Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam
Abstract Background 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 stig...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2019-01-01
|
Series: | Harm Reduction Journal |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12954-019-0277-7 |
id |
doaj-87941d2ce68e46bd9f27976afaa7852d |
---|---|
record_format |
Article |
spelling |
doaj-87941d2ce68e46bd9f27976afaa7852d2020-11-25T02:56:45ZengBMCHarm Reduction Journal1477-75172019-01-0116111010.1186/s12954-019-0277-7Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of VietnamPhung Quoc Tat Than0Bach Xuan Tran1Cuong Tat Nguyen2Nu Thi Truong3Thao Phuong Thi Thai4Carl A. Latkin5Cyrus S. H. Ho6Roger C. M. Ho7Institute for Global Health Innovations, Duy Tan UniversityInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityInstitute for Global Health Innovations, Duy Tan UniversityCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh UniversityDepartment of General Planning and Department of Cardiology, Friendship HospitalBloomberg School of Public Health, Johns Hopkins UniversityDepartment of Psychological Medicine, National University HospitalCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh UniversityAbstract Background 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.http://link.springer.com/article/10.1186/s12954-019-0277-7VietnamStigmaDiscriminationHIV/AIDSAntiretroviral therapy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Phung Quoc Tat Than Bach Xuan Tran Cuong Tat Nguyen Nu Thi Truong Thao Phuong Thi Thai Carl A. Latkin Cyrus S. H. Ho Roger C. M. Ho |
spellingShingle |
Phung Quoc Tat Than Bach Xuan Tran Cuong Tat Nguyen Nu Thi Truong Thao Phuong Thi Thai Carl A. Latkin Cyrus S. H. Ho Roger C. M. Ho Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam Harm Reduction Journal Vietnam Stigma Discrimination HIV/AIDS Antiretroviral therapy |
author_facet |
Phung Quoc Tat Than Bach Xuan Tran Cuong Tat Nguyen Nu Thi Truong Thao Phuong Thi Thai Carl A. Latkin Cyrus S. H. Ho Roger C. M. Ho |
author_sort |
Phung Quoc Tat Than |
title |
Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam |
title_short |
Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam |
title_full |
Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam |
title_fullStr |
Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam |
title_full_unstemmed |
Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam |
title_sort |
stigma against patients with hiv/aids in the rapid expansion of antiretroviral treatment in large drug injection-driven hiv epidemics of vietnam |
publisher |
BMC |
series |
Harm Reduction Journal |
issn |
1477-7517 |
publishDate |
2019-01-01 |
description |
Abstract Background 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. |
topic |
Vietnam Stigma Discrimination HIV/AIDS Antiretroviral therapy |
url |
http://link.springer.com/article/10.1186/s12954-019-0277-7 |
work_keys_str_mv |
AT phungquoctatthan stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam AT bachxuantran stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam AT cuongtatnguyen stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam AT nuthitruong stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam AT thaophuongthithai stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam AT carlalatkin stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam AT cyrusshho stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam AT rogercmho stigmaagainstpatientswithhivaidsintherapidexpansionofantiretroviraltreatmentinlargedruginjectiondrivenhivepidemicsofvietnam |
_version_ |
1724712385484161024 |