Details

Autor(en) / Beteiligte

• Hall, Emily
• Davis, Katherine
• Ohrnberger, Julius
• Pickles, Michael
• Gregson, Simon
• Thomas, Ranjeeta
• Hargreaves, James R.
• Pliakas, Triantafyllos
• Bwalya, Justin
• Dunbar, Rory
• Mainga, Tila
• Shanaube, Kwame
• Hoddinott, Graeme
• Bond, Virginia
• Bock, Peter
• Ayles, Helen
• Stangl, Anne L.
• Donnell, Deborah
• Hayes, Richard
• Fidler, Sarah
• Hauck, Katharina

Titel

Associations between HIV stigma and health-related quality-of-life among people living with HIV: cross-sectional analysis of data from HPTN 071 (PopART)

Ist Teil von

• Scientific reports, 2024-06, Vol.14 (1), p.12835-11

Ort / Verlag

London: Nature Publishing Group UK

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• People living with HIV (PLHIV) report lower health-related quality-of-life (HRQoL) than HIV-negative people. HIV stigma may contribute to this. We explored the association between HIV stigma and HRQoL among PLHIV. We used cross-sectional data from 3991 randomly selected PLHIV who were surveyed in 2017–2018 for HPTN 071 (PopART), a cluster randomised trial in Zambia and South Africa. Participants were 18–44 years, had laboratory-confirmed HIV infection, and knew their status. HRQoL was measured using the EuroQol-5-dimensions-5-levels (EQ-5D-5L) questionnaire. Stigma outcomes included: internalised stigma, stigma experienced in the community, and stigma experienced in healthcare settings. Associations were examined using logistic regression. Participants who had experienced community stigma (n = 693/3991) had higher odds of reporting problems in at least one HRQoL domain, compared to those who had not (adjusted odds ratio, aOR: 1.51, 95% confidence interval, 95% Cl: 1.16–1.98, p  = 0.002). Having experienced internalised stigma was also associated with reporting problems in at least one HRQoL domain (n = 552/3991, aOR: 1.98, 95% CI: 1.54–2.54, p < 0.001). However, having experienced stigma in a healthcare setting was less common (n = 158/3991) and not associated with HRQoL (aOR: 1.04, 95% CI: 0.68–1.58, p  = 0.850). A stronger focus on interventions for internalised stigma and stigma experienced in the community is required.