Significant Others and Not Family or Friend Support Mediate Between Stigma and Discrimination Among People Living With HIV in Lagos State, Nigeria: A Cross-sectional Study

Badru, Oluwaseun Abdulganiyu; Babalola, Oluwatobi E.

doi:10.1097/jnc.0000000000000366

Cited by 5 publications

(7 citation statements)

References 42 publications

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“…Social Open access support, particularly from significant others, can reduce perceived stigma and consequently decrease the risk of depression and is also associated with improved quality of life, reduced symptoms of depression and better adherence to ART. 61 More research is needed to identify effective methods for enhancing social support in the context of HIV care.…”

Section: Discussionmentioning

confidence: 99%

Depression and associated factors among HIV-positive smokers receiving care at HIV outpatient clinics in Vietnam: a cross-sectional analysis

Nguyen,

et al. 2024

BMJ Open

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ObjectivesTo assess the prevalence of depressive symptoms and associated factors among people living with HIV (PLWH) who were current cigarette smokers and receiving treatment at HIV outpatient clinics (OPCs) in Vietnam.DesignA cross-sectional survey of smokers living with HIV.SettingThe study was carried out in 13 HIV OPCs located in Ha Noi, Vietnam.ParticipantsThe study included 527 PLWH aged 18 and above who were smokers and were receiving treatment at HIV OPCs.Outcome measuresThe study used the Centre for Epidemiology Scale for Depression to assess depressive symptoms. The associations between depressive symptoms, tobacco dependence and other characteristics were explored using bivariate and Poisson regression analyses.ResultsThe prevalence of depressive symptoms among smokers living with HIV was 38.3%. HIV-positive smokers who were female (prevalence ratio, PR 1.51, 95% CI 1.02 to 2.22), unmarried (PR 2.06, 95% CI 1.54 to 2.76), had a higher level of tobacco dependence (PR 1.06, 95% CI 1.01 to 1.11) and reported their health as fair or poor (PR 1.66, 95% CI 1.22 to 2.26) were more likely to have depression symptoms compared with HIV-positive smokers who were male, married, had a lower level of tobacco dependence and self-reported their health as good, very good or excellent.ConclusionThe prevalence of depressive symptoms among smokers receiving HIV care at HIV OPCs was high. Both depression and tobacco use screening and treatment should be included as part of ongoing care treatment plans at HIV OPCs.

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Section: Discussionmentioning

confidence: 99%

Depression and associated factors among HIV-positive smokers receiving care at HIV outpatient clinics in Vietnam: a cross-sectional analysis

Nguyen,

et al. 2024

BMJ Open

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“…Perceived community stigma reflects the general perception of HIV and AIDS in a community [47]. Perceived community stigma and discrimination captured the extent to which respondents believe that people with HIV are unfairly treated or are subjectively aware of the extent to which others in the population harbor negative attitudes toward PLHIV [46]. Three quarters (75.6%) of the respondents endorsed the statement that PLHIV experience stigma and are treated differently in their communities (55%).…”

Section: Perceived Stigmamentioning

confidence: 99%

“…Therefore, the secondary objective of the study was to examine community acceptability of HIV disclosure interventions within the context of piloting a disclosure model and intervention materials in selected health facilities in two provinces of South Africa. We used recommendations from numerous research studies to develop and implement community-based interventions to correct community misperceptions about HIV and disclosure [6,22,23,46]. It is crucial that interventions aim at improving disclosure and reducing internalised sigma in children and APHIV to avert the negative psychological outcomes associated with stigma and non-disclosure [20,46].…”

Section: Introductionmentioning

confidence: 99%

“…We used recommendations from numerous research studies to develop and implement community-based interventions to correct community misperceptions about HIV and disclosure [6,22,23,46]. It is crucial that interventions aim at improving disclosure and reducing internalised sigma in children and APHIV to avert the negative psychological outcomes associated with stigma and non-disclosure [20,46].…”

Section: Introductionmentioning

confidence: 99%

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Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa

Mokgatle

Madiba

2023

IJERPH

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Research data about HIV stigma perceptions and discriminatory attitudes among the general population are limited. Furthermore, the willingness of HIV-negative individuals to engage with HIV prevention and disclosure interventions has not been established in South Africa. The study investigated community perceptions of stigma as well as discriminatory attitudes towards HIV disclosure to understand if and how these perceptions might influence the uptake of disclosure interventions. This facility-based study used a validated questionnaire to measure the four constructs of HIV stigma among 670 adults recruited from health districts of two provinces of South Africa. Of these, 72% were female, 87% had ever been tested for HIV, and 31% knew someone who has HIV. Stigma towards people living with HIV (PLHIV) is widespread in the general population. A high proportion (75%) endorsed disclosure concerns, 75% perceived stigma to be common, and 56% endorsed negative statements indicating perceived stigma in communities. Fear, moral and social judgement, and rejection underlined their perceptions about PLHIV. Almost half (45.7%) were unwilling to care for family members sick with AIDS, suggesting negative distancing reactions and discriminatory attitudes towards PLHIV. The widespread discriminatory attitudes and the perceived stigma that is evident in the general population might heighten the disclosure concerns endorsed, promote non-disclosure, and increase HIV transmission. To design interventions, it is crucial to be cognisant of disclosure concerns, discriminatory attitudes, and perceived stigma evident in communities. Thus, the findings underscore the need to increase efforts to challenge and reduce community drivers of negative discriminatory attitudes and perceived stigma.

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“…PLWH with undetectable viral load often are not able to transmit HIV to other persons, which is known as treatment-as-prevention 7. Not being able to transmit HIV due to viral suppression is the ultimate aim of the HIV treatment cascade, which has a positive ripple effect on stigma prevention, improved quality of life and prevention of AIDS-related death 6 8–10…”

Section: Introductionmentioning

confidence: 99%

Does adherence to antiretroviral therapy differ by place of residence in Nigeria? A systematic review and meta-analysis protocol

2023

Self Cite

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IntroductionRetention in care is still a significant challenge in the HIV treatment cascade and varies extensively across regions, leading to poor adherence to antiretroviral therapy (ART). Several factors across different socioecological levels, such as health and community-level factors, inhibit ART adherence among people living with HIV (PLWH) in Nigeria. This review seeks to ask whether adherence to ART differs by place of residence in Nigeria.Method and analysisThis systematic review and meta-analysis will follow the updated Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. We will search PubMed, SCOPUS, CINAHL, Web of Science, MEDLINE (Ovid) and Google Scholar from onset to 30 April 2023. We will include only quantitative observational studies or mixed-method studies that measured the association between place of residence (urban and rural) and adherence to ART among PLWH aged ≥15 years. Title and abstract screening, full-text screening, data extraction and quality assessment will be done by two reviewers independently. A third reviewer will resolve disagreements. We will extract the author’s name and year of publication, study aim(s), participant’s characteristics, sample size, sampling method, region and state, adherence definition and adherence level in urban and rural areas. Data will be analysed with Review Manager V.5.4. The Q statistical test will be used to assess between-study heterogeneity, while Higgins and Thompson’s I2will be used to quantify the heterogeneity level. Several subgroups and sensitivity analyses will be conducted.Ethics and disseminationEthical approval is not warranted for this study since primary published data will be utilised. The findings of this review will be published in a high-impact peer-reviewed journal and presented at a conference.PROSPERO registration numberCRD42022371965.

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Significant Others and Not Family or Friend Support Mediate Between Stigma and Discrimination Among People Living With HIV in Lagos State, Nigeria: A Cross-sectional Study

Cited by 5 publications

References 42 publications

Depression and associated factors among HIV-positive smokers receiving care at HIV outpatient clinics in Vietnam: a cross-sectional analysis

Depression and associated factors among HIV-positive smokers receiving care at HIV outpatient clinics in Vietnam: a cross-sectional analysis

Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa

Does adherence to antiretroviral therapy differ by place of residence in Nigeria? A systematic review and meta-analysis protocol

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