AIDS and Behavior

, Volume 15, Issue 6, pp 1098–1110

Do Social Support, Stress, Disclosure and Stigma Influence Retention in HIV Care for Latino and African American Men Who Have Sex with Men and Women?

  • Amy Rock Wohl
  • Frank H. Galvan
  • Hector F. Myers
  • Wendy Garland
  • Sheba George
  • Mallory Witt
  • Joseph Cadden
  • Eva Operskalski
  • Wilbert Jordan
  • Felix Carpio
  • Martin L. Lee
Original Paper

DOI: 10.1007/s10461-010-9833-6

Cite this article as:
Wohl, A.R., Galvan, F.H., Myers, H.F. et al. AIDS Behav (2011) 15: 1098. doi:10.1007/s10461-010-9833-6

Abstract

Limited research has examined the role that social support, stress, stigma and HIV disclosure play in retention in HIV care for African Americans and Latinos. Among 398 Latino and African American men who have sex with men (MSM) and women, the major predictor of retention in HIV care was disclosure of HIV status to more social network members (OR = 1.5; 95% CI: 1.1, 1.9). Among those who had disclosed (n = 334), female gender (OR = 1.8, 95% CI: 1.1, 3.1) and disclosure of HIV status to more network members (OR = 1.5, 95% CI: 1.1, 1.9) was associated with retention in HIV care. General stress was associated with retention in care (OR = 1.2; 95% CI: 1.1, 1.3) for African American MSM who had disclosed. More MSM-stigma was associated with poorer retention (OR = 0.9; 95% CI: 0.8, 0.9) for Latino MSM. Interventions that help patients safely disclose their HIV status to more social network members may improve HIV care retention as would social network counseling for Latino MSM to reduce MSM-stigma.

Keywords

Social supportStressStigmaHIV disclosureMen who have sex with menWomenAfrican AmericanLatino

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Amy Rock Wohl
    • 1
    • 2
  • Frank H. Galvan
    • 3
  • Hector F. Myers
    • 4
  • Wendy Garland
    • 1
  • Sheba George
    • 5
  • Mallory Witt
    • 6
  • Joseph Cadden
    • 7
  • Eva Operskalski
    • 8
  • Wilbert Jordan
    • 9
  • Felix Carpio
    • 10
  • Martin L. Lee
    • 3
    • 11
  1. 1.HIV Epidemiology Program, Los Angeles County Department of Public HealthLos AngelesUSA
  2. 2.Department of Preventive MedicineUSC Keck School of MedicineLos AngelesUSA
  3. 3.Institute for Community Health ResearchCharles Drew University of Medicine and ScienceLos AngelesUSA
  4. 4.Department of PsychologyUniversity of California at Los AngelesLos AngelesUSA
  5. 5.Biomedical Research CenterCharles Drew University of Medicine and ScienceLos AngelesUSA
  6. 6.Division of HIV MedicineHarbor UCLA Medical CenterLos AngelesUSA
  7. 7.Rand Schrader HIV ClinicLos Angeles County/University of Southern California Medical CenterLos AngelesUSA
  8. 8.Maternal Child and Adolescent ClinicLos Angeles County/University of Southern California Medical CenterLos AngelesUSA
  9. 9.OASIS ClinicLos Angeles County MLK-MACCLos AngelesUSA
  10. 10.Daniel V. Lara ClinicAltaMed Health Services CorporationLos AngelesUSA
  11. 11.Department of BiostatisticsUCLA School of Public HealthLos AngelesUSA