Research Article
Volume 13 Issue 9 - 2021
Factors Associated with HIV-Related Perceived Stigma among HIV-Positive Youths Attending ART Follow-Up in Jimma Town Public Health Facilities, Southwest Ethiopia
Derara Girma1*, Hiwot Dejene1, Leta Adugna1 and Bilisumamulifna Tefera2
1Department of Public Health, College of Health Sciences, Salale University, Fitche, Ethiopia
2Department of Public Health, College of Health Sciences, Mettu University, Mettu, Ethiopia
*Corresponding Author: Derara Girma, Department of Public Health, College of Health Sciences, Salale University, Fitche, Ethiopia.
Received: July 30, 2021; Published: August 27, 2021




Abstract

Introduction: Youth living with HIV (age 15 - 24) had a higher risk of HIV-related stigma than any older age group. As well, HIV-related stigma is the main risk factor for adverse outcomes among HIV-positive youths. However, the magnitude and factors associated with perceived stigma among HIV-positive youths in Ethiopia have not been extensively quantified so far. Therefore, site-specific evidence is vital to identify factors associated with perceived stigma among HIV-positive youths.

Methods: An institution-based cross-sectional study was conducted from March 2020 to June 2020 among 341 HIV-positive youths on anti-retroviral therapy follow-up. Participants were selected using a systematic random sampling technique. Data were collected using interviewer-administered techniques and medical record review. The collected data were entered into Epi Data 3.1 and exported to SPSS version 22 for analysis. The Adjusted Odds Ratio (AOR) with 95% CI was used to measure the association along with a respective p-value < 0.05 to identify statistically significant variables in the multivariable logistic regression.

Results: A total of 325 HIV-positive youths have participated in this study with a response rate of 95.3%. The magnitude of perceived stigma among HIV-positive youths was 63.15 (95% CI: 57.2, 68.0). In multivariable analysis, rural resident (AOR = 2.55, 95%CI: 1.37 - 4.74), HIV serostatus nondisclosure (AOR = 2.84, 95%CI: 1.55 - 5.19), poor antiretroviral treatment adherence (AOR = 2.52, 95%CI: 1.18-5.38), TB co-morbid (AOR = 2.27, 95%CI: 1.04 - 4.98), and less than one year since diagnosed with HIV/AIDS (AOR = 1.90, 95%CI: 1.10 - 3.28) were factors independently associated with perceived stigma.

Conclusion: This finding confirmed that HIV-positive youths in the study area experienced a high magnitude of perceived stigma. For stigma to be declined, giving notable consideration to factors significantly associated with stigma would be beneficial.

Keywords: Stigma; HIV; Adolescent; Youth; Ethiopia

References

  1. Adolescent HIV prevention - UNICEF DATA [Internet] (2019).
  2. World Health Organization. WHO | HIV and youth (2017).
  3. Young people, HIV and AIDS (2018).
  4. Federal HIV/AIDS Prevention and Control Office. HIV prevention in Ethiopia National Road map: 2018-2020 (2018).
  5. HIV Stigma and Discrimination (2015).
  6. “On the Fast-Track to end AIDS by 2030: Focus on location and population (2015): 1-260.
  7. Parker R and Aggleton P. “HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action”. Social Science and Medicine1 (2003): 13-24.
  8. Deacon H. “Understanding HIV/AIDS stigma: a theoretical and methodological analysis/Library of Congress (2005).
  9. Pantelic M., et al. “Predictors of internalised HIV-related stigma: a systematic review of studies in sub-Saharan Africa”. Health Psychology Review4 (2015): 469-490.
  10. Ashaba S., et al. “Internalized HIV stigma, bullying, major depressive disorder, and high-risk suicidality among HIV-positive adolescents in rural Uganda”. Global Mental Health 5 (2018): e22.
  11. Earnshaw VA., et al. “Stigma, Depression, and Substance Use Problems Among Perinatally HIV-Infected Youth in South Africa”. AIDS and Behavior12 (2018): 3892-3896.
  12. Pantelic M., et al. “HIV, violence, blame and shame: Pathways of risk to internalized HIV stigma among South African adolescents living with HIV: Pathways”. Journal of the International AIDS Society1 (2017): 1-9.
  13. Pantelic M., et al. “Multiple forms of discrimination and internalized stigma compromise retention in HIV care among adolescents: findings from a South African cohort”. Journal of the International AIDS Society5 (2020): 1-8.
  14. Swendeman D., et al. “Predictors of HIV-related stigma among young people living with HIV”. Health Psychology Journal4 (2006): 501-509.
  15. Vreeman RC., et al. “Mental health challenges among adolescents living with HIV”. Journal of the International AIDS Society3 (2017): 100-109.
  16. Kimera E., et al. “Challenges and support for quality of life of youths living with HIV/AIDS in schools and larger community in East Africa: A systematic review”. Systematic Reviews in Pharmacy1 (2019): 1-18.
  17. Rongkavilit C., et al. “HIV stigma, disclosure and psychosocial distress among Thai youth living with HIV”. International Journal of STD and AIDS2 (2010): 126-132.
  18. Clum G., et al. “Mediators of HIV-related stigma and risk behavior in HIV infected young women”. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV11 (2009): 1455-1462.
  19. Varni SE., et al. “Disengagement and engagement coping with HIV/AIDS stigma and psychological well-being of people with HIV/AIDS”. Journal of Social and Clinical Psychology2 (2012): 123-150.
  20. Earnshaw VA., et al. “Stigma, Depression, and Substance Use Problems Among Perinatally HIV-Infected Youth in South Africa”. AIDS and Behavior12 (2018): 3892-3896.
  21. Capron DW., et al. “Suicidality and anxiety sensitivity in adults with HIV”. AIDS Patient Care STDS5 (2012): 298-303.
  22. Fortenberry JD., et al. “Linkage to Care for HIV-Positive Adolescents: A Multisite Study of the Adolescent Medicine Trials Units of the Adolescent Trials Network”. Journal of Adolescent Health6 (2012): 551-556.
  23. France NF., et al. “Correction: ’We are the change’-An innovative community-based response to address self-stigma: A pilot study focusing on people living with HIV in Zimbabwe”. PLoS One2 (2019): 1-24.
  24. Hightow-Weidman LB., et al. “Patterns of HIV disclosure and condom use among HIV-infected young racial/ethnic minority men who have sex with men”. AIDS and Behavior1 (2013): 360-368.
  25. Kurth AE., et al. “HIV testing and linkage to services for youth”. Journal of the International AIDS Society2 (2015): 23-28.
  26. Nabunya P., et al. “Factors Associated With HIV Disclosure and HIV-Related Stigma Among Adolescents Living With HIV in Southwestern Uganda”. Frontiers in Psychiatry 11 (2020): 1-10.
  27. Abimbola O., et al. “Psychosocial Factors of Stigma and Relationship to Healthcare Service among Adolescents Living With HIV / AIDS in Kano State, Nigeria (2020).
  28. Martinez J., et al. “The impact of stigma on medication adherence among HIV-positive adolescent and young adult females and the moderating effects of coping and satisfaction with health care”. AIDS Patient Care STDS2 (2012): 108-115.
  29. Tran BX., et al. “Understanding Global HIV Stigma and Discrimination: Are Contextual Factors Sufficiently Studied? (GAPRESEARCH)”. International Journal of Environmental Research and Public Health11 (2019): 1899.
  30. Hargreaves JR., et al. “Individual and community-level risk factors for HIV stigma in 21 Zambian and South African communities: Analysis of data from the HPTN071 (PopART) study”. Aids6 (2018): 783-793.
  31. Wodajo BS., et al. “HIV and AIDS-related stigma and discrimination in two referral hospitals in Ethiopia”. African Journal of AIDS Research2 (2017): 137-144.
  32. Adane B., et al. “Perceived Stigma and Associated Factors Among People Living with HIV Attending ART Clinics in Public Health Facilities of Dessie City, Ethiopia”. HIV/AIDS-Research Palliat Care 12 (2020): 551-557.
  33. Endeshaw M., et al. “Stigma in Ethiopia: association with depressive symptoms in people with HIV”. AIDS Care -Psychological Socio-Medical Asp AIDS/HIV8 (2014): 935-939.
  34. Neno Nikus Fido., et al. “HIV stigma and associated factors among antiretroviral treatment clients in Jimma town, Southwest Ethiopia”. HIV/AIDS-Research Palliat Care 8 (2016): 183-193.
  35. Tesfay F., et al. “Stigma and discrimination: Barriers to the utilisation of a nutritional program in HIV care services in the Tigray region, Ethiopia”. BMC Public Health1 (2020): 1-13.
  36. Mburu G., et al. “Resisting and challenging stigma in Uganda: the role of support groups of people living with HIV”. Journal of the International AIDS Society 3-2 (2013): 1-7.
  37. Wiklander M., et al. “Psychometric properties of a short version of the HIV stigma scale, adapted for children with HIV infection”. Health and Quality of Life Outcomes 1 (2013): 1-7.
  38. Abebe H., et al. “Prevalence of Depressive Symptoms and Associated Factors among HIV-Positive Youth Attending ART Follow-Up in Addis Ababa, Ethiopia”. AIDS Research and Treatment (2019).
  39. Kemigisha E., et al. “Prevalence of depressive symptoms and associated factors among adolescents living with HIV/AIDS in South Western Uganda”. AIDS Care 10 (2019): 1297-1303.
  40. Cluver L and Orkin M. “Cumulative risk and AIDS-orphanhood: Interactions of stigma, bullying and poverty on child mental health in South Africa”. Social Science and Medicine 8 (2009): 1186-1193.
  41. World Health Organization. Adolescent Mental Health (2020).
  42. Nugent C., et al. “Risk factors associated with experienced stigma among people diagnosed with mental ill-health: a cross-sectional study”. Psychiatr Q (2020).
  43. Pourmarzi D., et al. “Perceived Stigma in People Living With HIV in Qom”. Journal of Family and Reproductive Health 11 (2017).
  44. McHenry MS., et al. “HIV Stigma: Perspectives from Kenyan Child Caregivers and Adolescents Living with HIV”. Journal of the International Association of Providers of AIDS Care3 (2017): 215-225.
  45. Madiba S and Mokgatle M. “Perceptions and Experiences about Self-Disclosure of HIV Status among Adolescents with Perinatal Acquired HIV in Poor-Resourced Communities in South Africa”. AIDS Research and Treatment (2016).
  46. Duko B., et al. “Perceived Stigma and Associated Factors among Patient with Tuberculosis, Wolaita Sodo, Ethiopia: Cross-Sectional Study”. Tuberculosis Research and Treatment (2019): 1-5.
  47. Li L., et al. “Stigma, social support, and depression among people living with HIV in Thailand”. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV8 (2009): 1007-1013.
  48. Jones HS., et al. “Association between HIV stigma and antiretroviral therapy adherence among adults living with HIV: baseline findings from the HPTN 071 (PopART) trial in Zambia and South Africa”. Tropical Medicine and International Health10 (2020): 1246-1260.
  49. Subedi B., et al. “Perceived stigma among people living with HIV/AIDS in Pokhara, Nepal”. HIV/AIDS - Research and Palliative Care 11 (2019): 93-103.
  50. Global Health Sector Strategy on HIV 2016-2021: Towards Ending AIDS. World Health Organization (2016).
Citation: Derara Girma., et al. “Factors Associated with HIV-Related Perceived Stigma among HIV-Positive Youths Attending ART Follow-Up in Jimma Town Public Health Facilities, Southwest Ethiopia”. EC Neurology 13.9 (2021): 37-47.

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