P141 Factors associated with HIV-related stigma among individuals accessing antiretroviral therapy in british columbia, canada
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
<h3>Background</h3> Despite public health messaging that antiretroviral therapy (ART) has improved health outcomes for people living with HIV (PLWH) and is effective in preventing HIV transmission, many PLWH continue to experience HIV-related stigma. It is critical to assess HIV-related stigma experienced by PLWH accessing ART in the modern HIV treatment era. <h3>Methods</h3> The STOP HIV/AIDS Program Evaluation (SHAPE) study is a longitudinal cohort of PLWH ≥19 years of age in British Columbia, Canada. This cross-sectional analysis uses SHAPE baseline survey data (collected January 2016-August 2018) and linked clinical registry data to examine factors associated with HIV-related stigma among individuals accessing ART. HIV-related stigma was self-reported using the ten-item Berger HIV stigma scale. Multivariable linear regression quantified the relationship between key explanatory variables and stigma. <h3>Results</h3> Among 627 participants, 136(22%) identified as women, 326(52%) were aged ≥50 at enrolment, 374(60%) identified as men who have sex with men, and 133(21%) self-reported Indigenous ethnicity. The median stigma score was 47.5 (Q1-Q3: 32.5-62.5; range: 0-100). In the multivariable model, reporting injection drug use (IDU) in the past year (β=4.54, 95%CI= 0.23,8.86) or selecting prefer not to answer when asked about IDU history (β=9.52, 95%CI= 4.77,14.28); experiences of lifetime violence (β=7.62, 95%CI= 3.67,11.56); and having a mental health disorder diagnosis (β=5.30, 95%CI= 1.88, 8.73) were associated with higher stigma scores. Higher stigma scores were also associated with being 40-49 years old (β= 6.21, 95%CI= 1.58,10.85) compared to <40; age ≥50 had no significant association. Living in a city with a population ≥100,000 (β=-4.66, 95%CI= -8.53,-0.78) was associated with lower stigma scores. <h3>Conclusion</h3> Age, city size, IDU experience, violence, and mental illness were independently associated with HIV-related stigma. These findings provide support for an intersectional investigation into how these factors propagate stigma and how this experience impacts the health and wellbeing of PLWH in this setting. <h3>Disclosure</h3> No significant relationships.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it