Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa.
Identifieur interne : 001384 ( PubMed/Checkpoint ); précédent : 001383; suivant : 001385Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa.
Auteurs : Karl Peltzer [Afrique du Sud] ; Shandir RamlaganSource :
- AIDS care [ 1360-0451 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Agents antiVIH (usage thérapeutique), Dépression (étiologie), Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (immunologie), Infections à VIH (psychologie), Infections à VIH (traitement médicamenteux), Jeune adulte, Mâle, Méthodes épidémiologiques, Numération des lymphocytes CD4, Observance du traitement médicamenteux, Qualité de vie (psychologie), République d'Afrique du Sud, Soutien social, Stigmate social, Sujet âgé.
- MESH :
- immunologie : Infections à VIH.
- psychologie : Infections à VIH, Qualité de vie.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Agents antiVIH.
- étiologie : Dépression.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Humains, Jeune adulte, Mâle, Méthodes épidémiologiques, Numération des lymphocytes CD4, Observance du traitement médicamenteux, République d'Afrique du Sud, Soutien social, Stigmate social, Sujet âgé.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Anti-HIV Agents (therapeutic use), CD4 Lymphocyte Count, Depression (etiology), Epidemiologic Methods, Female, HIV Infections (drug therapy), HIV Infections (immunology), HIV Infections (psychology), Humans, Male, Medication Adherence, Middle Aged, Quality of Life (psychology), Social Stigma, Social Support, Socioeconomic Factors, South Africa, Young Adult.
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic : South Africa.
- drug therapy : HIV Infections.
- etiology : Depression.
- immunology : HIV Infections.
- psychology : HIV Infections, Quality of Life.
- Adolescent, Adult, Aged, CD4 Lymphocyte Count, Epidemiologic Methods, Female, Humans, Male, Medication Adherence, Middle Aged, Social Stigma, Social Support, Socioeconomic Factors, Young Adult.
Abstract
The aim of this study is to examine whether internalized AIDS stigma among HIV patients one year after antiretroviral therapy (ART) initiation is associated with sociodemographic characteristics, health status, social support, quality of life (QoL), and ARV adherence. This is a prospective study of all treatment-naive patients (N=735) recruited from all three public hospitals in Uthukela health district in KwaZulu-Natal and followed up at 6 and 12 months being on ART. Results indicated that despite a decrease in stigma seen in this study (may be due to ART) the level of stigma and discrimination remains high, and stigma reduction interventions are urgently needed in this population. CD4 cell counts significantly increased and HIV symptoms reduced significantly but depression symptoms remained high and even increased after 12 months on treatment. In multivariate analysis lower CD4 cell counts (odds ratio 0.5, 0.3-0.9), severe depression (5.6, 2.5-12.5) and low QoL (0.6, 0.5-0.8) were associated with internalized AIDS stigma. These findings may suggest that HIV care should include counseling and support that includes stigma concerns, depression, and QoL prior to and during the first year following diagnosis.
DOI: 10.1080/09540121.2010.498864
PubMed: 21218277
Affiliations:
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This is a prospective study of all treatment-naive patients (N=735) recruited from all three public hospitals in Uthukela health district in KwaZulu-Natal and followed up at 6 and 12 months being on ART. Results indicated that despite a decrease in stigma seen in this study (may be due to ART) the level of stigma and discrimination remains high, and stigma reduction interventions are urgently needed in this population. CD4 cell counts significantly increased and HIV symptoms reduced significantly but depression symptoms remained high and even increased after 12 months on treatment. In multivariate analysis lower CD4 cell counts (odds ratio 0.5, 0.3-0.9), severe depression (5.6, 2.5-12.5) and low QoL (0.6, 0.5-0.8) were associated with internalized AIDS stigma. These findings may suggest that HIV care should include counseling and support that includes stigma concerns, depression, and QoL prior to and during the first year following diagnosis.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21218277</PMID><DateCreated><Year>2011</Year><Month>01</Month><Day>10</Day></DateCreated><DateCompleted><Year>2011</Year><Month>04</Month><Day>27</Day></DateCompleted><DateRevised><Year>2011</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1360-0451</ISSN><JournalIssue CitedMedium="Internet"><Volume>23</Volume><Issue>1</Issue><PubDate><Year>2011</Year><Month>Jan</Month></PubDate></JournalIssue><Title>AIDS care</Title><ISOAbbreviation>AIDS Care</ISOAbbreviation></Journal><ArticleTitle>Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa.</ArticleTitle><Pagination><MedlinePgn>60-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/09540121.2010.498864</ELocationID><Abstract><AbstractText>The aim of this study is to examine whether internalized AIDS stigma among HIV patients one year after antiretroviral therapy (ART) initiation is associated with sociodemographic characteristics, health status, social support, quality of life (QoL), and ARV adherence. 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