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ISSN: 1730-1270
HIV & AIDS Review. International Journal of HIV-Related Problems
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1/2018
vol. 17
 
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abstract:
Research paper

HIV-related stigma experienced by people living with HIV/AIDS in coastal South India

Arjun B. Yathiraj, Bhaskaran Unnikrishnan, John T. Ramapuram, Nithin Kumar, Prasanna Mithra, Rekha Thapar, Vaman Kulkarni, Ramesh Holla, Darshan B.B., Prasanth Narahari

HIV AIDS Rev 2018; 17, 1: 30-35
Online publish date: 2018/02/07
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Introduction
The present study assessed the human immunodeficiency virus (HIV)-related stigma and the factors influencing it among people living with human immunodeficiency virus (PLHIV) in tertiary care hospitals at Mangalore, South India. Stigma related to HIV still persists as a major public health issue globally and varies from person to person. The various forms of HIV-related stigma are personalized stigma, disclosure stigma, negative self-image stigma, and public attitude stigma.

Material and methods
In this cross-sectional study, 409 PLHIV aged ≥ 18 years were interviewed from April 2014 to April 2015. HIV-related stigma was assessed using the “revised HIV stigma scale”. Socio-demographic characteristics and factors affecting HIV stigma were collected using a semi-structured questionnaire. The association between various domains of HIV-related stigma with socio-demographic characteristics was assessed using one way ANOVA (analysis of variance) and student t-test. P < 0.05 was considered to be statistically significant.

Results
Among the HIV-related stigma domains, disclosure and public attitudes stigma showed higher mean scores followed by negative self-image stigma. Personalized stigma domain showed the least scores in our study. Our study identified that HIV-related stigma was higher among males, older participants, those who were married, of a higher socio-economic status, on a longer duration of antiretroviral therapy (ART), and participants who had travelled more distance to procure ART.

Conclusions
Counseling PLHIV and educating care givers and the community is essential for tackling stigmatization among PLHIV. Mitigating stigma through multi-dimensional intervention strategies is crucial to overcome stigma associated with HIV/AIDS.

keywords:

HIV-related stigma, revised HIV stigma scale, PLHIV, South India

references:
UNAIDS (United Nations Programme on HIV and AIDS). Global Fact Sheet, 2015. Retrieved from: http://www.unaids.org/sites/ default/files/media_asset/UNAIDS_FactSheet_en.pdf.
NACO (National AIDS Control Organization). India HIV Estimations 2015. Retrieved from: http://www.naco.gov.in/upload/2015%20MSLNS/HSS/India%20HIV%20Estimations%202015.pdf.
Mahendra VS, Gilborn L, Bharat S, et al. Understanding and measuring AIDS-related stigma in health care settings: a developing country perspective. Sahara J 2007; 4: 616-625.
Kumar S, Mohanraj R, Rao D, et al. Positive coping strategies and HIV-related stigma in South India. AIDS Patient Care STDS 2015; 29: 157-163.
Ware NC, Wyatt MA, Tugenberg T. Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS. AIDS Care 2006; 18: 904-910.
Madi D, Gupta P, Achappa B, et al. HIV Status Disclosure among People Living with HIV in the Era of Combination Antiretroviral Therapy (cART). J Clin Diagn Res 2015; 9: 14-16.
Lichtenstein B. Stigma as a barrier to treatment of sexually transmitted infection in the American deep south: issues of race, gender and poverty. Soc Sci Med 2003; 57: 2435-2445.
Stevelink S, Wu I, Voorend C, et al. The psychometric assessment of internalized stigma instruments: a systematic review. Stigma Research and Action 2012; 2: 100-118.
Mahajan AP, Sayles JN, Patel VA, et al. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward. AIDS 2008; 22: 67-79.
Charles B, Jeyaseelan L, Pandian AK, et al. Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India – a community based cross sectional study. BMC Public Health 2012; 12: 463.
Dudala SR. Updated Kuppuswamy’s socioeconomic scale for 2012. J Dr NTR Univ Health Sci 2013; 2: 201-202.
Wright K, Naar-King S, Lam P, et al. Stigma scale revised: reliability and validity of a brief measure of stigma for HIV+ youth. J Adolesc Health 2007; 40: 96-98.
Chitra L, Jayalakshmi L, Vinod R. Stigma in women living with HIV in Coimbatore District of Tamil Nadu. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) 2015; 13: 29-32.
Nworuh OB, Anthony IO. Experience of HIV-related stigma by people living with HIV/AIDS (PLWHA), based on gender: A case of PLWHA attending clinic in the Federal Medical Center, Owerri, Imo states, Nigeria. J Public Health Epidemiol 2013; 5: 435-439.
Hasan MT, Nath SR, Khan NS, et al. Internalized HIV/AIDS-related stigma in a sample of HIV-positive people in Bangladesh. J Health Popul Nutr 2012; 30: 22-30.
Yebei VN, Fortenberry JD, Ayuku DO. Felt stigma among people living with HIV/AIDS in rural and urban Kenya. Afr Health Sci 2008; 8: 97-102.
Swendeman D, Rotheram-Borus MJ, Comulada S. Predictors of HIV-related stigma among young people living with HIV. Health Psychol 2006; 25: 501-509.
Nattabi B, Li J, Thompson SC, et al. Factors associated with perceived stigma among people living with HIV/AIDS in post-conflict northern Uganda. AIDS Educ Prev 2011; 23: 193-205.
Amuri M, Mitchell S, Cockcroft A, et al. Socio-economic status and HIV/AIDS stigma in Tanzania. AIDS Care 2011; 23: 378-382.
Tzemis D, Forrest JI, Puskas CM, et al. Identifying self-perceived HIV-related stigma in a population accessing antiretroviral therapy. AIDS Care 2013; 25: 95-102.
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