Associations of stigma with negative health outcomes for people living with HIV in the Gambia: implications for key populations

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Sarah M PeitzmeierStefan Baral

Abstract

The HIV epidemic in the Gambia is concentrated among stigmatized key populations. This study explores the relationship between 3 types of HIV-related stigma and 3 health outcomes among people living with HIV (PLHIV) in the Gambia. Three hundred seventeen PLHIV from PLHIV support groups in the Gambia were surveyed using the PLHIV Stigma Index. Enacted stigma in health care settings was significantly associated with avoiding or delaying seeking care [adjusted odds ratio (aOR) = 3.03, 95% confidence interval (CI) = 1.24 to 7.89]; enacted stigma in the household or community (aOR = 1.21, 95% CI = 0.98 to 1.49) and internal stigma (aOR = 1.47, 95% CI = 0.96 to 2.22) were marginally associated. Enacted stigma in health care settings was significantly associated with non-use of antiretroviral therapy (aOR = 0.52, 95% CI = 0.31 to 0.88), whereas internal stigma and enacted stigma in the household or community were not. Enacted stigma in the household or community (aOR = 0.75, 95% CI = 0.64 to 0.87) and internal stigma (aOR = 0.69, 95% CI = 0.50 to 0.93) were significantly associated with poorer self-reported health status, whereas enacted stigma in health care settings was not. PLHIV in the Gambia face stigma regardless of identity as ...Continue Reading

References

Mar 1, 1997·Journal of Health and Social Behavior·E L Idler, Y Benyamini
Feb 15, 2001·AIDS Care·S IssiakaUNKNOWN Ditrame Study Group
Mar 5, 2004·Cadernos de saúde pública·Sergio Luis Funari
Apr 24, 2004·AIDS Patient Care and STDs·Stephen B KennedyDavid Collins
May 19, 2006·AIDS Patient Care and STDs·Lance S RintamakiMichael S Wolf
Nov 19, 2008·Journal of General Internal Medicine·Mallory O JohnsonUNKNOWN NIMH Healthy Living Project Team
Mar 31, 2009·AIDS Patient Care and STDs·Priscilla S DlaminiWilliam L Holzemer
Jul 29, 2009·AIDS and Behavior·Valerie A Earnshaw, Stephenie R Chaudoir
Nov 23, 2010·AIDS and Behavior·Sohini SenguptaGiselle Corbie Smith
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Jan 1, 2004·Culture, Health & Sexuality·Sarah Castle
Jan 28, 2012·Journal of the International Association of Providers of AIDS Care·Wayne T StewardMaria L Ekstrand
Mar 30, 2013·Western Journal of Nursing Research·Adeline NyamathiBarbara Leake
Aug 24, 2013·International Journal of STD & AIDS·Sarah PeitzmeierStefan Baral
May 1, 2008·African Journal of AIDS Research : AJAR·Marc BoulayEmmanuel Fiagbey

❮ Previous
Next ❯

Citations

Apr 4, 2017·African Journal of AIDS Research : AJAR·Maria A CarrascoMaria E Figueroa
Feb 14, 2018·Bioinformatics·Sung Yong ParkHa Youn Lee
Jul 24, 2018·Journal of the International AIDS Society·Barbara A FriedlandScott Geibel
Jan 19, 2019·Journal of the International AIDS Society·Marcel YotebiengUNKNOWN IeDEA Treat All in sub-Saharan Africa Consensus Statement Working Group
Feb 20, 2020·Nature Communications·Carrie E LyonsStefan Baral
Sep 4, 2020·AIDS·Barbara A FriedlandUNKNOWN PLHIV Stigma Index 2.0 Study Group
Nov 30, 2019·The Lancet. HIV·Kelly Safreed-HarmonJeffrey V Lazarus
Aug 19, 2016·JBI Database of Systematic Reviews and Implementation Reports·Hailay A GesesewGarumma T Feyissa

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.