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The impact of HIV treatment-related stigma on uptake of antiretroviral therapy. | LitMetric

The impact of HIV treatment-related stigma on uptake of antiretroviral therapy.

AIDS Care

a Centre for Social Research in Health , University of New South Wales, Sydney , NSW , Australia.

Published: December 2015

AI Article Synopsis

  • HIV-related stigma can lead to avoidance of healthcare services and lower adherence to antiretroviral therapy (ART).
  • The study found that while both general and treatment-specific stigma are common, the stigma associated with taking ART is often perceived as more significant.
  • Factors like age, duration of HIV infection, and health satisfaction play a more crucial role in the uptake of ART than stigma alone.

Article Abstract

HIV-related stigma has been linked to avoidance of health care services and suboptimal adherence to antiretroviral therapy (ART). However, less is known about concerns of stigma related specifically to the taking of ART in uptake of treatment. This study examines experiences of HIV treatment-related stigma and assesses if these experiences are associated with ART uptake, independent of general HIV-related stigma. People living with HIV (PLHIV; n = 697) were targeted to complete an online questionnaire measuring perceived HIV- and treatment-related stigma, social support, self-esteem, resilience, psychological distress, health satisfaction and quality of life. Findings suggest that experiences of general and treatment-related stigma were common, and that participants appear to experience greater stigma related to taking HIV treatment than general stigma associated with HIV. Neither general nor treatment-related stigma uniquely impacted HIV treatment uptake. Instead, treatment uptake was associated with being older (adjusted OR 1.05; 95% CIs: 1.03, 1.08), greater duration of HIV infection (adjusted OR 1.07; 95% CIs: 1.03-1.11) and having greater health satisfaction (adjusted OR 1.28; 95% CIs: 1.03, 1.59). Findings highlight that concerns around taking HIV treatment can be an added source of stigma for PLHIV, however other factors may be greater contributors to the likelihood of taking HIV treatment.

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Source
http://dx.doi.org/10.1080/09540121.2014.998614DOI Listing

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