Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12954-019-0277-7
DC FieldValue
dc.titleStigma 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
dc.contributor.authorThan, P.Q.T
dc.contributor.authorTran, B.X
dc.contributor.authorNguyen, C.T
dc.contributor.authorTruong, N.T
dc.contributor.authorThai, T.P.T
dc.contributor.authorLatkin, C.A
dc.contributor.authorHo, C.S.H
dc.contributor.authorHo, R.C.M
dc.date.accessioned2020-10-27T10:03:51Z
dc.date.available2020-10-27T10:03:51Z
dc.date.issued2019
dc.identifier.citationThan, 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
dc.identifier.issn14777517
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/181166
dc.description.abstractBackground: 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).
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceUnpaywall 20201031
dc.subjectantiretrovirus agent
dc.subjectacquired immune deficiency syndrome
dc.subjectadult
dc.subjectage
dc.subjectanxiety
dc.subjectArticle
dc.subjectclinical outcome
dc.subjectcontrolled study
dc.subjectcross-sectional study
dc.subjectdepression
dc.subjectdrug misuse
dc.subjecteducational status
dc.subjectepidemic
dc.subjectfactor analysis
dc.subjectfemale
dc.subjecthealth care access
dc.subjecthealth care policy
dc.subjecthealth care utilization
dc.subjecthealth program
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infected patient
dc.subjectHuman immunodeficiency virus infection
dc.subjectlogistic regression analysis
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectoccupation
dc.subjectpersonal experience
dc.subjectpublic health problem
dc.subjectquality of life
dc.subjectrisk factor
dc.subjectsampling
dc.subjectself disclosure
dc.subjectshame
dc.subjectsocial discrimination
dc.subjectsocial status
dc.subjectsocial stigma
dc.subjectViet Nam
dc.typeArticle
dc.contributor.departmentDEPT OF PSYCHOLOGICAL MEDICINE
dc.description.doi10.1186/s12954-019-0277-7
dc.description.sourcetitleHarm Reduction Journal
dc.description.volume16
dc.description.issue1
dc.description.page6
Appears in Collections:Elements
Staff Publications

Show simple item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
10_1186_s12954-019-0277-7.pdf596.53 kBAdobe PDF

OPEN

NoneView/Download

SCOPUSTM   
Citations

11
checked on Nov 28, 2021

Page view(s)

95
checked on Dec 2, 2021

Download(s)

5
checked on Dec 2, 2021

Google ScholarTM

Check

Altmetric


This item is licensed under a Creative Commons License Creative Commons