Stigma Is Associated with Delays in Seeking Care among HIV-Infected People in India-Reference-Cited by-同舟云学术

Stigma Is Associated with Delays in Seeking Care among HIV-Infected People in India

Published:2012-01-26 Issue:2 Volume:12 Page:103-109
ISSN:2325-9582
Container-title:Journal of the International Association of Providers of AIDS Care (JIAPAC)
language:en
Short-container-title:J Int Assoc Provid AIDS Care

Author:

Steward Wayne T.¹,Bharat Shalini²,Ramakrishna Jayashree³,Heylen Elsa¹,Ekstrand Maria L.¹⁴⁵

Affiliation:

1. Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA

2. Centre for Health and Social Sciences, School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, Maharasthra, India

3. Department of Health Education, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India

4. St. John’s Research Institute, Bengaluru, Karnataka, India

5. School of Public Health, University of California, Berkeley, CA, USA

Abstract

Background: Stigma shapes the lives of people living with HIV and may affect their willingness to seek medical care. But treatment delays can compromise health and increase the risk of transmission to others. Purpose: To examine whether the 4 stigma manifestations— enacted (discrimination), vicarious (hearing stories of discrimination), felt normative (perceptions of stigma’s prevalence), and internalized (personal endorsement of stigma beliefs)—were linked with delays in seeking care among HIV-infected people in India. Methods: A cross-sectional survey was conducted with 961 HIV-positive men and women in Mumbai and Bengaluru. Results: Enacted and internalized stigmas were correlated with delays in seeking care after testing HIV positive. Depression symptoms mediated the associations of enacted and internalized stigmas with care-seeking delays, whereas efforts to avoiding disclosing HIV status mediated only the association between internalized stigma and care-seeking delays. Conclusion: It is vital to develop stigma reduction interventions to ensure timely receipt of care.

Publisher

SAGE Publications

Subject

Infectious Diseases,Dermatology,Immunology

Link

http://journals.sagepub.com/doi/pdf/10.1177/1545109711432315

Reference25 articles.

2. Stigma in the HIV/AIDS epidemic: a review of the literature and recommendations for the way forward

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