| Title |
How Does Antiretroviral Treatment Attenuate the Stigma of HIV? Evidence from a Cohort Study in Rural Uganda
|
|---|---|
| Published in |
AIDS and Behavior, May 2013
|
| DOI | 10.1007/s10461-013-0503-3 |
| Pubmed ID | |
| Authors |
Alexander C. Tsai, David R. Bangsberg, Mwebesa Bwana, Jessica E. Haberer, Edward A. Frongillo, Conrad Muzoora, Elias Kumbakumba, Peter W. Hunt, Jeffrey N. Martin, Sheri D. Weiser |
| Abstract |
Program implementers and qualitative researchers have described how increasing availability of HIV antiretroviral therapy (ART) is associated with improvements in psychosocial health and internalized stigma. To determine whether, and through what channels, ART reduces internalized stigma, we analyzed data from 262 HIV-infected, treatment-naïve persons in rural Uganda followed from ART initiation over a median of 3.4 years. We fitted Poisson regression models with cluster-correlated robust estimates of variance, specifying internalized stigma as the dependent variable, adjusting for time on treatment as well as socio-demographic, clinical, and psychosocial variables. Over time on treatment, internalized stigma declined steadily, with the largest decline observed during the first 2 years of treatment. This trend remained statistically significant after multivariable adjustment (χ(2) = 28.3; P = 0.03), and appeared to be driven by ART-induced improvements in HIV symptom burden, physical and psychological wellbeing, and depression symptom severity. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 150 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| South Africa | 1 | <1% |
| Unknown | 149 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 30 | 20% |
| Researcher | 28 | 19% |
| Student > Ph. D. Student | 14 | 9% |
| Student > Bachelor | 12 | 8% |
| Student > Postgraduate | 8 | 5% |
| Other | 20 | 13% |
| Unknown | 38 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 31 | 21% |
| Social Sciences | 21 | 14% |
| Nursing and Health Professions | 19 | 13% |
| Psychology | 19 | 13% |
| Agricultural and Biological Sciences | 3 | 2% |
| Other | 12 | 8% |
| Unknown | 45 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 May 2013.
All research outputs
#16,069,695
of 23,849,058 outputs
Outputs from AIDS and Behavior
#2,535
of 3,566 outputs
Outputs of similar age
#122,388
of 195,757 outputs
Outputs of similar age from AIDS and Behavior
#48
of 63 outputs
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