Evidence map›Paper›PMID 40261539›Full record

ArticleAIDS and behavior2025

Modeling the Mediating Effects of HIV-Related Stigma on the Associations Between Race/Ethnicity and Antiretroviral Therapy Adherence and Viral Suppression Among Diverse Racial and Ethnic Minority Women with HIV.

Ekpereka S Nawfal, Diana M Sheehan, Gladys E Ibañez, Timothy Hayes, Aaliyah Gray, Mary Jo Trepka

Erratum issuedAbstract read
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In one paragraph

Article in AIDS and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ekpereka S NawfalDepartment of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, 11200 SW 8th St, Academic Health Center 5, Miami, FL, 33199, USA.ORCID http://orcid.org/0009-0001-5030-8156
Diana M SheehanDepartment of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, 11200 SW 8th St, Academic Health Center 5, Miami, FL, 33199, USA.ORCID http://orcid.org/0000-0002-1316-3189
Gladys E IbañezDepartment of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, 11200 SW 8th St, Academic Health Center 5, Miami, FL, 33199, USA.ORCID http://orcid.org/0000-0002-1626-0881
Timothy HayesDepartment of Psychology, Center for Children and Families, Florida International University, 11200 SW 8th St, Miami, FL, 33199, USA.ORCID http://orcid.org/0000-0001-7530-0241
Aaliyah GrayDepartment of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, 11200 SW 8th St, Academic Health Center 5, Miami, FL, 33199, USA.ORCID http://orcid.org/0000-0003-1788-1791
Mary Jo TrepkaDepartment of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, University Park, 11200 SW 8th St, Academic Health Center 5, Miami, FL, 33199, USA. trepkam@fiu.edu.ORCID http://orcid.org/0000-0002-6585-1194

Funding

Women-centered HIV care practices that facilitate HIV care retention and viral suppression in the presence of adverse sociocultural factorsR01MD013563 · NIMHD · FLORIDA INTERNATIONAL UNIVERSITY · PI TREPKA, MARY JO · 2018 to 2022
$2.4M
NIMHD NIH HHS R01 MD013563NIMHD NIH HHS R01MD013563
6 · The paper itself

Abstract

Racial and ethnic minority women with HIV experience higher levels of HIV-related stigma, have poorer adherence to antiretroviral therapy (ART), and lower viral suppression rates than men and white women with HIV. Using structural equation modeling, we examined the direct and indirect associations between race and ethnicity, ART adherence and viral suppression through HIV-related stigma dimensions (anticipated, internalized, and enacted) among 542 racial and ethnic minority women with HIV (37% Black [excluding Hispanic and Haitian]; 34% Hispanic [of any race]; 29% Haitian [of any race]) who completed a survey about women-centered HIV care. All paths from each racial and ethnic group to the mediators and outcomes were estimated in comparison to the overall sample estimates. Approximately 62% of participants were adherent to ART, and 91% were virally suppressed. Haitian ethnicity was associated with increased anticipated stigma (β = 0.33, 95% CI: 0.19, 0.47), decreased internalized stigma (β = - 0.16, 95% CI: - 0.31,- 0.02), and decreased viral suppression (β = - 0.48, 95% CI: - 0.91, - 0.15). Hispanic ethnicity was associated with increased viral suppression (β = 0.43, 95% CI: 0.13, 0.85) and decreased anticipated stigma (β = - 0.25, 95% CI: - 0.37, - 0.13). Black race was not associated with any of the variables examined. None of the HIV-related stigma dimensions had a significant mediating effect. Our findings highlight the need for in-depth qualitative research to understand the unique cultural beliefs/practices and perceptions about HIV within the Haitian population that drive HIV-related stigma and decreased viral suppression.

Indexed as

Anti-HIV AgentsEthnicityHIV InfectionsMedication AdherenceMinority GroupsSocial StigmaAdultBlack or African AmericanFemaleHaitiHispanic or LatinoHumansMiddle AgedRacial GroupsSurveys and QuestionnairesViral LoadAnti-HIV AgentsAntiretroviral therapy adherenceHIV/AIDSHIV-related stigmaRacial/ethnic minoritiesViral suppressionWomen with HIV

Identifiers

PMID40261539
PMCPMC12272349

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.