Structural equation model of intersectional microaggressions, discrimination, resilience, and mental health among black women with hiv.

Dale, Sannisha K.; Nelson, C. Mindy; Wright, Ian; Etienne, Kayla; Lazarus, Kimberly; Gardner, Nadine; Bolden, Roxana; Adeojo, Layomi; Patrick, Jordan; Wallen, Chelsie; Liu, Jingxin; Ironson, Gail; Alcaide, María L.; Safren, Steven A.; Feaster, Daniel J.

doi:10.1037/hea0001275

Cited by 5 publications

(1 citation statement)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies aimed at exploring the role of these underlying mechanisms can make use of such measures. Many of the measures have already been validated in health populations, including patients with CKD [29,54,55]. Understudied areas such as the role of ableism, ageism, and xenophobia warrant more attention and may offer a wider range of understanding of the complexities associated with a patient's multiple social statuses.…”

Section: Recommendations For Research and Practicementioning

confidence: 99%

Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality

Nonterah

2024

Transpl Int

View full text Add to dashboard Cite

Patients from minoritized backgrounds based on race/ethnicity, gender, sexuality, and other social identities are more likely to experience inequities in access in kidney transplantation. Although these inequities have been reported over the decades, limited research focuses on the experiences of patients with intersecting minoritized social statuses and the mechanisms that contribute to their reduced access to transplantation. Intersectionality, a framework for understanding the ways in which multiple social identities represent interacting systems of oppression and privilege, offers a nuanced approach for understanding the experiences of patients diagnosed with end-stage organ disease with intersecting social identities. This article outlines complex systems that perpetuate inequities by highlighting the value of intersectionality in studying disparate outcomes to transplant and providing recommendations for the transplant community. This article aligns with the ESOT call for action to promote equity in transplantation worldwide.

show abstract

Section: Recommendations For Research and Practicementioning

confidence: 99%

Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality

Nonterah

2024

Transpl Int

View full text Add to dashboard Cite

show abstract

Gendered Racial Microaggressions, Self-silencing, Substance Use, and HIV Outcomes Among Black Women Living with HIV: A Structural Equation Modeling Approach

Shahid,

Dale

2023

AIDS Behav

View full text Add to dashboard Cite

A Pilot Randomized Control Trial of the Striving Towards EmPowerment and Medication Adherence (STEP-AD) Intervention for Black Women Living with HIV

Dale,

Wright,

Madhu

et al. 2024

AIDS Behav

View full text Add to dashboard Cite

Black women living with HIV (BWLWH) face adversities associated with lower HIV medication adherence, viral non-suppression, and mental health symptoms (e.g., post-traumatic stress disorder) such as trauma/violence, racism, HIV-related discrimination/stigma, and gender-related stressors. We developed the first intervention based in cognitive behavioral therapy and culturally congruent coping for BWLWH to increase medication adherence and decrease PTSD symptoms by enhancing resilience, self-care, engagement in care, and coping for trauma, racism, HIV-related discrimination/stigma, and gender-related stressors. A pilot randomized control trial was conducted with BWLWH and histories of trauma who were at risk for their HIV viral load remaining or becoming detectable (i.e., below 80% medication adherence, detectable viral load in the past year, and/or missed HIV-related appointments). 119 BWLWH were assessed at baseline and 70 met inclusion criteria, completed one session of Life-Steps adherence counseling, and were randomized to either nine sessions of STEP-AD (Striving Towards EmPowerment and Medication Adherence) or ETAU (enhanced treatment as usual consisting of biweekly check-ins). Women completed a post intervention follow up assessment (3 months post baseline) and 3-month post intervention follow-up (6 months post baseline). Via STATA the difference-in-difference methodology with mixed models compared STEP-AD to ETAU on changes in outcomes over time. BWLWH in STEP-AD compared to E-TAU had significantly higher ART adherence (estimate = 9.36 p = 0.045) and lower likelihood of being clinically diagnosed with PTSD (OR = .07, estimate = − 2.66, p = 0.03) as well as borderline significance on higher CD4 count (estimate = 161.26, p = 0.05). Our findings suggest preliminary efficacy of STEP-AD in improving ART adherence, mental health, and immune function.

show abstract

Structural equation model of intersectional microaggressions, discrimination, resilience, and mental health among black women with hiv.

Cited by 5 publications

References 68 publications

Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality

Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality

Gendered Racial Microaggressions, Self-silencing, Substance Use, and HIV Outcomes Among Black Women Living with HIV: A Structural Equation Modeling Approach

A Pilot Randomized Control Trial of the Striving Towards EmPowerment and Medication Adherence (STEP-AD) Intervention for Black Women Living with HIV

Contact Info

Product

Resources

About