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. 2022 Jun;112(Suppl 4):S413–S419. doi: 10.2105/AJPH.2021.306710

BOX 1.

Concepts, Recommendations, and Examples of Methods for Core Elements of HIV-Related Intersectional Stigma Research

Concept Recommendation Examples of Methods
Multidimensional: HIV inequities are shaped by multiple forms of stigma (e.g., racism, sexism, heterosexism, HIV stigma). Interrogate interlocking stigma processes that give rise to HIV inequities.
  • • Qualitative methods: in-depth interviews, focus groups, ethnography, photovoice, and observational studies

  • • Individual- and interpersonal-level measures: intercategorical, group-specific, parallel

  • • Analyses: moderation (i.e., regression with interaction terms), hierarchical regressions, latent variable approaches, and structural equation modeling

Multilevel: HIV-related intersectional stigma exists at multiple social‒ecological levels, including the structural, interpersonal, and individual levels. Center considerations of social‒structural contexts of stigma.
  • • Multilevel models: span multiple social‒ecological levels

  • • Policy and legal analysis: national, organizational, and institutional policy indices

  • • Spatial methods: photovoice, ecological momentary assessment, experimental field studies and randomized audit studies, in-depth interviews, participant observation, spatial meta-analyses

  • • Network methods: social network methods (egocentric and sociometric), dyadic methods

Multidirectional: HIV-related intersectional stigma at one level shapes stigma at other levels. Explore the social construction and deconstruction of stigma.
  • • Multilevel models: tests of cross-level effect modification, direct cross-level effects, and indirect cross-level effects

  • • Longitudinal designs and analyses: span policy (de)implementation

Action-oriented: The transformation of power structures that give rise to HIV inequities is the end goal of HIV-related intersectionality research. Promote social change.
  • • Community leadership and engagement: community-based participatory research, participatory action research

  • • Structural intervention: rights-based policy change