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

• 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. [ABSTRACT FROM AUTHOR]