Abstract:
:Social inequities compromise health-related quality of life (HR-QoL) among women living with HIV (WLWH). Little is known about health impacts of intersecting stigma based on HIV status, race and gender among WLWH or potential mechanisms to promote HR-QoL. We tested pathways from multiple types of stigma (HIV-related, racial, gender) to physical and mental HR-QoL utilizing baseline survey data from a national cohort of WLWH in Canada (2013-2015). Structural equation modeling was conducted using maximum likelihood estimation methods to test the direct effects of HIV-related stigma, racial discrimination, and gender discrimination on HR-QoL and indirect effects via social support and economic insecurity, adjusting for socio-demographic factors. Among 1425 WLWH (median age: 43years [IQR=35-50]), HIV-related stigma and gender discrimination had significant direct effects on mental HR-QoL. Social support mediated the relationship between HIV-related stigma and mental HR-QoL, accounting for 22.7% of the effect. Social support accounted for 41.4% of the effect of gender discrimination on mental HR-QoL. Economic insecurity accounted for 14.3% of the effect of HIV-related stigma, and 42.4% of the effect of racial discrimination, on physical HR-QoL. Fit indices suggest good model fit (χ2[1]=3.319, p=0.069; CFI=0.998; RMSEA=0.042 (90% CI: 0-0.069); SRMR=0.004). Findings reveal complex relationships between intersecting stigma and HR-QoL. Strategies that address intersecting stigma and economic insecurity among WLWH may prevent the harmful impacts of HIV-related stigma and gender discrimination on physical HR-QoL. Increasing social support may mitigate the impacts of stigma on mental health. Findings can inform multi-level interventions to promote health and wellbeing among WLWH.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Logie CH,Wang Y,Lacombe-Duncan A,Wagner AC,Kaida A,Conway T,Webster K,de Pokomandy A,Loutfy MRdoi
10.1016/j.ypmed.2017.12.018subject
Has Abstractpub_date
2018-02-01 00:00:00pages
36-44eissn
0091-7435issn
1096-0260pii
S0091-7435(17)30505-4journal_volume
107pub_type
杂志文章abstract:BACKGROUND:The workplace provides a useful setting for early identification and intervention with individuals who have unhealthy lifestyles. The objective was to evaluate the effects of a workplace-based lifestyle intervention (Workscreen) to reduce excessive drinking. METHOD:There were eight Australia Post networks r...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1006/pmed.1999.0587
更新日期:2000-01-01 00:00:00
abstract::The aims of the study were to analyse the association of television viewing, physical activity (PA), and multimorbidity; and to understand if PA attenuates or eliminates the detrimental associations between television viewing and multimorbidity. This is a cross-sectional study based on data from the European Social Su...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.01.015
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Reducing adolescents' exposure to environmental tobacco smoke (ETS) is an important public health goal. This paper identifies the linkage between young people's exposure at home and household smoking restrictions, and suggests the promotion of such restrictions as a strategy to reduce health risks. METHODS:...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1997.0152
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:Current literature supports the link between physical activity (PA) or fitness and a child's ability to achieve academically; however, little structured activity time is incorporated into elementary school classrooms. This paper explores the impact of a classroom-based PA program, TAKE 10!, and health-academi...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2011.01.025
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Adequate care for patients with cardiovascular risks requires an adequate practice organization. Educational outreach visits are a promising approach to modifying professional behavior. We aimed to assess whether the quality of cardiovascular preventive care in general practice can be improved through a comp...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1006/pmed.2002.1095
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:Existing smoking cessation interventions tend to be under utilized by ethnic minority groups. We sought to identify smoking cessation interventions that have been adapted to meet the needs of African-, Chinese- and South Asian-origin populations, to increase understanding of the approaches used to promote beh...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2013.09.014
更新日期:2013-12-01 00:00:00
abstract::There is substantial evidence that type 2 diabetes mellitus (T2DM) can be prevented in high-risk individuals by a lifestyle program of regular exercise and weight reduction. Additionally, there is emerging evidence that new onset T2DM (<1year) can go into remission after weight loss and exercise in a majority of motiv...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.03.014
更新日期:2015-11-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.02.021
更新日期:2018-06-01 00:00:00
abstract::A decision theoretic model was used to investigate the relative importance of risk level, radiation hazard, mammographic accuracy, and cost in mammographic screening decision. The model uses woman-specific medical and family history facts and clinic-specific information regarding mammographic accuracy and practice to ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(88)90060-6
更新日期:1988-03-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.105853
更新日期:2019-11-01 00:00:00
abstract::Promotion of carcinogenesis in rats by dietary fat depends on the amount and type of fatty acids ingested, mainly as triglycerides. A certain amount of essential fatty acid of the linoleate type (n-6) is required for promotion of mammary cancer and pancreatic cancer and probably also for colon cancer. Promotion is als...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(87)90065-x
更新日期:1987-07-01 00:00:00
abstract:BACKGROUND:This article describes the results of studies on the barriers and benefits of cervical cancer screening from the perspective of women, men, and health providers in five Latin American countries and compares them to other findings from the literature. METHODS:Five separate qualitative studies (focus groups a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.03.040
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:The screening context may provide a "teachable moment" for promoting health behaviours. The present study examined the impact on diet, alcohol and physical activity of providing individually-tailored advice in the context of flexible sigmoidoscopy (FS) screening. METHOD:Adults (n=365) aged 58-59 years who at...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2010.10.002
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:The goal of this study was to evaluate the effect of pubertal timing, and its interaction with prior childhood maltreatment, on the risk of cervical human papillomavirus (HPV) among sexually active adolescent minority female adolescents and young adults. METHODS:This cross-sectional study includes 842 adolesce...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106126
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:The benefits of childhood physical activity include fitness, weight control, and exercise habits that may carry over into adulthood. School physical education is the primary program responsible for training the nation's youth to be physically active and national objectives call for students to be engaged in ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1994.1059
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:To assess the association between socioeconomic status (SES) and inflammatory markers using two different European population samples. METHODS:We used data from the CoLaus (N=6412, Lausanne, Switzerland) and EPIPorto (N=1205, Porto, Portugal) studies. Education and occupational position were used as indicato...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.11.031
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Since survival of patients with melanoma is strongly correlated with the Breslow tumor thickness of the primary lesion, factors that influence stage at diagnosis and delay in diagnosis are considered to be crucial. To test the relationship between tumor thickness and some social and clinical variables (inclu...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2002.1067
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:Regular physical activity provides young people with important physical, mental, and social health benefits. This study aimed to evaluate the relationship of family income and parents' level of education with physical activity in Finnish adolescents. METHOD:The study population consisted of the Northern Finl...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.01.008
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:was to examine the reliability of the algorithm. METHODS:As part of a randomized controlled trial, 3,930 adolescents completed a paper version of the algorithm questions and a differently worded computerized version on the same day: a parallel form reliability assessment. In a separate assessment, another g...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2002.1179
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Injury and tobacco effects represent one-quarter of the global burden of disease. Understanding the causes of injury and the effects of smoking may help reduce those burdens. Some smokers have high risks of injury. We provide an initial meta-analysis of cohort associations between smoking and fatal injury. ...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析
doi:10.1006/pmed.1998.0374
更新日期:1998-11-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.11.015
更新日期:2013-02-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106260
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:To describe the prevalence of mammography use, and to estimate its association with sociodemographics. METHODS:A sample of 6207 women aged 60 and older from the first interview of Health, Well-Being and Aging in Latin America and the Caribbean Study (SABE) in seven cities (Buenos Aires, Bridgetown, Havana, ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2006.02.005
更新日期:2006-05-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0737
更新日期:2000-11-01 00:00:00
abstract::The utility of monogamy (in practice) as a strategy for preventing sexually transmitted infections (STIs) was investigated. By reviewing recent literature surrounding monogamous relationships and sexual behaviors, the authors determined that monogamy might not prevent against STIs as expected. First, the authors eluci...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2015.06.006
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:Nurse practitioners (NPs) provide frontline care in women's health, including contraception, an essential preventive service. Their importance for contraceptive care will grow, with healthcare reforms focused on affordable primary care. This study assessed practice and training needs to prepare NPs to offer h...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.10.005
更新日期:2013-12-01 00:00:00
abstract:INTRODUCTION:Interventions targeting children's dietary behavior often include strategies that target parents as implementation agents of change, though parent involvement on intervention effectiveness is unclear. The present study systematically assessed (1) reporting of reach, effectiveness, adoption, implementation ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2016.08.030
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:A significant percentage of the U.S. population has multiple poor health behaviors. Understanding the relationship among these behavioral risk factors is important for designing effective multiple risk factor interventions. While there is some evidence suggesting that participation in physical exercise may h...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.0107
更新日期:1996-11-01 00:00:00
abstract:PURPOSE:To investigate the effect of screening and five years of multi-factorial lifestyle intervention on changes in alcohol intake in a general population. METHODS:The study was a pre-randomized intervention study on lifestyle, Inter99 (1999-2006), Copenhagen, Denmark. Participants in the intervention group (n=6 091...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2009.06.007
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:: Little is known of the preventive effects of physical activity in leisure time on neck and upper limb symptoms. METHODS:: A cohort of 1742 employees was selected from a prospective cohort study with a follow-up period of 3 years. Independent variables were sporting activities and physically active commuti...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.11.006
更新日期:2005-07-01 00:00:00