Brief report: HIV-related healthcare stigma/discrimination and unmet needs among persons living with HIV in England and Wales

Wiginton, John Mark; Maksut, Jessica L.; Murray, Sarah M.; Augustinavicius, Jura; Kall, Meaghan; Baral, Stefan

doi:10.1016/j.pmedr.2021.101580

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…Modified Poisson regression models with log links and robust variance estimators were used to produce prevalence ratios and 95% confidence intervals for unadjusted and adjusted associations between patients’ demographic characteristics, HIV-related healthcare stigma/discrimination (individual items and total scale score), and unmet needs variables. Two in five participants (40%) agreed with at least one HIV-related healthcare stigma/discrimination item [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Ageing People Living with HIV/AIDS, PLWHA; More Dental Challenges; the Romanian Dental Professional’s Point of View

Caministeanu

Manolescu

Malița

et al. 2023

Life

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Background: In Romania, HIV (human immunodeficiency virus) and AIDS (acquired immunodeficiency syndrome) were first acknowledged in 1989. Getting older with HIV/AIDS is now possible due to antiretroviral treatment, but it can bring dental problems due to HIV itself or to the reluctance of dental professionals to treat dental problems. Our study aims to assess the attitudes, knowledge, and practices of Romanian dental professionals regarding aging PLWHA. Methods: An analytical cross-sectional observational survey based on a self-administered questionnaire was conducted for Romanian dental professionals from October 2022 to January 2023. Results: The responders’ group profile was as follows: a mean age of 39.09 ± 0.36 years (limit: 19–75), a majority of 991 (90.01%) from urban dental offices, and 364 (33.06%) with more than twenty years’ experience. A total of 517 (46.95%) responders had an unprofessional attitude and declared that, if possible, they would avoid taking part in performing dental treatments for people living with HIV/AIDS (PLWHA). There were 89 (8.08%) dental professionals that refused to work with PLWHA. Only 363 (32.97%) had worked with one previously. The dental professionals in rural areas refused PLWHA more frequently: 20% (N = 22) of rural dental professionals vs. 6.76% (N = 67) of urban dental professionals refused to work with PLWHA (OR = 0.30; 95% CI: 0.16-.56). The logistic regression applied for the 1101 responders revealed after stepwise selection that the most influential factor for their refusal to work with PLWHA in our study group was being previously exposed to HIV during dental practice (OR = 14.45; 95% CI: 8.55- 24.42; p = 0.000). Conclusions: Dental educators and health care planners should promote the knowledge of prophylaxis and positive attitudes towards the treatment of PLWHA. Successful resolution of these concerns is time consuming and expensive but necessary if dentists are to satisfy their professional obligations to HIV/AIDS patients.

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Section: Discussionmentioning

confidence: 99%

Ageing People Living with HIV/AIDS, PLWHA; More Dental Challenges; the Romanian Dental Professional’s Point of View

Caministeanu

Manolescu

Malița

et al. 2023

Life

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“…On the other side, stigma and discrimination can be structural and it manifested in institutionalized or social practices, both undermine availability, access, or use of health services, and avoid that people can have a safe and protective family and community environment [28] (53). There is evidence which reports that people who lives with HIV and indigenous people, on an independent way, are victims of stigma and discrimination in healthcare services [23,29] , but only journalistic reports suggested that these factors could be determinants to leaving therapy or even hide their diagnosis until days before death [30] .…”

Section: Discussionmentioning

confidence: 99%

“…Most of them are males with a median age of 25 (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32) years old, a single marital status or with a not formal partner, and with any income. This epidemiological pro le is consistent with previous research in indigenous people living with HIV, with exception of gender distribution.…”

Section: Discussionmentioning

confidence: 99%

“…Information from 208 participants from 55 indigenous awajun or wampis communities and 31 primary health care centers were collected. The median age was 25 (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32) years old, with 57.2% males and 88.9% from awajun population. Most of them were singles (43.3%) or referred living with a partner without being married (45.2%), with a median income of 300 (100-500) soles, although 47.6% referred not having any income.…”

Section: General Characteristicsmentioning

confidence: 99%

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Factors Influencing Adherence to Anti-retroviral Therapy in Amazonian Indigenous People Living With Hiv/aids

Valenzuela-Oré

Ángulo-Bazán

Lazóriga-Sandoval

et al. 2022

Preprint

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Background: Indigenous communities in Peru has been historically affected by high mortality rates attributable to HIV-AIDS infection, associated with a low access to health services, and socio-cultural barriers. In this context, the study aimed to describe factors associated with antiretroviral treatment adherence in people from awajun and wampis indigenous communities, living with HIV-AIDS in a peruvian amazonian region. Methods. A cross-sectional study, which was completed in a consecutive sample of people from indigenous communities (awajun or wampis) living with HIV, who are received antiretroviral treatment at least on the last three months. Participants were recruited between October 1 and December 30, 2021, from four districts of Bagua and Condorcanqui provinces – Amazonian region. An ad-hoc questionnaire was applied to collect information about demographical, economical, and socio-cultural factors and access to health services; and the Simplified Medication Adherence Questionnaire (SMAQ) was performed to evaluate the adherence to antiretroviral therapy. Multivariate logistic regression analysis with backward stepwise were performed to explore factors that might influence adherence. Results: Of the 208 participants, 28.8% reported complete adherence to antiretroviral treatment. The multivariate logistic regression showed that occupation (aPR: 1.86; 95%CI 1.15-3.02), economic income (aPR: 0.64; 95%CI 0.41-0.99), and adverse reactions to antiretroviral therapy (aPR: 0.36; 95%CI 0.18-0.70) were related with complete adherence to medication. Conclusions: Only a third of participants reported a complete adherence to antiretroviral therapy. Factors associated with adherence to antiretroviral medication were related to socioeconomic conditions and adverse reactions to therapeutic scheme. Interventions related to improve adherence in indigenous people living with HIV should have to consider these factors in order to develop effective implementation strategies.

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“…Amidst long stretches of preventive efforts and enhanced treatment options, HIV infection remains a threat to public health. Wiginton et al (2021) stated that technological advancements may have significantly improved the health of people living with HIV and AIDS (PLHA). Still, awareness and acceptance within society have not improved as dramatically.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, and Behaviors toward HIV/AIDS among Health Care Workers’ in Urban Cities in Leyte Philippines

Mosende

Lacambra

2023

MJN

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Backgroud: The difficulty of curbing the incidence of HIV has long been associated with stigma, which has been linked to the lack of knowledge, poor attitudes, and discriminatory behaviours of healthcare workers. The study aimed to assess the knowledge, attitudes, behavior, and care barriers of healthcare workers from highly urbanised cities towards HIV/AIDS. Methods: A total of 171 healthcare workers in Leyte province were included in the study. The study utilized a self-report questionnaire and was conducted in the early quarter of 2021. Spearman rank-order correlation analysis was employed to answer the study's hypotheses. Results: Results revealed that the participants have moderate knowledge of HIV/AIDS and good work attitudes but have prejudicial attitudes and discriminatory behaviors toward their HIV/AIDS-related care. Furthermore, it was found that there is a positive correlation between knowledge and attitude, as well as attitude toward behaviors. Notably, results revealed no correlation between knowledge of HIV/AIDS and perceived behaviors. Conclusion: It can be concluded that health workers in highly urbanized cities like Leyte province have essential knowledge, attitude, and behaviors in providing care to clients suspected or confirmed of HIV/AIDS. A good attitude towards HIV suggests a likelihood of a health care provider having sufficient knowledge of HIV and practising caring behaviors.

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Brief report: HIV-related healthcare stigma/discrimination and unmet needs among persons living with HIV in England and Wales

Cited by 8 publications

References 16 publications

Ageing People Living with HIV/AIDS, PLWHA; More Dental Challenges; the Romanian Dental Professional’s Point of View

Ageing People Living with HIV/AIDS, PLWHA; More Dental Challenges; the Romanian Dental Professional’s Point of View

Factors Influencing Adherence to Anti-retroviral Therapy in Amazonian Indigenous People Living With Hiv/aids

Knowledge, Attitudes, and Behaviors toward HIV/AIDS among Health Care Workers’ in Urban Cities in Leyte Philippines

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