Little is known about weight stigma among people living with HIV (PLWH). This study examined whether levels of perceived weight stigma experiences and internalization, assessed retrospectively and naturalistically, differed among adults with obesity based on HIV status. 50 PLWH (BMI = 35 kg/m2) and 51 adults without HIV (BMI = 36 kg/m2) completed retrospective assessments of lifetime perceived weight stigma experiences/internalization. Next, participants were invited to complete an optional 2-week Ecological Momentary Assessment study. 28 PLWH and 39 adults without HIV completed five momentary assessments of perceived weight stigma experiences/internalization daily. In covariate-adjusted models, PLWH reported 1.2-2.8 times lower frequency of lifetime and momentary perceived weight stigma experiences than adults without HIV, but levels of retrospectively- and naturalistically-assessed internalized weight stigma did not differ between groups. Findings suggest that HIV status may buffer against perceptions of weight stigma events, but not internalized weight stigma, highlighting weight stigma as an important area for future research in PLWH.

中文翻译：

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HIV 状况、肥胖和体重耻辱风险：比较感染和未感染 HIV 的肥胖成人的体重耻辱经历和内化。


人们对于艾滋病毒感染者（PLWH）的体重耻辱知之甚少。这项研究通过回顾性和自然主义的评估，检验了肥胖成年人之间基于艾滋病毒状况的感知体重耻辱经历和内化水平是否存在差异。 50 名 PLWH（BMI = 35 kg/m2）和 51 名未感染 HIV 的成年人（BMI = 36 kg/m2）完成了对终生体重耻辱经历/内化的回顾性评估。接下来，参与者被邀请完成一项可选的为期两周的生态瞬时评估研究。 28 名艾滋病感染者和 39 名未感染艾滋病毒的成年人每天完成五次关于体重耻辱经历/内化的瞬时评估。在协变量调整模型中，PLWH 报告的终生频率和瞬时体重耻辱体验频率比未感染 HIV 的成年人低 1.2-2.8 倍，但回顾性和自然评估的内化体重耻辱水平在各组之间没有差异。研究结果表明，艾滋病毒状况可能会缓冲对体重耻辱事件的认知，但不会缓冲内化的体重耻辱感，这凸显了体重耻辱是艾滋病毒感染者未来研究的一个重要领域。