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Cited by 53HIV, Drug Use, Sexual RiskHIV/AIDS Research and InterventionsHomelessness and Social Issues

HIV and substance use stigma, intersectional stigma and healthcare among HIV-positive PWID in Russia

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Vetrova, Marina V., Cheng, Debbie M., Bendiks, Sally, Gnatienko, Natalia, Lloyd-Travaglini, Christine, Jiang, Wenqing, Luoma, Jason, Blokhina, Elena +6 more·2021·AIDS and Behavior
DOI 10.1007/s10461-021-03172-5PMC PMC8316484
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Abstract

Little is known about the intersection of HIV stigma and substance use stigma. Using data from 188 HIV-positive people who inject drugs (PWID) in Russia, we examined the associations of these stigmas and their interaction with access and utilization of healthcare. While substance use stigma was significantly associated with poor access to care (AOR 2.31, 95%CI 1.50-3.57), HIV stigma was not. HIV stigma was associated with lower inpatient care utilization (AOR 0.32, 95%CI 0.14-0.65), while substance use stigma was not. We did not detect a significant interaction between the two forms of stigma for either of the primary outcomes. However, those with high levels of both substance use stigma and HIV stigma had higher odds of poor general access to healthcare (AOR 1.86, 95%CI 1.19-2.92), and lower odds of recent general outpatient (AOR 0.52, 95%CI 0.32-0.85) and any inpatient (AOR 0.48, 95%CI 0.22-0.99) care utilization compared to those with low levels of both types of stigma. Interventions addressing both substance use and HIV stigma in general healthcare settings might improve care in this HIV key population.

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  • People with HIV who inject drugs in Russia and who manifested high intersectional stigma had less access to and utilization of HIV and addiction treatment than those with less manifestations, which was not explained by either form of stigma alone.

    “We previously found that people with HIV who inject drugs in Russia and who manifested high intersectional stigma had less access to and utilization of HIV and addiction treatment than those with less manifestations, which was not explained by either form of stigma alone.14”

    From An acceptance-based, intersectional stigma coping intervention for people with HIV who inject drugs—a randomized clinical trial (2023) · cites this paper as [14]

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Research works printed but not linked: 5

  1. [8]Kirzhanova VV, Grigorova NI, Kirzhanov VN, Sidoryuk OV. The main outcomes of the narcological care in Russian Federation in 2015–2016: Statistical bulletin. FSBI « Serbsky FMSCPN» Minist Heal Russ Fed. 2017;
  2. [17]Kelly J, Amirkhanian Y, Yakovlev A, Musatov V, Meylakhs A, Kuznetsova A, Stigma reduces and social support increases engagement in medical care among persons with HIV infection in St. Petersburg, Russia. J Int AIDS Soc. Wiley-Blackwell; 2014; 17: 19618. PMC4224855 25394122
  3. [48]Sarang A, Rhodes T, Sheon N. Systemic barriers accessing HIV treatment among people who inject drugs in Russia: A qualitative study. Health Policy Plan. 2013; 28: 681– 91. 23197431 PMC3794461
  4. [52]Burke SE, Calabrese SK, Dovidio JF, Levina OS, Uusküla A, Niccolai LM, A tale of two cities: Stigma and health outcomes among people with HIV who inject drugs in St. Petersburg, Russia and Kohtla-Järve, Estonia. Soc Sci Med [Internet]. Elsevier Ltd; 2015; 130: 154– 61. Available from: 10.1016/j.socscimed.2015.02.018 PMC4363273 25703668 · DOI
  5. [61]Luoma JB, Nobles RH, Drake CE, Hayes SC, O’Hair A, Fletcher L, Self-stigma in substance abuse: Development of a new measure. J Psychopathol Behav Assess. 2013; 35: 223– 34. 23772099 PMC3680138

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Authors
Vetrova, M. V., Cheng, D. M., Bendiks, S., Gnatienko, N., Lloyd-Travaglini, C., Jiang, W., Luoma, J., Blokhina, E., Krupitsky, E., Lioznov, D., Ekstrand, M. L., Raj, A., Samet, J. H., & Lunze, K.
Affiliations
  • Boston Medical Center (US)
  • Boston University (US)
  • First Pavlov State Medical University of St. Petersburg (RU)
  • University of California, San Francisco (US)
  • University of California San Diego (US)
Corresponding author
Vetrova, Marina V.
ORCID
Venue
AIDS and Behavior
Publisher
Springer Science and Business Media LLC
Published
2021-01-28
Volume
25
Issue
9
Pages
2815-2826
ISSN
  • 1090-7165 (ISSN-L)
  • 1573-3254
DOI
10.1007/s10461-021-03172-5
PMC
PMC8316484
OpenAlex
W3125558708
Cited by
52
References
51
Citations by year
2026: 6 · 2025: 7 · 2024: 7 · 2023: 14 · 2022: 16 · 2021: 2
FWCI
7.02
Type
journal article
Language
en
Open access
Licence
Locations
  • AIDS and Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institute on Drug Abuse (K99DA041245, 4R00DA041245, 2018 NIDA INVEST)
  • National Institute on Alcohol Abuse and Alcoholism (U24AA020778, U24AA020779, U01AA021989, U01AA0020780)
  • Providence/Boston Center for AIDS Research (P30AI042853)
Topics
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
HIV stigma, substance use stigma, intersectional stigma, people who inject drugs, health care access, health care utilization, inpatient care, outpatient care, Russia
MeSH terms
Delivery of Health Care, Health Facilities, Humans, Russia, HIV Infections, Substance Abuse, Intravenous, Social Stigma

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