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Critical consciousness, racial and gender discrimination, and HIV disease markers in African American women with HIV

机译：非洲裔美国女性感染艾滋病病毒者的批判意识，种族和性别歧视以及艾滋病毒标志物

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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.
机译：批判意识，即社会压迫的意识，对于在歧视经历中调查作为感染艾滋病毒感染的非洲裔美国妇女中艾滋病毒疾病进展的缓冲带而言，很重要。批判意识包括多个维度，包括社会群体认同，对社会权力分配的不满，对社会制度合法性的拒绝以及集体行动取向。当前的研究调查了自我报告的批判意识，作为自我感知的批判意识的调节者，该意识是性别和种族歧视对67名非洲裔美国HIV感染妇女的HIV病毒载量和CD4 +细胞计数的影响。发现多的批判性意识与种族歧视程度高时CD4 +计数超过350的可能性更高，以及可检测到的病毒载量的可能性更低有关，如通过对高活性抗逆转录病毒疗法（HAART）依从性进行控制的多项逻辑回归所揭示的。多元线性回归表明，在较高的性别和种族歧视水平下，认同高临界意识的女性与最低低意识意识的女性相比，最低天数CD4 +（最低的HAART前）与目前的CD4 +计数之间具有更大的正差异。这些发现表明，提高对社会压迫的认识以促进与他人的联姻以推动社会变革，可能是提高非裔美国艾滋病毒感染妇女中艾滋病毒预后的重要干预策略，这些妇女报告遭受严重的性别和种族歧视。

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