HIV-related stigma and psychological distress in a cohort of patients receiving antiretroviral therapy in Nigeria

Datos Bibliográficos

ID19442431
AutoresBentley Akoko (Vanderbilt University Medical Center), Susan Regan (0000-0003-0940-2017, Massachusetts General Hospital), Ifeoma Idigbe (0000-0002-7170-326X, Nigerian Institute for Medical Research, Lagos, Nigeria), Oliver Ezechi (0000-0003-0688-3898, Nigerian Institute for Medical Research, Lagos, Nigeria), Leslie J Pierce (Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA), Leslie Pierce (0009-0001-4566-9969, Vanderbilt University Medical Center), Adesola Zaidat Musa (0000-0002-6533-2984, Nigerian Institute of Medical Research), Zaidat Musa (Nigerian Institute for Medical Research, Lagos, Nigeria), Prosper Okonkwo (0000-0001-6822-9344, APIN Public Health Initiatives (APIN), Abuja, Nigeria), Kenneth A Freedberg (0000-0001-6471-7930, Massachusetts General Hospital), Aima A Ahonkhai (0000-0003-0666-4767, Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee, USA, autor de correspondencia)
Año2024
Volumen36
Número2
Páginas204-211
Fecha de publicación2024-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2023.2216006
PMID37229763
OpenAlexW4378174359
IdiomaEN
Citas recibidas3
Referencias citadas27

Psychological distress is increasingly recognized as a barrier to engagement in HIV care, resulting in poor HIV outcomes. HIV-related stigma is a potential driver of distress in people living with HIV (PLWH). We conducted a prospective cohort study in 288 PLWH who newly initiated ART in a Nigeria. We assessed overall stigma (range 40–160) and four stigma subtypes (personalized, disclosure, negative self-image, and public stigma) at enrollment, and assessed psychological distress at enrollment, 6, and 12-months after ART initiation. We used logistic regression to assess the relationship between stigma and 12-month psychological distress. Overall stigma was high (102.34 ± 5.65) and was higher in both unmarried patients (p < 0.01) and those who had not disclosed their HIV status to anyone at enrollment (p < 0.01). Higher overall stigma (OR: 1.05, 95% CI 1.00–1.09) and personalized stigma (OR:1.08, 95% CI 1.00–1.16) were associated with higher odds of psychological distress at 12-months. Conclusions: Overall stigma levels were high in a cohort of PLWH initiating care in Nigeria. Higher stigma was associated with psychological distress. These data support the need for integration of measures to reduce stigma and psychological distress in the care of PLWH

Antiretroviral therapy · Cohort · Cohort study · Distress · Family medicine · Logistic regression · Mental health · Odds · Psychiatry · Psychological distress · Viral load · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Internal Medicine