HIV-related stigma, isolation, discrimination, and serostatus disclosure: A global survey of 2035 HIV-infected adults

Jean B. Nachega, Chelsea Morroni, José M. Zuniga, Renslow Sherer, Chris Beyrer, Suniti Solomon, Mauro Schechter, Jürgen Rockstroh

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: Little is known globally about the perspectives of people living with HIV/AIDS (PLWHA) on perceived HIV-related stigma and its consequences. Methods: Cross-sectional study (January-March 2010) of perceived HIV-related stigma among PLWHA (N = 2035) using a standardized questionnaire. Findings: Thirty-seven percent of respondents reported loneliness as a result of their HIV status. Depression was reported by 27%. While 96% reported disclosing their HIV status to at least 1 person, 17% of patients who reported being in a long-term sexual relationship had not disclosed their status to their partner. Variables associated with perceived stigma were living in Asia-Pacific versus other regions (odds ratio [OR]: 2.77; 95% confidence interval [CI] 1.96-3.92); having experienced body/face changes; reported depression (OR: 1.25; 95% CI 1.11-1.38); and nondisclosure of HIV status (OR: 1.75; 95% CI 1.28-2.41). Conclusion: Thirty years into the HIV pandemic, perceived HIV stigma, isolation, and discrimination persist and are associated with loneliness and depression among PLWHA.

Original languageEnglish (US)
Pages (from-to)172-178
Number of pages7
JournalJournal of the International Association of Physicians in AIDS Care
Volume11
Issue number3
DOIs
StatePublished - May 2012

Keywords

  • AIDS
  • HIV
  • disclosure
  • discrimination
  • isolation
  • risky behavior
  • stigma

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

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