Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada

Highlights

• Intersectional stigma research examining pathways to HIV outcomes is limited.

• Adapted conceptual frameworks to examine intersectional stigma and health outcomes.

• Stigma interacted with social/institutional support to increase depression.

• Depression led to maladaptive coping, lowering adherence and CD4 count.

• Argues for multi-level strategies, including women-centred HIV care.