HIV-related knowledge among PLHIV can be improved through HIV educational programs.

Introduction: The present study assessed the human immunodeficiency virus (HIV)-related stigma and the factors influencing it among people living with human immunodeficiency virus (PLHIV) in tertiary care hospitals at Mangalore, South India. Stigma related to HIV still persists as a major public health issue globally and varies from person to person. The various forms of HIV-related stigma are personalized stigma, disclosure stigma, negative self-image stigma, and public attitude stigma. Material and methods: In this cross-sectional study, 409 PLHIV aged ≥ 18 years were interviewed from April 2014 to April 2015. HIV-related stigma was assessed using the "revised HIV stigma scale". Socio-demographic characteristics and factors affecting HIV stigma were collected using a semi-structured questionnaire. The association between various domains of HIV-related stigma with socio-demographic characteristics was assessed using one way ANOVA (analysis of variance) and student t-test. P < 0.05 was considered to be statistically significant. Results: Among the HIV-related stigma domains, disclosure and public attitudes stigma showed higher mean scores followed by negative self-image stigma. Personalized stigma domain showed the least scores in our study. Our study identified that HIV-related stigma was higher among males, older participants, those who were married, of a higher socioeconomic status, on a longer duration of antiretroviral therapy (ART), and participants who had travelled more distance to procure ART. Conclussions: Counseling PLHIV and educating care givers and the community is essential for tackling stigmatization among PLHIV. Mitigating stigma through multi-dimensional intervention strategies is crucial to overcome stigma associated with HIV/AIDS.

Background: Antiretroviral Therapy (ART) has transformed life threatening HIV/AIDS scenario into chronic manageable disease. Methodology: In this cross-sectional, 409 People Living with Human Immunodeficiency Virus (PLHIV) aged 18 years, who were on ART, were assessed regarding the adherence to ART and factors affecting adherence using semistructured questionnaire. The association between factors affecting adherence and the level of adherence were analyzed using multiple logistic regression model and odds ratio (OR) with 95% confidence intervals (CI) were reported. Results: Among 409 PLHIV, 70.4% showed adherence to ART (95%). Univariate analysis yielded many factor associated with adherence (P < 0.05). However, on multivariate analysis, PLHIV who do not forget to take ART and not consuming alcohol were the factors consistent with adherence to ART (P < 0.05). Conclusion: Regular patient education and counseling regarding the usage of memory aids and abstinence from alcohol could be useful for adherence and long term success of ART among PLHIV.

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