HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.

<h4>Background</h4>Stigma affects engagement with HIV healthcare services. We investigated the prevalence and experience of stigma among incarcerated people living with HIV (PLHIV) in selected South African correctional settings during roll-out of universal test and treat.<h4>Metho...

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Autores principales:	Lucy Chimoyi, Christopher J Hoffmann, Harry Hausler, Pretty Ndini, Israel Rabothata, Danielle Daniels-Felix, Abraham J Olivier, Katherine Fielding, Salome Charalambous, Candice M Chetty-Makkan
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/460e331c1dc34396955fddf9f2fbbee2
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spelling	oai:doaj.org-article:460e331c1dc34396955fddf9f2fbbee22021-12-02T20:08:52ZHIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.1932-620310.1371/journal.pone.0254975https://doaj.org/article/460e331c1dc34396955fddf9f2fbbee22021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254975https://doaj.org/toc/1932-6203<h4>Background</h4>Stigma affects engagement with HIV healthcare services. We investigated the prevalence and experience of stigma among incarcerated people living with HIV (PLHIV) in selected South African correctional settings during roll-out of universal test and treat.<h4>Methods</h4>A cross-sectional mixed-methods study design included 219 incarcerated PLHIV and 30 in-depth interviews were conducted with four different types of PLHIV. HIV-related stigma was assessed through survey self-reporting and during the interviews. A descriptive analysis of HIV-related stigma was presented, supplemented with a thematic analysis of the interview transcripts.<h4>Results</h4>ART uptake was high (n = 198, 90.4%) and most reported HIV-related stigma (n = 192, 87.7%). The intersectional stigma occurring due to individual and structural stigma around provision of healthcare in these settings mostly contributed to perceived stigma through involuntary disclosure of HIV status. Interpersonal and intrapersonal factors led to negative coping behaviours. However, positive self-coping strategies and relationships with staff encouraged sustained engagement in care.<h4>Conclusion</h4>We encourage continuous peer support to reduce stigmatization of those infected with HIV and whose status may be disclosed inadvertently in the universal test and treat era.Lucy ChimoyiChristopher J HoffmannHarry HauslerPretty NdiniIsrael RabothataDanielle Daniels-FelixAbraham J OlivierKatherine FieldingSalome CharalambousCandice M Chetty-MakkanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254975 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lucy Chimoyi Christopher J Hoffmann Harry Hausler Pretty Ndini Israel Rabothata Danielle Daniels-Felix Abraham J Olivier Katherine Fielding Salome Charalambous Candice M Chetty-Makkan HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.
description	<h4>Background</h4>Stigma affects engagement with HIV healthcare services. We investigated the prevalence and experience of stigma among incarcerated people living with HIV (PLHIV) in selected South African correctional settings during roll-out of universal test and treat.<h4>Methods</h4>A cross-sectional mixed-methods study design included 219 incarcerated PLHIV and 30 in-depth interviews were conducted with four different types of PLHIV. HIV-related stigma was assessed through survey self-reporting and during the interviews. A descriptive analysis of HIV-related stigma was presented, supplemented with a thematic analysis of the interview transcripts.<h4>Results</h4>ART uptake was high (n = 198, 90.4%) and most reported HIV-related stigma (n = 192, 87.7%). The intersectional stigma occurring due to individual and structural stigma around provision of healthcare in these settings mostly contributed to perceived stigma through involuntary disclosure of HIV status. Interpersonal and intrapersonal factors led to negative coping behaviours. However, positive self-coping strategies and relationships with staff encouraged sustained engagement in care.<h4>Conclusion</h4>We encourage continuous peer support to reduce stigmatization of those infected with HIV and whose status may be disclosed inadvertently in the universal test and treat era.
format	article
author	Lucy Chimoyi Christopher J Hoffmann Harry Hausler Pretty Ndini Israel Rabothata Danielle Daniels-Felix Abraham J Olivier Katherine Fielding Salome Charalambous Candice M Chetty-Makkan
author_facet	Lucy Chimoyi Christopher J Hoffmann Harry Hausler Pretty Ndini Israel Rabothata Danielle Daniels-Felix Abraham J Olivier Katherine Fielding Salome Charalambous Candice M Chetty-Makkan
author_sort	Lucy Chimoyi
title	HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.
title_short	HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.
title_full	HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.
title_fullStr	HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.
title_full_unstemmed	HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.
title_sort	hiv-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with hiv/aids in south african correctional settings: a mixed methods analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/460e331c1dc34396955fddf9f2fbbee2
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HIV-related stigma and uptake of antiretroviral treatment among incarcerated individuals living with HIV/AIDS in South African correctional settings: A mixed methods analysis.

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