The goal of this study was to examine the effects of racial discrimination, depression, and Black LGBTQ community support on HIV care outcomes among a sample of Black sexually minoritized men living with HIV. We conducted a cross-sectional survey with 107 Black sexually minoritized men living with HIV in Chicago. A path model was used to test associations between racial discrimination, Black LGBTQ community support, depressive symptoms, and missed antiretroviral medication doses and HIV care appointments. Results of the path model showed that men who had experienced more racism had more depressive symptoms and subsequently, missed more doses of HIV antiretroviral medication and had missed more HIV care appointments. Greater Black LGBTQ community support was associated with fewer missed HIV care appointments in the past year. This research shows that anti-Black racism may be a pervasive and harmful determinant of HIV inequities and a critical driver of racial disparities in ART adherence and HIV care engagement experienced by Black SMM. Black LGBTQ community support may buffer against the effects of racial discrimination on HIV care outcomes by providing safe, inclusive, supportive spaces for Black SMM.

本研究的目的是调查种族歧视、抑郁症和黑人 LGBTQ 社区支持对感染艾滋病毒的黑人性少数男性样本的艾滋病毒护理结果的影响。我们对芝加哥 107 名感染艾滋病毒的黑人性少数男性进行了一项横断面调查。使用路径模型来测试种族歧视、黑人 LGBTQ 社区支持、抑郁症状以及错过抗逆转录病毒药物剂量和艾滋病毒护理预约之间的关联。路径模型的结果显示，经历过更多种族主义的男性有更多的抑郁症状，随后错过更多剂量的艾滋病毒抗逆转录病毒药物，并错过更多的艾滋病毒护理预约。去年，更多的黑人 LGBTQ 社区支持与错过的艾滋病毒护理预约减少有关。这项研究表明，反黑人种族主义可能是艾滋病毒不平等的一个普遍且有害的决定因素，也是黑人 SMM 所经历的 ART 依从性和艾滋病毒护理参与方面种族差异的关键驱动因素。黑人 LGBTQ 社区支持可以通过为黑人 SMM 提供安全、包容、支持的空间来缓冲种族歧视对艾滋病毒护理结果的影响。