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Prevalence of HIV-related stigma among people with HIV in Switzerland: addressing the elephant in the room

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Názov: Prevalence of HIV-related stigma among people with HIV in Switzerland: addressing the elephant in the room
Autori: Kampouri, Eleftheria, Damas, José, Kusejko, Katharina, Ledergerber, Bruno, Braun, Dominique, Tshikung, Olivier Nawej, Hachfeld, Anna, Weisser, Maja, Wissel, Kerstin, Bernasconi, Enos, Manuel, Isabel Cobos, Jackson-Perry, David, Eriksson, Lars E, Reinius, Maria, Cavassini, Matthias, Darling, Katharine E A
Prispievatelia: and the Swiss HIV Cohort Study (SHCS), Swiss, H. I. V. Cohort Study (ed.)
Zdroj: AIDS
AIDS, vol. 38, no. 13, pp. 1874-1884
Kampouri, Eleftheria; Damas, José; Kusejko, Katharina; Ledergerber, Bruno; Braun, Dominique; Tshikung, Olivier Nawej; Hachfeld, Anna; Weisser, Maja; Wissel, Kerstin; Bernasconi, Enos; Manuel, Isabel Cobos; Jackson-Perry, David; Eriksson, Lars E; Reinius, Maria; Cavassini, Matthias; Darling, Katharine E A (2024). Prevalence of HIV-related stigma among people with HIV in Switzerland: addressing the elephant in the room. AIDS, 38(13), pp. 1874-1884. Wolters Kluwer Health 10.1097/QAD.0000000000003983 <http://dx.doi.org/10.1097/QAD.0000000000003983>
Informácie o vydavateľovi: Ovid Technologies (Wolters Kluwer Health), 2024.
Rok vydania: 2024
Predmety: Male, Adult, Epidemiology and Social, 4. Education, Social Stigma, 610 Medicine & health, HIV Infections, Middle Aged, 16. Peace & justice, 3. Good health, Cross-Sectional Studies, Surveys and Questionnaires, Prevalence, Humans, Female, 10. No inequality, Switzerland, HIV Infections/psychology, HIV Infections/epidemiology, Switzerland/epidemiology
Popis: Objectives: We aimed to determine the prevalence of HIV-related stigma among people with HIV (PWH) in Switzerland Design: A cross-sectional multicenter study nested within the Swiss HIV Cohort Study (SHCS). Methods: We included adult PWH enrolled in the SHCS, attending follow-up between March 1, 2020, and January 31, 2021. Inability to speak English, French, German, or Italian was the only exclusion criterion. Participants were invited to complete a validated 12-item HIV-stigma questionnaire comprising four stigma subscales (negative self-image, personalized stigma, disclosure concerns, and concerns regarding public attitudes), plus two healthcare-related stigma items. Questionnaire responses were graded using a four-point Likert-type scale, higher scores indicating higher stigma. “Non-applicable,” inferring HIV-status non-disclosure, was possible for personalized stigma; stigma scores from participants answering “non-applicable” to at least one item were analyzed separately. Factors associated with HIV-stigma were identified through multivariable linear models. Results: Of 9643 PWH with a SHCS visit, 5563 participated in the study: 26% were female, 13% Black, and 37% heterosexual; median age was 53 years (interquartile range 44–59); 2067 participants (37%) gave at least one “non-applicable” response. Disclosure concerns had the highest stigma scores and were reported by 4656/5563 (84%). HIV-stigma was reported across all demographic groups. However, being female, Black, and heterosexual were independently associated with higher scores. Higher education and longer follow-up duration were associated with lower scores. Healthcare-related stigma was reported in 37% of participants. Conclusion: HIV-stigma was prevalent across all demographic groups. The association with being female and Black suggests that HIV-stigma accentuates preexisting sex and race inequalities.
Druh dokumentu: Article
Other literature type
Popis súboru: application/pdf
Jazyk: English
ISSN: 1473-5571
0269-9370
DOI: 10.1097/qad.0000000000003983
DOI: 10.48350/199306
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39051627
https://serval.unil.ch/resource/serval:BIB_9E5B702A4CFB.P001/REF.pdf
https://serval.unil.ch/notice/serval:BIB_9E5B702A4CFB
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_9E5B702A4CFB9
https://boris.unibe.ch/199306/
Rights: CC BY NC ND
URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Prístupové číslo: edsair.doi.dedup.....10a4c1f0bfa7746d94dea12ebf08336f
Databáza: OpenAIRE
Popis
Abstrakt:Objectives: We aimed to determine the prevalence of HIV-related stigma among people with HIV (PWH) in Switzerland Design: A cross-sectional multicenter study nested within the Swiss HIV Cohort Study (SHCS). Methods: We included adult PWH enrolled in the SHCS, attending follow-up between March 1, 2020, and January 31, 2021. Inability to speak English, French, German, or Italian was the only exclusion criterion. Participants were invited to complete a validated 12-item HIV-stigma questionnaire comprising four stigma subscales (negative self-image, personalized stigma, disclosure concerns, and concerns regarding public attitudes), plus two healthcare-related stigma items. Questionnaire responses were graded using a four-point Likert-type scale, higher scores indicating higher stigma. “Non-applicable,” inferring HIV-status non-disclosure, was possible for personalized stigma; stigma scores from participants answering “non-applicable” to at least one item were analyzed separately. Factors associated with HIV-stigma were identified through multivariable linear models. Results: Of 9643 PWH with a SHCS visit, 5563 participated in the study: 26% were female, 13% Black, and 37% heterosexual; median age was 53 years (interquartile range 44–59); 2067 participants (37%) gave at least one “non-applicable” response. Disclosure concerns had the highest stigma scores and were reported by 4656/5563 (84%). HIV-stigma was reported across all demographic groups. However, being female, Black, and heterosexual were independently associated with higher scores. Higher education and longer follow-up duration were associated with lower scores. Healthcare-related stigma was reported in 37% of participants. Conclusion: HIV-stigma was prevalent across all demographic groups. The association with being female and Black suggests that HIV-stigma accentuates preexisting sex and race inequalities.
ISSN:14735571
02699370
DOI:10.1097/qad.0000000000003983