Appendix B.
Sensitivity analysis comparing direct and indirect effects of HIV-related stigma on viral suppression among two samples of African-American women living with HIV enrolled in the Unity Study, differing by viral load collection period
Primary sample (8-week viral load) | Sensitivity sample (24-week viral load) | |||
---|---|---|---|---|
N = 100 | N = 184 | |||
β | (95% CI) | β | (95% CI) | |
Primary model* | ||||
Total effect (difference in log-odds) | −0.069 | (−0.117, −0.021) | −0.052 | (−0.084, −0.020) |
Direct effect | −0.085 | (−0.145, −0.025) | −0.043 | (−0.082, −0.004) |
Indirect effects | ||||
Stigma > depression > nonadherence > viral suppression | −0.006 | (−0.045, 0.029) | −0.003 | (−0.010, 0.002) |
Stigma > depression > viral suppression | 0.010 | (−0.046, 0.054) | 0.010 | (−0.037, 0.014) |
Stigma > nonadherence > viral suppression | 0.002 | (−0.087, 0.051) | 0.001 | (−0.012, 0.010) |
Secondary model** | ||||
Total effect (difference in log-odds) | −0.096 | (−0.016, −0.032) | −0.056 | (−0.089, −0.022) |
Direct effect | −0.238 | (−0.385, −0.091) | −0.052 | (−0.092, −0.011) |
Indirect effects | ||||
Stigma > depression > nonadherence > viral suppression | −0.010 | (−0.072, 0.054) | −0.002 | (−0.011, 0.003) |
Stigma > depression > viral suppression | 0.064 | (−0.140, 0.206) | 0.006 | (−0.034, 0.021) |
Stigma > nonadherence > viral suppression | 0.009 | (−0.105, 0.107) | 0.001 | (−0.012, 0.011) |
Adjusted for treatment, site, age, education, time living with HIV
Adjusted for treatment, site, age, education, time living with HIV, alcohol use severity