Perceived stigma among people living with HIV AIDS in Pokhara, Nepal

Babita Subedi,1 Bishow Deep Timilsina,2 Neeta Tamrakar3 1Matrisishu Miteri Hospital, Pokhara, Nepal; 2Surgical Department, Manipal Teaching Hospital, Pokhara, Nepal; 3Tribhuwan University, Institute of Medicine, Pokhara Campus, Pokhara, Nepal Background: HIV-related stigma among people living with H...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Subedi B, Timilsina BD, Tamrakar N
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2019
Materias:
Acceso en línea:https://doaj.org/article/a4f133fff6f042a2a9dcdea4d61e1a7f
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:a4f133fff6f042a2a9dcdea4d61e1a7f
record_format dspace
spelling oai:doaj.org-article:a4f133fff6f042a2a9dcdea4d61e1a7f2021-12-02T03:33:37ZPerceived stigma among people living with HIV AIDS in Pokhara, Nepal1179-1373https://doaj.org/article/a4f133fff6f042a2a9dcdea4d61e1a7f2019-05-01T00:00:00Zhttps://www.dovepress.com/perceived-stigma-among-people-living-with-hiv-aids-in-pokhara-nepal-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Babita Subedi,1 Bishow Deep Timilsina,2 Neeta Tamrakar3 1Matrisishu Miteri Hospital, Pokhara, Nepal; 2Surgical Department, Manipal Teaching Hospital, Pokhara, Nepal; 3Tribhuwan University, Institute of Medicine, Pokhara Campus, Pokhara, Nepal Background: HIV-related stigma among people living with HIV/AIDS (PLWHA) is the foremost barrier to HIV prevention, treatment, care, and support. The aim of this study was to identify the perceived stigma level of PLWHA and its relation with selected demographic and situational factors in Pokhara, Nepal.Methods: Cross-sectional descriptive study was conducted among 282 PLWHA after probability sampling from antiretroviral treatment center of Western Regional Hospital, Pokhara, Nepal. Face-to-face interview was taken by using Bunn standard HSS tool. Stigma was measured in terms of felt stigma (public attitude concern [PAC], disclosure concern [DC], negative self-image [NSI]), enacted stigma [ES], as well as overall stigma.Result: The mean score of PAC, DC, NSI, ES, and overall stigma was 3.09, 3.02, 2.79, 1.66, and 2.52, respectively, where mean score of all domains of felt stigma (PAC, DC, and NSI) was >2.5, thus reflecting a higher level of felt stigma. ANOVA and t-test revealed higher level of overall stigma among younger age group (P<0.001), highly educated group (P=0.007), unmarried group (P<0.001), and recently HIV-diagnosed group (P=0.003).Conclusion: The study suggests high level of felt stigma, which has devastating effects on PLWHA as well as leads to nondisclosure of sero-positive status. So considering the significant impact of felt stigma on control of HIV epidemic, it is important to have a broader comprehension of this phenomenon and its repercussions on PLWHA via timely intervention like better educational intervention and counseling to PLWHA, wide-scale societal awareness campaigns, and more focused local interventions. Keywords: stigma, felt stigma, public attitude concern, disclosure concern, negative self-image, enacted stigma, people living with HIV/AIDSSubedi BTimilsina BDTamrakar NDove Medical PressarticleStigmaFelt Stigma (FS)Public Attitude Concern (PAC)Disclosure Concern (DC)Negative Self Image (NSI)Enacted Stigma (ES)People Living with HIV/ AIDS (PLWHA)Immunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 11, Pp 93-103 (2019)
institution DOAJ
collection DOAJ
language EN
topic Stigma
Felt Stigma (FS)
Public Attitude Concern (PAC)
Disclosure Concern (DC)
Negative Self Image (NSI)
Enacted Stigma (ES)
People Living with HIV/ AIDS (PLWHA)
Immunologic diseases. Allergy
RC581-607
spellingShingle Stigma
Felt Stigma (FS)
Public Attitude Concern (PAC)
Disclosure Concern (DC)
Negative Self Image (NSI)
Enacted Stigma (ES)
People Living with HIV/ AIDS (PLWHA)
Immunologic diseases. Allergy
RC581-607
Subedi B
Timilsina BD
Tamrakar N
Perceived stigma among people living with HIV AIDS in Pokhara, Nepal
description Babita Subedi,1 Bishow Deep Timilsina,2 Neeta Tamrakar3 1Matrisishu Miteri Hospital, Pokhara, Nepal; 2Surgical Department, Manipal Teaching Hospital, Pokhara, Nepal; 3Tribhuwan University, Institute of Medicine, Pokhara Campus, Pokhara, Nepal Background: HIV-related stigma among people living with HIV/AIDS (PLWHA) is the foremost barrier to HIV prevention, treatment, care, and support. The aim of this study was to identify the perceived stigma level of PLWHA and its relation with selected demographic and situational factors in Pokhara, Nepal.Methods: Cross-sectional descriptive study was conducted among 282 PLWHA after probability sampling from antiretroviral treatment center of Western Regional Hospital, Pokhara, Nepal. Face-to-face interview was taken by using Bunn standard HSS tool. Stigma was measured in terms of felt stigma (public attitude concern [PAC], disclosure concern [DC], negative self-image [NSI]), enacted stigma [ES], as well as overall stigma.Result: The mean score of PAC, DC, NSI, ES, and overall stigma was 3.09, 3.02, 2.79, 1.66, and 2.52, respectively, where mean score of all domains of felt stigma (PAC, DC, and NSI) was >2.5, thus reflecting a higher level of felt stigma. ANOVA and t-test revealed higher level of overall stigma among younger age group (P<0.001), highly educated group (P=0.007), unmarried group (P<0.001), and recently HIV-diagnosed group (P=0.003).Conclusion: The study suggests high level of felt stigma, which has devastating effects on PLWHA as well as leads to nondisclosure of sero-positive status. So considering the significant impact of felt stigma on control of HIV epidemic, it is important to have a broader comprehension of this phenomenon and its repercussions on PLWHA via timely intervention like better educational intervention and counseling to PLWHA, wide-scale societal awareness campaigns, and more focused local interventions. Keywords: stigma, felt stigma, public attitude concern, disclosure concern, negative self-image, enacted stigma, people living with HIV/AIDS
format article
author Subedi B
Timilsina BD
Tamrakar N
author_facet Subedi B
Timilsina BD
Tamrakar N
author_sort Subedi B
title Perceived stigma among people living with HIV AIDS in Pokhara, Nepal
title_short Perceived stigma among people living with HIV AIDS in Pokhara, Nepal
title_full Perceived stigma among people living with HIV AIDS in Pokhara, Nepal
title_fullStr Perceived stigma among people living with HIV AIDS in Pokhara, Nepal
title_full_unstemmed Perceived stigma among people living with HIV AIDS in Pokhara, Nepal
title_sort perceived stigma among people living with hiv aids in pokhara, nepal
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/a4f133fff6f042a2a9dcdea4d61e1a7f
work_keys_str_mv AT subedib perceivedstigmaamongpeoplelivingwithhivaidsinpokharanepal
AT timilsinabd perceivedstigmaamongpeoplelivingwithhivaidsinpokharanepal
AT tamrakarn perceivedstigmaamongpeoplelivingwithhivaidsinpokharanepal
_version_ 1718401749261221888