The Role of Intersectional Stigma in Coronary Artery Disease Among Cisgender Women Aging with HIV DOI
Tiffany R. Glynn, Michaela E. Larson, María Luisa Bernal

et al.

Behavioral Medicine, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 12

Published: Nov. 15, 2024

Cisgender women living with HIV experience elevated cardiovascular disease (CVD) risk that increases age, a concern given extended life expectancies for people HIV. The CVD disparity among cisgender aging is understudied and remains unclear. Taking psychoneuroimmunology approach, this group's intersecting marginalized identities, one potential driver of the intersectional stigma. Yet not all have coronary artery (CAD). Resilience to stigma may serve as protective factor CAD, observed in other health issues. This study aimed explore relationship between stigma, resilience, "traditional" factors, objective indicators CAD A diverse sample (aged ≥ 35, N = 48) completed cross-sectional survey, clinical interview, blood sample, pressure, anthropometric measurements, computed tomography angiography (CTA). CART-based machine learning models assessed statistical importance traditional resilience classifying individuals stenosis, calcification, inflammatory markers associated CAD. Of n 31 who CTA, 74% had detectable calcification 39% stenosis. Intersectional was identified an important variable explaining but sCD163, biomarker Results show pathway group. Future longitudinal research should investigate mechanisms consider target intervention improve

Language: Английский

The Role of Intersectional Stigma in Coronary Artery Disease Among Cisgender Women Aging with HIV DOI
Tiffany R. Glynn, Michaela E. Larson, María Luisa Bernal

et al.

Behavioral Medicine, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 12

Published: Nov. 15, 2024

Cisgender women living with HIV experience elevated cardiovascular disease (CVD) risk that increases age, a concern given extended life expectancies for people HIV. The CVD disparity among cisgender aging is understudied and remains unclear. Taking psychoneuroimmunology approach, this group's intersecting marginalized identities, one potential driver of the intersectional stigma. Yet not all have coronary artery (CAD). Resilience to stigma may serve as protective factor CAD, observed in other health issues. This study aimed explore relationship between stigma, resilience, "traditional" factors, objective indicators CAD A diverse sample (aged ≥ 35, N = 48) completed cross-sectional survey, clinical interview, blood sample, pressure, anthropometric measurements, computed tomography angiography (CTA). CART-based machine learning models assessed statistical importance traditional resilience classifying individuals stenosis, calcification, inflammatory markers associated CAD. Of n 31 who CTA, 74% had detectable calcification 39% stenosis. Intersectional was identified an important variable explaining but sCD163, biomarker Results show pathway group. Future longitudinal research should investigate mechanisms consider target intervention improve

Language: Английский

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