Examining the associations between HIV-related stigma and health outcomes in people living with HIV/Aids

A series of meta-analyses

Bibliographic Data

ID23342416
AuthorsSalvador Rueda (0000-0002-0654-6421, Centre for Addiction and Mental Health, corresponding author), Sanjana Mitra (0000-0002-1783-076X, Ontario HIV Treatment Network), Shiyi Chen (0000-0001-6611-4359, Ontario HIV Treatment Network), David Gogolishvili (Ontario HIV Treatment Network), Jason Globerman (0000-0002-7769-8932, Ontario HIV Treatment Network), Lori A Chambers (0000-0001-9835-607X, McMaster University), Lori Chambers, Mike Wilson, M Skye Wilson (0000-0002-7054-5837, McMaster University), Carmen H Logie (0000-0002-8035-433X, University of Toronto), Qiyun Shi (0000-0002-7144-2370, Ontario HIV Treatment Network), Sara Morassaei (0000-0002-7121-727X, Institute for Work & Health), Sean B Rourke (0000-0001-6162-7358, St. Michael's Hospital)
Year2016
Volume6
Issue7
Pagese011453
Publication date2016-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Open (JOURNAL)
Journal identifiersISSN: 2044-6055 • E-ISSN: 2044-6055
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjopen-2016-011453
PMID27412106
OpenAlexW2463820852
LanguageEN
Citations received316
References cited81

OBJECTIVE: To conduct a systematic review and series of meta-analyses on the association between HIV-related stigma and health among people living with HIV. DATA SOURCES: A structured search was conducted on 6 electronic databases for journal articles reporting associations between HIV-related stigma and health-related outcomes published between 1996 and 2013. STUDY ELIGIBILITY CRITERIA: Controlled studies, cohort studies, case-control studies and cross-sectional studies in people living with HIV were considered for inclusion. OUTCOME MEASURES: Mental health (depressive symptoms, emotional and mental distress, anxiety), quality of life, physical health, social support, adherence to antiretroviral therapy, access to and usage of health/social services and risk behaviours. RESULTS: 64 studies were included in our meta-analyses. We found significant associations between HIV-related stigma and higher rates of depression, lower social support and lower levels of adherence to antiretroviral medications and access to and usage of health and social services. Weaker relationships were observed between HIV-related stigma and anxiety, quality of life, physical health, emotional and mental distress and sexual risk practices. While risk of bias assessments revealed overall good quality related to how HIV stigma and health outcomes were measured on the included studies, high risk of bias among individual studies was observed in terms of appropriate control for potential confounders. Additional research should focus on elucidating the mechanisms behind the negative relationship between stigma and health to better inform interventions to reduce the impact of stigma on the health and well-being of people with HIV. CONCLUSIONS: This systematic review and series of meta-analyses support the notion that HIV-related stigma has a detrimental impact on a variety of health-related outcomes in people with HIV. This review can inform the development of multifaceted, intersectoral interventions to reduce the impact of HIV-related stigma on the health and well-being of people living with HIV.

Family medicine · Human immunodeficiency virus (HIV) · Meta-analysis · Psychiatry · Public health · Stigma (botany) · Epidemiology · HIV Research and Treatment · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Nursing · Viral-associated cancers and disorders · Gerontology