HIV Treatment Scale-Up and HIV-Related Stigma in Sub-Saharan Africa: A Longitudinal Cross-Country Analysis
Identifieur interne : 000027 ( Pmc/Corpus ); précédent : 000026; suivant : 000028HIV Treatment Scale-Up and HIV-Related Stigma in Sub-Saharan Africa: A Longitudinal Cross-Country Analysis
Auteurs : Brian T. Chan ; Alexander C. Tsai ; Mark J. SiednerSource :
- American Journal of Public Health [ 0090-0036 ] ; 2015.
Abstract
Url:
DOI: 10.2105/AJPH.2015.302716
PubMed: 26066939
PubMed Central: 4500171
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">HIV Treatment Scale-Up and HIV-Related Stigma in Sub-Saharan Africa: A Longitudinal Cross-Country Analysis</title><author><name sortKey="Chan, Brian T" sort="Chan, Brian T" uniqKey="Chan B" first="Brian T." last="Chan">Brian T. Chan</name></author><author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name></author><author><name sortKey="Siedner, Mark J" sort="Siedner, Mark J" uniqKey="Siedner M" first="Mark J." last="Siedner">Mark J. Siedner</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26066939</idno><idno type="pmc">4500171</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500171</idno><idno type="RBID">PMC:4500171</idno><idno type="doi">10.2105/AJPH.2015.302716</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000027</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000027</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">HIV Treatment Scale-Up and HIV-Related Stigma in Sub-Saharan Africa: A Longitudinal Cross-Country Analysis</title><author><name sortKey="Chan, Brian T" sort="Chan, Brian T" uniqKey="Chan B" first="Brian T." last="Chan">Brian T. Chan</name></author><author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name></author><author><name sortKey="Siedner, Mark J" sort="Siedner, Mark J" uniqKey="Siedner M" first="Mark J." last="Siedner">Mark J. Siedner</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We estimated the association between antiretroviral therapy (ART) uptake and HIV-related stigma at the population level in sub-Saharan Africa.</p><p><italic>Methods.</italic> We examined trends in HIV-related stigma and ART coverage in sub-Saharan Africa during 2003 to 2013 using longitudinal, population-based data on ART coverage from the Joint United Nations Program on HIV/AIDS and on HIV-related stigma from the Demographic and Health Surveys and AIDS Indicator Surveys. We fitted 2 linear regression models with country fixed effects, with the percentage of men or women reporting HIV-related stigma as the dependent variable and the percentage of people living with HIV on ART as the explanatory variable.</p><p><italic>Results.</italic> Eighteen countries in sub-Saharan Africa were included in our analysis. For each 1% increase in ART coverage, we observed a statistically significant decrease in the percentage of women (b = −0.226; <italic>P</italic> = .007; 95% confidence interval [CI] = −0.383, −0.070) and men (b = −0.281; <italic>P</italic> = .009; 95% CI = −0.480, −0.082) in the general population reporting HIV-related stigma.</p><p><italic>Conclusions.</italic> An important benefit of ART scale-up may be the diminution of HIV-related stigma in the general population.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title-group><journal-title>American Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26066939</article-id><article-id pub-id-type="pmc">4500171</article-id><article-id pub-id-type="publisher-id">201411911</article-id><article-id pub-id-type="doi">10.2105/AJPH.2015.302716</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>Global Health</subject><subject>HIV/AIDS</subject></subj-group><subj-group subj-group-type="heading"><subject>Research and Practice</subject></subj-group></article-categories><title-group><article-title>HIV Treatment Scale-Up and HIV-Related Stigma in Sub-Saharan Africa: A Longitudinal Cross-Country Analysis</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Chan</surname><given-names>Brian T.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Tsai</surname><given-names>Alexander C.</given-names></name><degrees>MD, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Siedner</surname><given-names>Mark J.</given-names></name><degrees>MD, MPH</degrees></contrib><aff>Brian T. Chan, Alexander C. Tsai, and Mark J. Siedner are with Harvard Medical School, Boston, MA. Brian T. Chan is also with the Brigham and Women’s Hospital, Boston. Alexander C. Tsai and Mark J. Siedner are also with Massachusetts General Hospital, Boston.</aff></contrib-group><author-notes><corresp>Correspondence should be sent to Brian T. Chan, MD, Brigham and Women’s Hospital, 15 Francis Street, PBBA-4, Boston, MA 02115 (email: <email>bchan@partners.org</email>). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link> by clicking the “Reprints” link.”</corresp><fn><p><bold>Contributors</bold></p><p>B. T. Chan contributed to research design, drafting and editing of the article, acquiring data, and data analysis and interpretation. A. C. Tsai and M. J. Siedner contributed to conceptualization and design of the study, data analysis and interpretation, and editing the article.</p></fn><fn><p>Peer Reviewed</p></fn></author-notes><pub-date pub-type="ppub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="epub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>8</month><year>2016</year></pub-date><pmc-comment> PMC Release delay is 12 months and
0 days and was based on the
<volume>105</volume><issue>8</issue><fpage>1581</fpage><lpage>1587</lpage><history><date date-type="accepted"><day>08</day><month>4</month><year>2015</year></date></history><permissions><copyright-statement>© American Public Health Association 2015</copyright-statement><copyright-year>2015</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="AJPH.2015.302716.pdf"></self-uri><abstract><p><italic>Objectives.</italic> We estimated the association between antiretroviral therapy (ART) uptake and HIV-related stigma at the population level in sub-Saharan Africa.</p><p><italic>Methods.</italic> We examined trends in HIV-related stigma and ART coverage in sub-Saharan Africa during 2003 to 2013 using longitudinal, population-based data on ART coverage from the Joint United Nations Program on HIV/AIDS and on HIV-related stigma from the Demographic and Health Surveys and AIDS Indicator Surveys. We fitted 2 linear regression models with country fixed effects, with the percentage of men or women reporting HIV-related stigma as the dependent variable and the percentage of people living with HIV on ART as the explanatory variable.</p><p><italic>Results.</italic> Eighteen countries in sub-Saharan Africa were included in our analysis. For each 1% increase in ART coverage, we observed a statistically significant decrease in the percentage of women (b = −0.226; <italic>P</italic> = .007; 95% confidence interval [CI] = −0.383, −0.070) and men (b = −0.281; <italic>P</italic> = .009; 95% CI = −0.480, −0.082) in the general population reporting HIV-related stigma.</p><p><italic>Conclusions.</italic> An important benefit of ART scale-up may be the diminution of HIV-related stigma in the general population.</p></abstract><counts><page-count count="7"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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