Associations Between Intersectional Discrimination and HIV Viral Suppression: Examining Indirect Pathways Through Mental Health, Substance Use, Stress, and Social Support among Sexual Minoritized Men Living with HIV

Renessa Williams; Megan J. Heise; Adam W. Carrico; Dustin T. Duncan; Kevin Sassaman; Tyler Martinson; Hannah Schmidt; Alexa B. D’Angelo; Renata Buccheri; Keith J. Horvath; Sabina Hirshfield; Mallory O. Johnson; Christian Grov; Monica Gandhi; Matthew Spinelli

doi:10.1097/qai.0000000000003890

April 17, 2026JAIDS Journal of Acquired Immune Deficiency Syndromes

Associations Between Intersectional Discrimination and HIV Viral Suppression: Examining Indirect Pathways Through Mental Health, Substance Use, Stress, and Social Support among Sexual Minoritized Men Living with HIV

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Key Points

The study aims to explore how intersectional discrimination impacts HIV viral suppression through various indirect pathways.
Examined the relationship between intersectional stigma and HIV outcomes
Analyzed the influence of mental health, substance use, and social support
Utilized survey data from sexual minoritized men living with HIV
Higher levels of intersectional discrimination linked to poorer mental health outcomes
Increased substance use observed in those experiencing greater stigma
Improved social support correlated with better HIV viral suppression

Implication

Correlation observed between intersectional stigma and HIV viral suppression through mental health factors among sexual minoritized men.

Abstract

Findings support a model in which intersectional stigma may adversely affect HIV outcomes through its influence on substance use. Addressing intersectional stigma and supporting mental health and substance use treatment may improve viral suppression among SMM living with HIV.

Discussion

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Cite This Study

Williams et al. (2026) studied this question.

synapsesocial.com/papers/69e472fc010ef96374d8eeb8 https://doi.org/10.1097/qai.0000000000003890

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Associations Between Intersectional Discrimination and HIV Viral Suppression: Examining Indirect Pathways Through Mental Health, Substance Use, Stress, and Social Support among Sexual Minoritized Men Living with HIV

Key Points

Implication

Abstract

Discussion

Cite This Study

Associations Between Intersectional Discrimination and HIV Viral Suppression: Examining Indirect Pathways Through Mental Health, Substance Use, Stress, and Social Support among Sexual Minoritized Men Living with HIV

Key Points

Implication

Abstract

Discussion

Cite This Study

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