{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T05:02:37Z","timestamp":1780117357794,"version":"3.54.0"},"reference-count":10,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Gilead Sciences, Inc."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objectives: To describe levels of barriers to mental health and substance use services and to examine the associations, if any, between these barriers and substance use and mental health stigma among Hispanic\/Latine adults receiving services for HIV prevention or HIV treatment. Methods: We conducted a cross-sectional survey as part of a mixed-method, community-based statewide study among Hispanic\/Latine individuals served by HIV service delivery organizations in Texas, United States, between September 2022 and May 2023 (n = 300). Participants completed a computer-based survey at collaborating organizations. Analyses included descriptive statistics and linear regression modeling. Results: Demographic and background characteristics were significantly associated with differences in reported barriers to mental health and substance use services. Mental health-related stigma was significantly associated with barriers to mental health services. Conclusions: Strategies to reduce barriers, tailored to specific demographic subgroups, and interventions to address mental health-related stigma should be prioritized by HIV service delivery organizations serving Hispanic\/Latine communities.<\/jats:p>","DOI":"10.3390\/ijerph23060721","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T12:09:07Z","timestamp":1779970147000},"page":"721","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stigma and Barriers to Mental Health and Substance Use Care for Hispanic\/Latine Individuals Living with HIV or at Risk for HIV in Texas, United States"],"prefix":"10.3390","volume":"23","author":[{"given":"Roxana","family":"Guzman","sequence":"first","affiliation":[{"name":"Latino Commission on AIDS, Houston, TX 77036, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Castellanos","sequence":"additional","affiliation":[{"name":"Latino Commission on AIDS, New York, NY 10010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6926-5367","authenticated-orcid":false,"given":"Evelio","family":"Salinas Escamilla","sequence":"additional","affiliation":[{"name":"Latino Commission on AIDS, Houston, TX 77036, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0160-7798","authenticated-orcid":false,"given":"Sana","family":"Malik","sequence":"additional","affiliation":[{"name":"School of Social Welfare, Stony Brook University, Stony Brook, NY 11794, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Bessaha","sequence":"additional","affiliation":[{"name":"School of Social Welfare, Stony Brook University, Stony Brook, NY 11794, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1259-5382","authenticated-orcid":false,"given":"Miguel","family":"Mu\u00f1oz-Laboy","sequence":"additional","affiliation":[{"name":"School of Social Welfare, Stony Brook University, Stony Brook, NY 11794, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jsat.2019.11.006","article-title":"Help seeking behaviors of Latinos with substance use disorders who perceive a need for treatment: Substance abuse versus mental health treatment services","volume":"109","author":"Pinedo","year":"2020","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1037\/sah0000207","article-title":"Measuring mental illness stigma among Hispanics: A systematic review","volume":"5","author":"Eghaneyan","year":"2020","journal-title":"Stigma Health"},{"key":"ref_3","unstructured":"Turner, A., LaVeist, A.T.A., Richard, P., and Gaskin, D.J. (2021). Economic Impacts of Health Disparities in Texas 2020, Episcopal Health Foundation. Available online: https:\/\/www.episcopalhealth.org\/wp-content\/uploads\/2021\/01\/Econ-Impacts-of-Health-Disparities-Texas-2020-FINAL-002.pdf."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Callaghan, T., Washburn, D.J., Nimmons, K., Duchicela, D., Gurram, A., and Burdine, J. (2019). Immigrant health access in Texas: Policy, rhetoric, and fear in the Trump era. BMC Health Serv. Res., 19.","DOI":"10.1186\/s12913-019-4167-1"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1176\/appi.ps.201600282","article-title":"Self-Stigma and Consumer Participation in Shared Decision Making in Mental Health Services","volume":"68","author":"Hamann","year":"2017","journal-title":"Psychiatr. Serv."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1146\/annurev-publhealth-040218-043750","article-title":"Racism and health: Evidence and needed research","volume":"40","author":"Williams","year":"2019","journal-title":"Annu. Rev. Public Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1177\/0002764213487340","article-title":"Racism and health I: Pathways and scientific evidence","volume":"57","author":"Williams","year":"2013","journal-title":"Am. Behav. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5463\/sra.v1i1.9","article-title":"Prevalence of internalized stigma among persons with severe mental illness","volume":"1","author":"West","year":"2011","journal-title":"Stigma Res. Action"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1176\/ps.2010.61.4.373","article-title":"Stigma and depression treatment utilization among Latinos: Utility of four stigma measures","volume":"61","author":"Interian","year":"2010","journal-title":"Psychiatr. Serv."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1186\/s12939-016-0487-5","article-title":"Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: A participatory learning and action research study","volume":"15","author":"Tierney","year":"2016","journal-title":"Int. J. Equity Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/6\/721\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T04:27:53Z","timestamp":1780115273000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/6\/721"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["ijerph23060721"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23060721","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]}}}