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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of internalized stigma on HIV prevention behaviors among HIV-infected individuals seeking HIV care in Kenya
AIDS Patient Care and STDs, Volume 26, No. 12, Year 2012
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Description
In general, an initial diagnosis of HIV is likely to be correlated with the onset of HIV stigma. HIV-positive individuals are likely to internalize stigma, may suffer from psychosocial issues, or engage in maladaptive behaviors to cope with the diagnosis. Internalized stigma stems from fear of stigmatization also known as felt stigma. The current study examined the impact of HIV felt stigma on overall health and success of HIV prevention behaviors among 370 participants living with HIV and receiving care at an urban HIV clinic in Kenya. An 18-item instrument was cross culturally adapted to measure felt stigma. Descriptive and logistic regression analyses examined the data. Findings indicate that 25.9% (n=96) of participants who reported experiencing high levels of felt stigma related to other people's attitudes toward their condition, ostracizing, and a disruption of their personal life, were likely to not adhere to prescribed HIV medication and not disclose their HIV serostatus to one other person. Those who also experienced felt stigma related to a disruption of their personal lives while mediated by depression were likely to report poor overall health. Findings support having HIV clinics and interventions develop relevant HIV prevention strategies that focus on the emerging dimensions of felt stigma which can significantly impact disclosure of serostatus, medication adherence, and overall health. © 2012, Mary Ann Liebert, Inc.
Authors & Co-Authors
Kingori, Caroline
United States, Athens
Ohio University
Reece, Michael D.
United States, Bloomington
Indiana University Bloomington
Obeng, Samuel
United States, Bloomington
Indiana University Bloomington
Murray, Maresa
United States, Bloomington
Indiana University Bloomington
Shacham, Enbal
United States, St. Louis
St. Louis University School of Public Health
Dodge, Brian
United States, Bloomington
Indiana University Bloomington
Akach, Emannuel
Kenya, Nairobi
Amref Health Africa
Ngatia, Peter
Kenya, Nairobi
Amref Health Africa
Ojakaa, David I.
Kenya, Nairobi
Amref Health Africa
Statistics
Citations: 56
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1089/apc.2012.0258
ISSN:
10872914
e-ISSN:
15577449
Research Areas
Health System And Policy
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Study Locations
Kenya