دورية أكاديمية
أعرض في EDS

HIV-related stigma and psychological distress in a cohort of patients receiving antiretroviral therapy in Nigeria.

التفاصيل البيبلوغرافية
العنوان: HIV-related stigma and psychological distress in a cohort of patients receiving antiretroviral therapy in Nigeria.
المؤلفون: Akoko B; Emerging Infections Program, Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Regan S; Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Idigbe I; Nigerian Institute for Medical Research, Lagos, Nigeria., Ezechi O; Nigerian Institute for Medical Research, Lagos, Nigeria., Pierce LJ; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Musa Z; Nigerian Institute for Medical Research, Lagos, Nigeria., Okonkwo P; APIN Public Health Initiatives (APIN), Abuja, Nigeria., Freedberg KA; Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.; Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA.; Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.; Harvard University Center for AIDS Research (CFAR), Boston, Massachusetts, USA.; Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Ahonkhai AA; Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
المصدر: AIDS care [AIDS Care] 2024 Feb; Vol. 36 (2), pp. 204-211. Date of Electronic Publication: 2023 May 25.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE
أسماء مطبوعة: Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-
مواضيع طبية MeSH: HIV Infections*/drug therapy , HIV Infections*/psychology, Humans ; Prospective Studies ; Nigeria/epidemiology ; Social Stigma ; Disclosure
مستخلص: Psychological distress is increasingly recognized as a barrier to engagement in HIV care, resulting in poor HIV outcomes. HIV-related stigma is a potential driver of distress in people living with HIV (PLWH). We conducted a prospective cohort study in 288 PLWH who newly initiated ART in a Nigeria. We assessed overall stigma (range 40-160) and four stigma subtypes (personalized, disclosure, negative self-image, and public stigma) at enrollment, and assessed psychological distress at enrollment, 6, and 12-months after ART initiation. We used logistic regression to assess the relationship between stigma and 12 - month psychological distress. Overall stigma was high (102.34 ± 5.65) and was higher in both unmarried patients ( p  < 0.01) and those who had not disclosed their HIV status to anyone at enrollment ( p  < 0.01). Higher overall stigma (OR: 1.05, 95% CI 1.00-1.09) and personalized stigma (OR:1.08, 95% CI 1.00-1.16) were associated with higher odds of psychological distress at 12-months. Conclusions: Overall stigma levels were high in a cohort of PLWH initiating care in Nigeria. Higher stigma was associated with psychological distress. These data support the need for integration of measures to reduce stigma and psychological distress in the care of PLWH.
References: AIDS Res Treat. 2019 Jul 22;2019:8329483. (PMID: 31428472)
Afr J Reprod Health. 2013 Dec;17(4 Spec No):177-82. (PMID: 24689330)
SSM Popul Health. 2017 Jul 26;3:658-662. (PMID: 29349254)
AIDS Behav. 2009 Dec;13(6):1189-96. (PMID: 19639405)
Ann Behav Med. 2014 Aug;48(1):26-37. (PMID: 24500077)
East Afr Med J. 2008 Aug;85(8):368-77. (PMID: 19115554)
AIDS. 2019 Jul 15;33(9):1411-1420. (PMID: 30950883)
PLoS One. 2010 Dec 08;5(12):e14252. (PMID: 21170384)
Int J Ment Health Addict. 2016 Feb 1;14(1):37-48. (PMID: 26957953)
J Multidiscip Healthc. 2012;5:97-113. (PMID: 22536080)
Int J STD AIDS. 2012 Jul;23(7):481-4. (PMID: 22844001)
SAGE Open Med. 2019 Aug 08;7:2050312119869109. (PMID: 31448118)
Clin Infect Dis. 2014 Jul 15;59(2):287-97. (PMID: 24771333)
Psychosomatics. 2010 Jan-Feb;51(1):68-73. (PMID: 20118443)
AIDS Behav. 2018 Dec;22(12):3815-3825. (PMID: 29453552)
AIDS Res Treat. 2017;2017:5812650. (PMID: 29445545)
Global Health. 2018 Jun 5;14(1):56. (PMID: 29866206)
BMC Public Health. 2012 Mar 27;12:244. (PMID: 22452846)
BMC Infect Dis. 2010 Jul 09;10:201. (PMID: 20618942)
PLoS One. 2018 Sep 21;13(9):e0203895. (PMID: 30240419)
Int J Infect Dis. 2016 Dec;53:61-68. (PMID: 27756678)
J Psychiatry Neurosci. 2015 Jul;40(4):219-21. (PMID: 26107348)
Int J Ment Health Syst. 2018 Oct 24;12:61. (PMID: 30386420)
Am J Public Health. 2002 Mar;92(3):371-7. (PMID: 11867313)
Psychol Health Med. 2017 Oct;22(9):1105-1117. (PMID: 28100062)
Res Nurs Health. 2001 Dec;24(6):518-29. (PMID: 11746080)
معلومات مُعتمدة: U2G PS001058 United States PS NCHHSTP CDC HHS; R37 AI058736 United States AI NIAID NIH HHS; R25 MH080665 United States MH NIMH NIH HHS; P30 AI060354 United States AI NIAID NIH HHS; K23 AI106406 United States AI NIAID NIH HHS; R01 AI058736 United States AI NIAID NIH HHS; UL1 TR002243 United States TR NCATS NIH HHS
فهرسة مساهمة: Keywords: HIV; psychological distress; stigma
تواريخ الأحداث: Date Created: 20230525 Date Completed: 20240201 Latest Revision: 20240709
رمز التحديث: 20240709
مُعرف محوري في PubMed: PMC10674032
DOI: 10.1080/09540121.2023.2216006
PMID: 37229763
قاعدة البيانات: MEDLINE
الوصف
تدمد:1360-0451
DOI:10.1080/09540121.2023.2216006