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Verfasst von:Mahlalela, Nomsa [VerfasserIn]   i
 Manne-Goehler, Jennifer [VerfasserIn]   i
 Ohene-Kwofie, Daniel [VerfasserIn]   i
 Adams, Leslie B. [VerfasserIn]   i
 Montana, Livia [VerfasserIn]   i
 Kahn, Kathleen [VerfasserIn]   i
 Rohr, Julia K. [VerfasserIn]   i
 Bärnighausen, Till [VerfasserIn]   i
 Gómes-Olivé, F. Xavier [VerfasserIn]   i
Titel:The association between HIV-related stigma and the pptake of HIV testing and ART among older adults in rural South Africa
Titelzusatz:findings from the HAALSI cohort study
Verf.angabe:Nomsa B. Mahlalela, Jennifer Manne-Goehler, Daniel Ohene-Kwofie, Leslie B. Adams, Livia Montana, Kathleen Kahn, Julia K. Rohr, Till Bärnighausen, Francesc X. Gómez-Olivé
E-Jahr:2024
Jahr:29 January 2024
Umfang:18 S.
Illustrationen:Diagramme
Fussnoten:Gesehen am 16.01.2025
Titel Quelle:Enthalten in: Aids and behavior
Ort Quelle:Dordrecht [u.a.] : Springer Science + Business Media B.V, 1997
Jahr Quelle:2024
Band/Heft Quelle:28(2024), 3, Seite 1104-1121
ISSN Quelle:1573-3254
Abstract:HIV testing and antiretroviral therapy (ART) remain critical for curbing the spread of HIV/AIDS, but stigma can impede access to these services. Using data from the Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI), we used a multivariable logistic regression to examine the correlation between HIV-related stigma, HIV testing and ART uptake in older adults. We used four questions to measure stigma, with three assessing social stigma (reflecting social distancing preferences) and one assessing anticipated stigma (disclosure concern). We combined the three social stigma questions to generate a social stigma score ranging from 0 to 3, with higher scores indicating higher stigma. Anticipated stigma was prevalent 85% (95% CI 0.84-0.86), and social stigma was also frequent 25% (95% CI 0.24-0.27). Higher social stigma scores correlated with decreased HIV testing for all participants with social stigma. Compared to those with a score of 0, odds of testing decreased with higher stigma scores (OR = 0.66, 95% CI 0.53-0.81, p = 0.000) for a score of 1 and (OR = 0.56, 95% CI 0.38-0.83, p = 0.004) for a score of 3. ART uptake also decreased with higher social stigma scores among people living with HIV (PLWH), although it was significant for those with a score of 2 (OR = 0.41, 95% CI 0.19-0.87, p = 0.020). These findings emphasize that HIV-related stigma hampers testing and ART uptake among older adults in rural South Africa. Addressing stigma is crucial for improving testing rates, early diagnosis, and treatment initiation among the older population and achieving UNAIDS 95-95-95 targets.
DOI:doi:10.1007/s10461-023-04222-w
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1007/s10461-023-04222-w
 kostenfrei: Volltext: https://link.springer.com/article/10.1007/s10461-023-04222-w
 DOI: https://doi.org/10.1007/s10461-023-04222-w
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Antiretroviral therapy
 HAALSI
 HIV testing
 HIV-related stigma
 Older adults
 South Africa
K10plus-PPN:1914914074
Verknüpfungen:→ Zeitschrift

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