The association of HIV-related stigma and psychosocial factors and HIV treatment outcomes among people living with HIV in the Volta region of Ghana
A mixed-methods study
Bibliographic Data
| ID | 19595079 |
|---|---|
| Authors | Jerry John Nutor (0000-0002-7562-6281, University of California, San Francisco, corresponding author), Akua O Gyamerah (0000-0003-3394-6532, University at Buffalo, State University of New York, corresponding author), Henry Ofori Duah (0000-0002-4842-6006, University of Cincinnati Medical Center, corresponding author), David Ayangba Asakitogum (0000-0002-7987-782X, University of California, San Francisco, corresponding author), Rachel Thompson (0000-0001-7233-0242, University of Ghana, corresponding author), Rachel G A Thompson, Robert Kaba Alhassan (0000-0003-4227-4854, University of Health and Allied Sciences, corresponding author), Alison Brown (0000-0003-3998-7212, University of California, Los Angeles, corresponding author), Alison Hamilton |
| Editors | Radhika Sundararajan (0000-0002-8451-2243) |
| Year | 2024 |
| Volume | 4 |
| Issue | 2 |
| Pages | e0002994 |
| Publication date | 2024-02-29 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0002994 |
| PMID | 38422060 |
| OpenAlex | W4392298672 |
| Language | EN |
| Citations received | 6 |
| References cited | 35 |
Stigma and discrimination have been identified as significant barriers to HIV treatment among people living with HIV (PLWH). HIV stigma affects decision to seek HIV testing and early treatment. Evidence shows that HIV stigma undermines antiretroviral therapy (ART) adherence by affecting the psychological process such as adjusting and coping with social support. In Ghana, stigma toward PLWH occurs in many ways including rejection by their communities and family members, ostracism, and refusal to engage in social interactions such as eating, sharing a bed, or shaking hands. Therefore. we examined PLWH’s experiences with different forms of HIV-related stigma and the impact on HIV treatment outcome in the Volta region of Ghana. We employed a convergent mixed-method approach consisting of a survey with 181 PLWH, four focus group discussions with 24 survey respondents, and in-depth interviews with six providers. We performed independent samples t-test, ANOVA, and chi-square test to test associations in bivariate analysis and analyzed qualitative data using thematic analysis. In all, 49% of survey respondents reported experiencing high internalized stigma, which was associated with high social support and depression (p
Family medicine · Focus group · Psychiatry · Psychosocial · Qualitative research · Social stigma · Social support · Thematic analysis · Clinical Psychology · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology
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| Citations per year | 3 |
|---|---|
| Citation span | 2024 - 2026 (3) |
| Highly cited | No |