Abstract：
Assessing measurement invariance and the interplay of discrimination, microaggressions, and resilience among Black women living with HIV (BWLWH) across time utilizing latent class and repeated measure analysis may provide novel insights. A total of 151 BWLWH in a southeastern U.S. city completed surveys focused on multiple forms of microaggressions and discrimination (race, gender, sexual orientation, or HIV-related) and resilience factors (social support, self-efficacy, post-traumatic growth) at baseline, 3 months, and 6 months. To capture the psychosocial domains of discrimination, microaggressions, and resilience, three latent factors were developed and measured across three time points. Latent class analysis was also conducted to identify and compare meaningful subgroups based on varying levels of discrimination, microaggressions, and resilience reported. Three latent classes were created. MI testing suggested that measurement invariance was partially met (established metric invariance and scalar invariance), and it is possible to compare factor means of discrimination, microaggressions, and resilience across time. Latent factor mean scores of microaggressions and discrimination decreased after 3 and 6 months and increased for resilience after 6 months and varied over time across the three latent classes identified. The subgroup with the lowest level of discrimination and microaggressions and the highest level of resilience reported at baseline, experienced increases in resilience after months 3 and 6. Clinical interventions, research, and policies aimed at promoting resilience and reducing structural and social barriers linked to racism, sexism, HIV stigma, and classism are needed to improve the health and well-being of BWLWH.
摘要：
评估测量不变性和歧视的相互作用，微侵略,利用潜在类别和重复测量分析，跨时间感染艾滋病毒的黑人女性（BWLWH）的弹性可能会提供新的见解。在美国东南部的一个城市中，共有151名BWLWH完成了针对多种形式的微侵害和歧视的调查（种族，性别,性取向,或与艾滋病毒相关的)和弹性因素(社会支持，自我效能感,创伤后生长)在基线，3个月,和6个月。为了捕捉歧视的社会心理领域，微侵略,和韧性，在三个时间点开发并测量了三个潜在因素。还进行了潜在类别分析，以根据不同程度的歧视来识别和比较有意义的子组，微侵略,和弹性报告。创建了三个潜在的类。MI测试表明，测量不变性得到部分满足(建立的度量不变性和标量不变性)，可以比较歧视的因素，微侵略,和跨越时间的韧性。微攻击和歧视的潜在因子平均得分在3个月和6个月后下降，在6个月后弹性增加，并且在确定的三个潜在类别中随时间变化。在基线时，歧视和微攻击水平最低，复原力水平最高的亚组，在第3个月和第6个月后经历了韧性的增加。临床干预,研究,以及旨在促进复原力和减少与种族主义有关的结构和社会障碍的政策，性别歧视,艾滋病毒的耻辱，需要分类来改善BWLWH的健康和福祉。
