Association Between Clinical Encounter Frequency and HIV-Related Stigma Among Newly-Diagnosed People Living with HIV in Rwanda
Datos Bibliográficos
| ID | 15335725 |
|---|---|
| Autores | Sarah E Hill (0000-0003-4904-3485), Sarah Hill (0000-0003-3555-433X, Albert Einstein College of Medicine, autor de correspondencia), Chenshu Zhang (0000-0002-3233-3905, Albert Einstein College of Medicine), Eric Remera (0000-0002-6084-8877, Rwanda Biomedical Center), Charles Ingabire (0000-0002-6700-6410, Rwanda Development Board), Francine Umwiza (Rwanda Development Board), Athanase Munyaneza (0000-0001-6332-3040, Rwanda Development Board), Benjamin Muhoza (Rwanda Development Board), Gallican Rwibasira (0000-0002-1559-6527, Rwanda Biomedical Center), Marcel Yotebieng (0000-0003-2110-2631, Albert Einstein College of Medicine), Kathryn Anastos (0000-0002-0769-6405, Albert Einstein College of Medicine), Gad Murenzi (0000-0002-5513-5522, Rwanda Development Board), Jonathan Ross (0000-0002-4193-6919, Albert Einstein College of Medicine) |
| Año | 2023 |
| Volumen | 28 |
| Número | 4 |
| Páginas | 1390-1400 |
| Fecha de publicación | 2023-12-19 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | AIDS and Behavior (JOURNAL) |
| Identificadores de la revista | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Editorial | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-023-04226-6 |
| PMID | 38112826 |
| OpenAlex | W4390016210 |
| Idioma | EN |
| Referencias citadas | 44 |
HIV-related stigma in healthcare settings remains a key barrier to engaging people living with HIV (PLHIV) in care. This study investigated the association between clinical encounter frequency and HIV-related anticipated, enacted, and internalized stigma among newly-diagnosed PLHIV in Rwanda. From October 2020 to May 2022, we collected data from adult PLHIV on antiretroviral therapy (ART) in Kigali, Rwanda who were participating in a randomized, controlled trial testing early entry into differentiated care at 6 months after ART initiation. We measured anticipated HIV stigma with five-point Likert HIV Stigma Framework measures, enacted stigma with the four-point Likert HIV/AIDS Stigma Instrument, and internalized stigma with the four-point Likert HIV/AIDS Stigma Instrument. We used multivariable linear regression to test the associations between clinical encounter frequency (average inter-visit interval ≥ 50 days vs. < 50 days) and change in mean anticipated, enacted and internalized HIV stigma over the first 12 months in care. Among 93 individuals enrolled, 76 had complete data on encounter frequency and stigma measurements and were included in the present analysis. Mean internalized stigma scores of all participants decreased over the first 12 months in care. Anticipated and enacted stigma scores were low and did not change significantly over time. There was no association between encounter frequency and change in internalized stigma. In this pilot study of newly-diagnosed Rwandan PLHIV with relatively low levels of HIV-related stigma, clinical encounter frequency was not associated with change in stigma. Additional research in diverse settings and with larger samples is necessary to further explore this relationship
Developmental psychology · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Likert scale · Psychiatry · Public health · Social stigma · Stigma (botany · Clinical Psychology · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology
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| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |