One Year After ART Initiation: Psychosocial Factors Associated with Stigma Among HIV-Positive Mozambicans View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-12

AUTHORS

C. R. Pearson, M. A. Micek, J. Pfeiffer, P. Montoya, E. Matediane, T. Jonasse, A. Cunguara, D. Rao, S. S. Gloyd

ABSTRACT

The pathways through which stigma is associated with psychological distress remains understudied in Africa. This study evaluates stigma among 277 Mozambicans who were on an antiretroviral therapy (ART) regimens for a full year. Using bivariate and multiple regression analyses, we examine psychosocial factors (disclosure decisions, perceived social support, and depression) associated with stigma, at ART initiation and 1 year later. We found 1 year after initiating ART, participants reported no change in stigma, a decrease in perceived social support, and an increase in depressive symptomology. Disclosing HIV status to friends (versus family or partner) was associated with lower levels of stigma. These findings suggest that HIV care in comparable settings should include counselling, support groups, and peer support, that includes stigma and disclosure concerns prior to and during the first year following diagnosis. Most importantly, assessment and treatment of depression should be incorporated into ongoing HIV care. More... »

PAGES

1189

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10461-009-9596-0

DOI

http://dx.doi.org/10.1007/s10461-009-9596-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1042232388

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19639405


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