Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12954-019-0277-7
Title: Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam 11 Medical and Health Sciences 1117 Public Health and Health Services
Authors: Than, P.Q.T
Tran, B.X
Nguyen, C.T
Truong, N.T
Thai, T.P.T
Latkin, C.A
Ho, C.S.H
Ho, R.C.M 
Keywords: antiretrovirus agent
acquired immune deficiency syndrome
adult
age
anxiety
Article
clinical outcome
controlled study
cross-sectional study
depression
drug misuse
educational status
epidemic
factor analysis
female
health care access
health care policy
health care utilization
health program
human
Human immunodeficiency virus infected patient
Human immunodeficiency virus infection
logistic regression analysis
major clinical study
male
occupation
personal experience
public health problem
quality of life
risk factor
sampling
self disclosure
shame
social discrimination
social status
social stigma
Viet Nam
Issue Date: 2019
Citation: Than, P.Q.T, Tran, B.X, Nguyen, C.T, Truong, N.T, Thai, T.P.T, Latkin, C.A, Ho, C.S.H, Ho, R.C.M (2019). Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam 11 Medical and Health Sciences 1117 Public Health and Health Services. Harm Reduction Journal 16 (1) : 6. ScholarBank@NUS Repository. https://doi.org/10.1186/s12954-019-0277-7
Rights: Attribution 4.0 International
Abstract: Background: Despite existing efforts to provide antiretroviral treatment (ART) for all HIV-diagnosed people, stigma deprives them of the highest attainable health status and challenges the effectiveness of ART program in Vietnam. This study aimed to assess five dimensions of HIV-related stigma and explore its associated factors among ART patients in a multisite survey. Implications of this study support the development of HIV policies to improve patients' access, utilization, and outcomes of ART program toward the 90-90-90 goal in Vietnam. Methods: A total of 1133 ART patients who were recruited by convenience sampling method from 8 ART clinics in Hanoi and Nam Dinh in a cross-sectional study from January to August 2013. Multivariate logistic regression was employed to identify factors associated with stigmatization. Results: The majority of participants reported experiencing stigmatization due to shame (36.9%), blame/judge (21.6%), and discrimination (23.4%). Further, 91.5% of participants disclosed their HIV status with others. The likelihood of experiencing stigmatization did not only associate with the patients' socioeconomic status (e.g., age, occupation, education) and HIV status disclosure, but also their health problems. Those with anxiety or depression and perceived lower quality of life were more likely to experience stigma. Conclusions: To maximize the efficiency of the ART program, it is essential to develop interventions that reduce stigma involving individuals, families, and communities, and recognize and address complex health problems especially those patients showing depressive symptoms. Increasing quality of life of HIV-positive patients by providing vocational training, financial, family, and peer support will reduce the likelihood of experiencing stigma. © 2019 The Author(s).
Source Title: Harm Reduction Journal
URI: https://scholarbank.nus.edu.sg/handle/10635/181166
ISSN: 14777517
DOI: 10.1186/s12954-019-0277-7
Rights: Attribution 4.0 International
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