Persistent HIV-related stigma among an outpatient US clinic population.
| Autor: | Shacham E; College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA eshacham@slu.edu., Rosenburg N; School of Nursing, Nevada State College, Henderson, NV, USA., Önen NF; Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Donovan MF; University of Illinois, School of Medicine, Chicago, IL, USA., Overton ET; Division of Infectious Diseases, Department of Medicine, University of Alabama, Birmingham, AL, USA. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of STD & AIDS [Int J STD AIDS] 2015 Mar; Vol. 26 (4), pp. 243-50. Date of Electronic Publication: 2014 May 14. |
| DOI: | 10.1177/0956462414533318 |
| Abstrakt: | Despite advancements in the public's understanding of HIV infection, felt stigma towards individuals living with HIV persists. Stigma has been associated with adverse health outcomes, including poor adherence to care, and increased participation in HIV transmission risk behaviours. We evaluated the level of felt stigma and its relationship to other psychosocial and medical factors among a sample of 201 individuals with HIV engaged in care. The overall mean stigma score, as measured by the Reece Stigma Scale, was 21.7 (SD 8.7). In univariate analysis, felt stigma scores were higher among women, African Americans, younger participants, and individuals with less education. Higher felt stigma scores were also found among individuals who reported having fair to poor overall health, moderate to severe symptoms of depression and anxiety, and those with a current diagnosis of alcohol dependence, generalised anxiety disorder, agoraphobia, pain disorder, and current smokers. Higher felt stigma scores were independently associated with individuals with anxiety symptoms. These analyses highlight that stigma persists among individuals with HIV and may play an important role in HIV care. The relationship between psychiatric disorders and psychosocial factors highlights an opportunity to develop interventions that will address these common comorbidities and reduce stigma. (© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.) |
| Databáze: | MEDLINE |
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