RESEARCH PAPER
HIV-related stigma experienced by people living with HIV/AIDS in coastal South India
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Submission date: 2017-09-22
Final revision date: 2017-11-02
Acceptance date: 2017-11-03
Publication date: 2018-02-07
HIV & AIDS Review 2018;17(1):30-35
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ABSTRACT
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.
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