4.3 Article

Critical Consciousness, Racial and Gender Discrimination, and HIV Disease Markers in African American Women with HIV

期刊

AIDS AND BEHAVIOR
卷 18, 期 7, 页码 1237-1246

出版社

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-013-0621-y

关键词

Critical consciousness; HIV; African American women; Protective factor; Perceived racial discrimination; Perceived gender discrimination

资金

  1. NIAID NIH HHS [U01 AI034993, P30- AI 082151, P30 AI082151] Funding Source: Medline
  2. NIMH NIH HHS [F31 MH095510, F31MH095510] Funding Source: Medline
  3. PHS HHS [5U01A1034993] Funding Source: Medline

向作者/读者索取更多资源

Critical consciousness, the awareness of social oppression, is important to investigate as a buffer against HIV disease progression in HIV-infected African American women in the context of experiences with discrimination. Critical consciousness comprises several dimensions, including social group identification, discontent with distribution of social power, rejection of social system legitimacy, and a collective action orientation. The current study investigated self-reported critical consciousness as a moderator of perceived gender and racial discrimination on HIV viral load and CD4+ cell count in 67 African American HIV-infected women. Higher critical consciousness was found to be related to higher likelihood of having CD4+ counts over 350 and lower likelihood of detectable viral load when perceived racial discrimination was high, as revealed by multiple logistic regressions that controlled for highly active antiretroviral therapy (HAART) adherence. Multiple linear regressions showed that at higher levels of perceived gender and racial discrimination, women endorsing high critical consciousness had a larger positive difference between nadir CD4+ (lowest pre-HAART) and current CD4+ count than women endorsing low critical consciousness. These findings suggest that raising awareness of social oppression to promote joining with others to enact social change may be an important intervention strategy to improve HIV outcomes in African American HIV-infected women who report experiencing high levels of gender and racial discrimination.

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