Factors Associated With Perceived Stigma Among People Living With HIV/AIDS in Post-Conflict Northern Uganda

Nattabi, Barbara; Li, Jianghong; Thompson, Sandra C.; Orach, Christopher Garimoi; Earnest, Jaya

doi:10.1521/aeap.2011.23.3.193

Cited by 26 publications

(42 citation statements)

References 15 publications

(22 reference statements)

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“…25 Additionally, the stigma surrounding people with risky sexual behaviors and STIs, including HIV and AIDS, further restricts access to sexual health services by those stigmatized. 39,40 Families, communities, and the health system may act as agents of stigmatization through such behaviors as abusing, insulting, desertion of others. 39,26 As a result, young people, considered "the stigmatized" 41 engage in withdrawal as a coping strategy in the face of the perceived or experienced stigma.…”

Section: Discussionmentioning

confidence: 99%

Unmet medical care and sexual health counseling needs—: a cross-sectional study among university students in Uganda

Kyagaba¹,

Asamoah²,

Emmelin³

et al. 2014

hpu

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In 2010, unmet medical care and sexual health counseling needs were assessed among students at a Ugandan University. Unmet medical care need was associated with poor mental health, experience of sexual coercion, and poor self-rated health. Unmet sexual health counseling need was significantly associated with being female, coming from an urban area, low social participation, poor mental health status, experience of sexual coercion, poor self-rated health, inconsistent condom use, and having multiple sexual partners. Gender differences, poor mental health, sexual coercion, poor self-rated health, and risky sexual behavior must be considered when designing intervention models to reduce unmet health care needs among young people in this setting.

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Section: Discussionmentioning

confidence: 99%

Unmet medical care and sexual health counseling needs—: a cross-sectional study among university students in Uganda

Kyagaba¹,

Asamoah²,

Emmelin³

et al. 2014

hpu

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“…All studies recruited from healthcare facilities. Two articles reported purposively sampling the main HIV/AIDS clinics where patients from other health facilities are referred (Nattabi et al, 2011) and clinics with representative HIV testing services and healthcare provision (Neuman & Obermeyer, 2013). One study reported convenience sampling of facilities (Sorsdahl, Mall, Stein, & Joska, 2011) and fourteen did not report a method for selection.…”

Section: Methodsmentioning

confidence: 99%

“…One study (Nattabi, Li, Thompson, Orach, & Earnest, 2011) included adolescents (15-49 age range), however the analysis did not differentiate between adolescents and adults. No studies included children below the age of 15.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Five articles (Cuca et al, 2012;Holzemer et al, 2007;Makoae et al, 2009;Nattabi et al, 2011;Sorsdahl et al, 2011) reported use of the negative self-perception subscale of the HIV/AIDS Stigma Instrument-PLWA (HASI-P). Two reports used the Serithi Internalised Stigma Scale developed by Visser and colleagues (Visser et al, 2008;Visser & Sipsma, 2013 Thirteen articles used internalised stigma measures that underwent some assessment of construct validity (i.e.…”

Section: Internalised Hiv Stigma Measurement Validity and Reliabilitymentioning

confidence: 99%

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Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa

Pantelic

Shenderovich

Cluver

et al. 2015

Health Psychology Review

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Objective: This systematic review aims to synthesize evidence on predictors of internalised HIV stigma amongst people living with HIV in Sub-Saharan Africa.Method: PRISMA guidelines were used. Studies were identified through electronic databases, grey literature, reference harvesting and contacts with key researchers. Quality of findings was assessed through an adapted version of the Cambridge Quality Checklists.Results: A total of 590 potentially relevant titles were identified. Seventeen peer-reviewed articles and one draft book chapter were included. Studies investigated socio-demographic, HIV-related, intrapersonal and inter-personal correlates of internalised stigma. Eleven articles used cross-sectional data, six articles used prospective cohort data and one used both prospective cohort and cross-sectional data to assess correlates of internalised stigma. Poor HIV-related health weakly predicted increases in internalized HIV stigma in three longitudinal studies. Lower depression scores and improvements in overall mental health predicted reductions in internalized HIV stigma in two longitudinal studies, with moderate and weak effects respectively. No other consistent predictors were found. Conclusion:Studies utilizing analysis of change and accounting for confounding factors are necessary to guide policy and programming but are scarce. High-risk populations, other stigma markers that might layer upon internalised stigma, and structural drivers of internalised stigma need to be examined.

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“…Stigma is still a major feature of the AIDS milieu in many communities and people living with HIV experience stigma at various levels, including health workers [34][35][36]. Subtle stigmatizing attitudes and discriminatory behavior from health workers, which are often overlooked, can limit the potential impact of interventions for people living with HIV.…”

Section: International Journal Of Population Researchmentioning

confidence: 99%

A Qualitative Study of Barriers to Effectiveness of Interventions to Prevent Mother-to-Child Transmission of HIV in Arba Minch, Ethiopia

Adedimeji

Abboud

Merdekios

et al. 2012

International Journal of Population Research

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Objectives. Despite the availability of services to prevent mother-to-child transmission (PMTCT) of HIV, socio-cultural, health system and operational factors constrain many pregnant women from accessing services or returning for followup thereby increasing the risk of vertical transmission of HIV to newborns. We highlight and describe unique contextual factors contributing to low utilization of PMTCT services in Arba-Minch, Ethiopia. Methods. Qualitative research design was utilized to obtain data through focus group discussions and in-depth interviews with antenatal clinic attendees, health workers health facilities in the study area. Results. Awareness of PMTCT services and knowledge of its benefits was nearly universal, although socioeconomic, cultural and health system factors, including stigma and desire to prevent knowledge of serostatus, impede access to and utilization of services. Health system factors-lack of appropriate followup mechanisms, inadequate access to ARV drugs and poorly equipped manpower also contribute to low utilization of services. Conclusion. Reducing mother-to-child transmission of HIV in sub-Saharan Africa will be more effective when unique contextual factors are identified and addressed. Effectiveness of PMTCT interventions rests on a well functioning health system that recognize the importance of social, economic, cultural contexts that HIV positive pregnant women live in.

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Factors Associated With Perceived Stigma Among People Living With HIV/AIDS in Post-Conflict Northern Uganda

Cited by 26 publications

References 15 publications

Unmet medical care and sexual health counseling needs—: a cross-sectional study among university students in Uganda

Unmet medical care and sexual health counseling needs—: a cross-sectional study among university students in Uganda

Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa

A Qualitative Study of Barriers to Effectiveness of Interventions to Prevent Mother-to-Child Transmission of HIV in Arba Minch, Ethiopia

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