Associations Between Stigma, Discrimination, and HIV Continuum of Care Outcomes Among Criminal Legal-Involved Youth and Young Adults with HIV
These findings highlight an elevated burden of internalized HIV stigma and health care discrimination among transgender women and challenge the assumption that education uniformly protects against stigma. Instead, individuals with higher educational attainment may be more attuned to experiences of intersectional stigma. The positive association between healthcare discrimination and provider-patient engagement suggests a complex dynamic where experiences of stigma may also reflect or foster resilience and agency in navigating care. These results emphasize the need for cross-sector collaborations and inclusive, stigma-reducing strategies and affirming care models in healthcare settings responsive to the experiences of CLI YWH.
Authors
- Nina T. Harawa (ORCID: https://orcid.org/0000-0002-7486-8393)
- Jeannette Webb
- Danielle S. Seiden
- Chad Zawitz (ORCID: https://orcid.org/0000-0003-2890-4469)
- Julie McAvoy-Banerjea (ORCID: https://orcid.org/0000-0002-5753-5941)
- Ellen Almirol (ORCID: https://orcid.org/0000-0001-9340-8635)
- Darjai Payne
- Liyuan Wang
- Mayra Malagon
- John A. Schneider
- Darlene A. Hernandez
- Marvin Beltzer
- Lauren Mungo
Institutions
- Children's Hospital of Los Angeles (US)
- University of California, Los Angeles (US)
- University of Georgia (US)
- University of Chicago (US)
- Cook County Health and Hospitals System (US)
- Charles R. Drew University of Medicine and Science (US)
Publication Details
- Journal
- Journal of Racial and Ethnic Health Disparities
- Published
- 2026-01-12
- DOI
- https://doi.org/10.1007/s40615-025-02776-0
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institute on Minority Health and Health Disparities