Impact of HIV-related stigma on medication adherence among persons living with HIV

Sweeney, Shannon M.; Mitzel, Luke D.; Vanable, Peter A.

doi:10.1016/j.copsyc.2015.06.002

Cited by 17 publications

(11 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…40,57 Older adults living with HIV are also uniquely susceptible to experiencing a confluence of depression, HIV stigma, and social isolation, 43 which are all independently associated with decreased ART adherence. 11,58,59 Notably, Blashill et al 60 recently reported that multiple psychosocial challenges synergistically influence odds of ART nonadherence, with each additional burden increasing the likelihood of nonadherence. Additional research is necessary to disentangle the downstream immunological effects of commonly co-occurring psychosocial issues in OALWH.…”

Section: How Does Your Research Contribute To the Field?mentioning

confidence: 99%

Psychosocial Well-Being and HIV-Related Immune Health Outcomes among HIV-Positive Older Adults: Support for a Biopsychosocial Model of HIV Stigma and Health

Rendina

Weaver

Millar

et al. 2019

J Int Assoc Provid AIDS Care

View full text Add to dashboard Cite

Evidence suggests that psychosocial stress negatively impacts immunological health in HIV-positive individuals. However, few studies have explored this association in substance-using older adults living with HIV (OALWH). We evaluated the effect of depression, loneliness, substance use problems, and HIV stigma on primary markers of immune function in a sample of 120 OALWH with substance-related issues. HIV stigma correlated with the greatest number of factors, including depression, loneliness, and substance use problems. Older age and antiretroviral adherence were associated with viral suppression, which was in turn associated with higher percentage of CD4 count. Multivariate path analyses demonstrated that lower HIV stigma and viral suppression were the only factors independently associated with higher percentage of CD4 count, with a significant indirect effect of adherence on CD4 through viral suppression. HIV stigma emerged as the most salient factor associated with both psychosocial well-being and immune health in the current study, suggesting that it is a critical factor to consider in future interventions for the rapidly growing population of OALWH.

show abstract

Section: How Does Your Research Contribute To the Field?mentioning

confidence: 99%

Psychosocial Well-Being and HIV-Related Immune Health Outcomes among HIV-Positive Older Adults: Support for a Biopsychosocial Model of HIV Stigma and Health

Rendina

Weaver

Millar

et al. 2019

J Int Assoc Provid AIDS Care

View full text Add to dashboard Cite

show abstract

“…Furthermore, stigma represents a common problem experienced by many HIV-positive individuals (both sexual majority and minority individuals), as was shown in a recent large-scale observational trial of HIV-positive adults in the U.S. (Baugher et al, 2017). Of concern, HIV-related stigma has been linked with a range of adverse mental, behavioral, and physical outcomes for HIV-positive individuals, including anxious and depressed affect, anger, sadness, loneliness, and hopelessness (Lee, Kochman, & Sikkema, 2002; Stutterheim et al, 2012), psychological distress and reduced physical well-being (Miller et al, 2016), sexual compulsivity (Rendina et al, 2012), lower quality of life and reduced use of health services (Rueda et al, 2016), and reduced medication adherence (Sweeney, Mitzel, & Vanable, 2015).…”

Section: Introductionmentioning

confidence: 99%

The critical role of internalized HIV-related stigma in the daily negative affective experiences of HIV-positive gay and bisexual men

Rendina

Millar

Parsons

2018

Journal of Affective Disorders

View full text Add to dashboard Cite

show abstract

“…Numerous studies have been carried out on HIV-related stigma particularly in developed countries, which help guide HIV-related stigma reduction intervention strategies; 10,11 nevertheless, HIV-related stigma in developing countries (i.e. countries with low living standard, less industrial base and low human development index relative to other countries) 12 including Nigeria remain a high burden to PLWHA.…”

Section: Introductionmentioning

confidence: 99%

“…7 There has been a continuous improvement in the prevention and medical management of HIV; however, stigmatization and discrimination against PLWHA have significantly limited the success and negatively impact progress and efforts as it predisposes to poor adherence to medications, unwillingness to access care and ultimately reduced the quality of life. 8,9 Numerous studies have been carried out on HIV-related stigma particularly in developed countries, which help guide HIV-related stigma reduction intervention strategies; 10,11 nevertheless, HIV-related stigma in developing countries (i.e. countries with low living standard, less industrial base and low human development index relative to other countries) 12 including Nigeria remain a high burden to PLWHA.…”

Section: Introductionmentioning

confidence: 99%

Assessment of HIV-related stigma and determinants among people living with HIV/AIDS in Abeokuta, Nigeria: A cross-sectional study

et al. 2019

View full text Add to dashboard Cite

Introduction: HIV/AIDS-related stigma remains an essential barrier to the formulated care delivery and improved quality of life of people living with HIV/AIDS in sub-Saharan Africa. Only a few studies have evaluated stigma and its determinants as concerns people living with HIV/AIDS in Nigeria. Methods: A cross-sectional design study recruited 386 people living with HIV/AIDS attending the government clinic, Federal Medical Centre, Abeokuta, Nigeria, for the assessment of stigma using Berger’s HIV stigma scale and United States Agency International Development-recommended indicators and questions on HIV-related stigma among people living with HIV/AIDS. Data were analyzed using SPSS 21. Results: Of the 386 people living with HIV/AIDS, 322 (83.4%) were females and 64 (16.6%) were males, and 96.9% had disclosed their HIV status. Overall, mean perceived stigma score was moderately high at 95.74 (standard deviation = ±16.04). Majority (77.2%) of the participants experienced moderately perceived stigma. Among the subscales, disclosure concerns contributed the most to stigma score at 68.9%. Enacted stigma in the last 12 months was documented in 35.8% (138). There was no association observed between age, gender, marital status and HIV-related stigma. However, low education was associated with higher negative self-image perception (31.83 ± 5.81 vs 29.76 ± 5.74, p < 0.001). Furthermore, higher perceived stigma score was associated with abandonment by spouses (p < 0.001), isolation from household members (p < 0.001) and social exclusion (p < 0.001). We demonstrated a correlation between the domains of enacted stigma and Berger HIV stigma scales except for the loss of resources. Conclusion: Perceived HIV-related stigma is moderately high among people living with HIV/AIDS. Low education, disclosure concerns, spousal or household abandonment and social exclusion are the significant contributors. HIV-related stigma preventive interventions at different levels of care are advocated.

show abstract

Impact of HIV-related stigma on medication adherence among persons living with HIV

Cited by 17 publications

References 42 publications

Psychosocial Well-Being and HIV-Related Immune Health Outcomes among HIV-Positive Older Adults: Support for a Biopsychosocial Model of HIV Stigma and Health

Psychosocial Well-Being and HIV-Related Immune Health Outcomes among HIV-Positive Older Adults: Support for a Biopsychosocial Model of HIV Stigma and Health

The critical role of internalized HIV-related stigma in the daily negative affective experiences of HIV-positive gay and bisexual men

Assessment of HIV-related stigma and determinants among people living with HIV/AIDS in Abeokuta, Nigeria: A cross-sectional study

Contact Info

Product

Resources

About