Understanding stigma and suicidality among gay men living with HIV: A photovoice project

Ferlatte, Olivier; Handlovsky, Ingrid; Ridge, Damien; Chanady, Tara; Knight, Rod; Oliffe, John L.

doi:10.1016/j.ssmqr.2022.100112

Cited by 3 publications

(3 citation statements)

References 75 publications

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“…confirmed that suicidal ideation is particularly high among MSMs in the context of an HIV diagnosis. Our results are in line with another study that clearly showed that the diagnosis of HIV is still devastating news for PLWH, associated with a psychosocial stress response, shock, powerlessness, anxiety, and depression [ 17 ]. Interestingly, it has been found that processing shock and gaining agency take only a short time and the threat of HIV/AIDS is significantly reduced due to good treatability.…”

Section: Discussionsupporting

confidence: 92%

People Living with HIV and AIDS: Experiences towards Antiretroviral Therapy, Paradigm Changes, Coping, Stigma, and Discrimination—A Grounded Theory Study

Beichler

Kutalek

Dörner

2023

IJERPH

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Background: The experiences in coping with HIV/AIDS from people living with HIV (PLWH) in Austria, Munich, and Berlin regarding adherence, antiretroviral therapy (ART), stigmatization, and discrimination were the main focus of this study. Therapy adherence is the cornerstone for PLWH to reduce disease progression and increase life expectancy combined with a high quality of life. The experience of stigmatization and discrimination in different life situations and settings is still experienced today. Aims: We aimed to examine the subjective perspective of PLWH concerning living with, coping with, and managing HIV/AIDS in daily life. Methods: Grounded Theory Methodology (GTM) was used. Data collection was conducted with semi-structured face-to-face interviews with 25 participants. Data analysis was performed in three steps, open, axial, and selective coding. Results: Five categories emerged, which included the following: (1) fast coping with diagnosis, (2) psychosocial burden due to HIV, (3) ART as a necessity, (4) building trust in HIV disclosure, (5) stigmatization and discrimination are still existing. Conclusion: In conclusion, it can be said that it is not the disease itself that causes the greatest stress, but the process of coping with the diagnosis. Therapy, as well as lifelong adherence, is hardly worth mentioning today. Much more significant is currently still the burden of discrimination and stigmatization.

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Section: Discussionsupporting

confidence: 92%

People Living with HIV and AIDS: Experiences towards Antiretroviral Therapy, Paradigm Changes, Coping, Stigma, and Discrimination—A Grounded Theory Study

Beichler

Kutalek

Dörner

2023

IJERPH

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“…Studies clearly demonstrate that a lack of adherence is a trigger for the development of complications and comorbidities [ 92 ]. Ferlatte et al (2022) [ 93 ] confirm in their study the associations between poverty, HIV, gender, and racial stigma and the impact of antiretroviral therapy (ART) and viral suppression on adherence. Galani et al, (2021) [ 94 ] confirm the complexity of HIV as the early detection, targeted treatment of comorbidities and the prevention of additional diseases through the expansion and improvement of a continuous record of health data to compensate for a lack of interprofessional communication.…”

Section: Discussionmentioning

confidence: 96%

“…The stigma experience starting from health care professionals in clinical settings in countries with high poverty is particularly stressful for PLWH and is largely avoided through integrated care (Islam et al, 2015) [ 104 ]. Ferlatte et al, (2022) [ 93 ] highlight the link, particularly among MSMs, between experiences of stigma and increased suicidality.…”

Section: Discussionmentioning

confidence: 99%

Integrated Care as a Model for Interprofessional Disease Management and the Benefits for People Living with HIV/AIDS

Beichler

Grabovac

Dörner

2023

IJERPH

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Introduction: Today, antiretroviral therapy (ART) is effectively used as a lifelong therapy to treat people living with HIV (PLWH) to suppress viral replication. Moreover, PLWH need an adequate care strategy in an interprofessional, networked setting of health care professionals from different disciplines. HIV/AIDS poses challenges to both patients and health care professionals within the framework of care due to frequent visits to physicians, avoidable hospitalizations, comorbidities, complications, and the resulting polypharmacy. The concepts of integrated care (IC) represent sustainable approaches to solving the complex care situation of PLWH. Aims: This study aimed to describe the national and international models of integrated care and their benefits regarding PLWH as complex, chronically ill patients in the health care system. Methods: We conducted a narrative review of the current national and international innovative models and approaches to integrated care for people with HIV/AIDS. The literature search covered the period between March and November 2022 and was conducted in the databases Cinahl, Cochrane, and Pubmed. Quantitative and qualitative studies, meta-analyses, and reviews were included. Results: The main findings are the benefits of integrated care (IC) as an interconnected, guideline- and pathway-based multiprofessional, multidisciplinary, patient-centered treatment for PLWH with complex chronic HIV/AIDS. This includes the evidence-based continuity of care with decreased hospitalization, reductions in costly and burdensome duplicate testing, and the saving of overall health care costs. Furthermore, it includes motivation for adherence, the prevention of HIV transmission through unrestricted access to ART, the reduction and timely treatment of comorbidities, the reduction of multimorbidity and polypharmacy, palliative care, and the treatment of chronic pain. IC is initiated, implemented, and financed by health policy in the form of integrated health care, managed care, case and care management, primary care, and general practitioner-centered concepts for the care of PLWH. Integrated care was originally founded in the United States of America. The complexity of HIV/AIDS intensifies as the disease progresses. Conclusions: Integrated care focuses on the holistic view of PLWH, considering medical, nursing, psychosocial, and psychiatric needs, as well as the various interactions among them. A comprehensive expansion of integrated care in primary health care settings will not only relieve the burden on hospitals but also significantly improve the patient situation and the outcome of treatment.

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Understanding the influence of Social Determinants of Health (SDH) on suicidal behaviors among HIV-positive men who have sex with men (MSM) in China: A population-based study

Wang,

Xu,

et al. 2024

Journal of Affective Disorders

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Understanding stigma and suicidality among gay men living with HIV: A photovoice project

Cited by 3 publications

References 75 publications

People Living with HIV and AIDS: Experiences towards Antiretroviral Therapy, Paradigm Changes, Coping, Stigma, and Discrimination—A Grounded Theory Study

People Living with HIV and AIDS: Experiences towards Antiretroviral Therapy, Paradigm Changes, Coping, Stigma, and Discrimination—A Grounded Theory Study

Integrated Care as a Model for Interprofessional Disease Management and the Benefits for People Living with HIV/AIDS

Understanding the influence of Social Determinants of Health (SDH) on suicidal behaviors among HIV-positive men who have sex with men (MSM) in China: A population-based study

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