身体暴力与强化的制定、内化和感知的污名显着相关。HIV 的负面身体影响/症状与所有耻辱结果显着相关。结果表明需要支持安全披露 HIV 状况并解决针对 WLWH 的社会和结构性暴力问题。