Internalized HIV and Drug Stigmas: Interacting Forces Threatening Health Status and Health Service Utilization Among People with HIV Who Inject Drugs in St. Petersburg, Russia

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• 作者：Sarah K. Calabrese ; Sara E. Burke ; John F. Dovidio ; Olga S. Levina…
• 关键词：Stigma ; Injection drug use ; HIV ; Health ; Health services ; Russia
• 刊名：AIDS and Behavior
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：20
• 期：1
• 页码：85-97
• 全文大小：554 KB
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• 作者单位：Sarah K. Calabrese (1) (2)
  Sara E. Burke (3)
  John F. Dovidio (1) (2) (3)
  Olga S. Levina (4)
  Anneli Uusküla (5)
  Linda M. Niccolai (1) (2)
  Robert Heimer (1) (2)
  
  1. Yale School of Public Health, Yale University, 135 College Street, Suite 358, New Haven, CT, 06510, USA
  2. Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA
  3. Department of Psychology, Yale University, New Haven, CT, USA
  4. NGO-Stellit, St. Petersburg, Russia
  5. Department of Public Health, University of Tartu, Tartu, Estonia
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Public Health
  Health Psychology
  Infectious Diseases
  
• 出版者：Springer Netherlands
• ISSN：1573-3254

文摘

Marked overlap between the HIV and injection drug use epidemics in St. Petersburg, Russia, puts many people in need of health services at risk for stigmatization based on both characteristics simultaneously. The current study examined the independent and interactive effects of internalized HIV and drug stigmas on health status and health service utilization among 383 people with HIV who inject drugs in St. Petersburg. Participants self-reported internalized HIV stigma, internalized drug stigma, health status (subjective rating and symptom count), health service utilization (HIV care and drug treatment), sociodemographic characteristics, and health/behavioral history. For both forms of internalized stigma, greater stigma was correlated with poorer health and lower likelihood of service utilization. HIV and drug stigmas interacted to predict symptom count, HIV care, and drug treatment such that individuals internalizing high levels of both stigmas were at elevated risk for experiencing poor health and less likely to access health services. Keywords Stigma Injection drug use HIV Health Health services Russia