دورية أكاديمية
أعرض في EDS

HIV-related public stigma in the era of "Undetectable = Untransmittable": a population-based study in Hong Kong.

التفاصيل البيبلوغرافية
العنوان: HIV-related public stigma in the era of "Undetectable = Untransmittable": a population-based study in Hong Kong.
المؤلفون: Lau LH; School of Nursing, Tung Wah College, Hong Kong, China., Lee MP; Department of Medicine, Queen Elizabeth Hospital, Hong Kong, China., Wong BC; Department of Health, Centre for Health Protection, Hong Kong Special Administrative Region Government, Hong Kong, China., Kwong TS; Department of Medicine, Queen Elizabeth Hospital, Hong Kong, China., Hui WM; Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, China., Chan JM; Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, China., Lee SS; Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong, China. sslee@cuhk.edu.hk.; S.H. Ho Research Centre for Infectious Diseases, The Chinese University of Hong Kong, Hong Kong, China. sslee@cuhk.edu.hk.; Postgraduate Education Centre, Stanley Ho Centre for Emerging Infectious Diseases, Prince of Wales Hospital, Hong Kong, China. sslee@cuhk.edu.hk.
المصدر: BMC public health [BMC Public Health] 2024 Jun 06; Vol. 24 (1), pp. 1517. Date of Electronic Publication: 2024 Jun 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: HIV Infections*/psychology , HIV Infections*/epidemiology , Social Stigma*, Humans ; Hong Kong/epidemiology ; Male ; Female ; Adult ; Middle Aged ; Young Adult ; Adolescent ; Surveys and Questionnaires ; Health Knowledge, Attitudes, Practice ; Pre-Exposure Prophylaxis/statistics & numerical data
مستخلص: Background: While global efforts are increasingly relying upon biomedical advancements such as antiretroviral therapy and pre-exposure prophylaxis (PrEP) to end the HIV epidemic, HIV-related stigma remains a concern. This study aimed to assess the general public's awareness and perception of "Undetectable = Untransmittable" (U = U) and PrEP, and the patterns of public stigma towards people living with HIV (PLWH) and their determinants in an Asian Pacific city.
Methods: A population-based, self-administrated online survey was conducted between 10-20 March 2023. All adults aged ≥ 18 years and currently living in Hong Kong were eligible. Participants' socio-demographic characteristics, awareness and perception of U = U and PrEP, as well as HIV-related stigma drivers, experience and practices were collected. Latent class analysis was used to delineate population subgroups based on their stigma profiles as reflected by 1.) fear of infection, 2.) concern about socioeconomic ramification of the disease, 3.) social norm enforcement, 4.) perceived stigma in the community, and 5.) stigmatising behaviours and discriminatory attitudes. Memberships of identified subgroups were then correlated with sociodemographic factors, awareness and perception of U = U and PrEP, using multinominal logistic regression.
Results: Responses from a total of 3070 participants (55% male; 79% aged 18-54) were analysed. A majority, 69% and 81%, indicated that they had never heard of U = U and PrEP respectively, and only 39-40% of participants perceived these to be effective in protection from HIV. Four distinct subgroups were identified, namely "Low stigma" (37%), "Modest stigma" (24%), "Moderate stigma" (24%), and "High stigma" (15%). Compared with "Low stigma", lack of awareness of and/or negative perceptions towards U = U and/or PrEP, not knowing any PLWH were associated with increased odds of higher stigma group membership. Lower educational level and not in employment were associated with increased odds of membership in "Moderate stigma" and "High stigma". While older people were more likely to belong to "High stigma", female were more likely to belong to "Moderate stigma". "Modest stigma" included more younger people who were economically active.
Conclusion: Two-thirds of participants endorsed modest-to-high HIV-related stigma, suggesting the prevalence of HIV-related stigma was high among the general population in Hong Kong. Tailored interventions targeting specific stigma drivers and manifestations of individuals as reflected from the stigma profiles of distinct subgroups could form an important strategy for stigma reduction.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: HIV; Latent class analysis; People living with HIV; Public stigma; Stigma
تواريخ الأحداث: Date Created: 20240606 Date Completed: 20240607 Latest Revision: 20240609
رمز التحديث: 20240609
مُعرف محوري في PubMed: PMC11155177
DOI: 10.1186/s12889-024-18974-0
PMID: 38844889
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-024-18974-0