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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV-related stigma, social support, and psychological distress among individuals initiating ART in Ethiopia
AIDS and Behavior, Volume 22, No. 12, Year 2018
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Description
Recent World Health Organization HIV treatment guideline expansion may facilitate timely antiretroviral therapy (ART) initiation. However, large-scale success of universal treatment strategies requires a more comprehensive understanding of known barriers to early ART initiation. This work aims to advance a more comprehensive understanding of interrelationships among three known barriers to ART initiation: psychological distress, HIV-related stigma, and low social support. We analyzed cross-sectional interview data on 1175 adults initiating ART at six HIV treatment clinics in Ethiopia. Experience of each form of HIV-related stigma assessed (e.g., anticipatory, internalized, and enacted) was associated with increased odds of psychological distress. However, among those who reported enacted HIV-related stigma, there was no significant association between social support and psychological distress. Interventions to improve mental health among people living with HIV should consider incorporating components to address stigma, focusing on strategies to prevent or reduce the internalization of stigma, given the magnitude of the relationship between high internalized stigma and psychological distress. Interventions to increase social support may be insufficient to improve the mental health of people living with HIV who experienced enacted HIV-related stigma. Future research should examine alternative strategies to manage the mental health consequences of enacted HIV-related stigma, including coping skills training. © Springer Science+Business Media, LLC, part of Springer Nature 2018.
Authors & Co-Authors
Parcesepe, Angela Marie
United States, New York
Columbia University
United States, New York
The City University of new York
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Tymejczyk, Olga A.
United States, New York
The City University of new York
Remien, Robert H.
United States, New York
Columbia University
Gadisa, Tsigereda
United States, New York
Columbia University
Kulkarni, Sarah Gorrell
United States, New York
The City University of new York
Hoffman, Susie
United States, New York
Columbia University
Melaku, Zenebe
United States, New York
Columbia University
Elul, Batya
United States, New York
Columbia University
Nash, Denis B.
United States, New York
The City University of new York
Statistics
Citations: 41
Authors: 9
Affiliations: 3
Identifiers
Doi:
10.1007/s10461-018-2059-8
ISSN:
10907165
Research Areas
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Study Locations
Ethiopia