HIV-Related Internalized Stigma and Patient Health Engagement Model in an Italian Cohort of People Living With HIV

2022 ◽  
pp. 003329412110571
Author(s):  
Valentina Massaroni ◽  
Valentina Delle Donne ◽  
Nicoletta Ciccarelli ◽  
Francesca Lombardi ◽  
Silvia Lamonica ◽  
...  
Keyword(s):  
Depression Symptoms ◽  
People Living With Hiv ◽  
Internalized Stigma ◽  
Engagement In Care ◽  
Stigma Score ◽  
Patient Health ◽  
Related Stress ◽  
Living With Hiv ◽  
First Time ◽  
Italian Cohort

The care engagement of people living with HIV (PLWH) measured with the patient health engagement (PHE) model and its association with HIV-related internalized stigma are not well established. Indeed, currently there are no data yet about the engagement of PLWH measured with the PHE model. This study aimed to evaluate the effects of HIV-related internalized stigma on care engagement and mental health and to fill the lack of data on PHE model applied to PLWH. We found that the internalized stigma score was significantly higher for PLWH ( n=82) in worse care engagement phase and both higher internalized stigma scores and worse engagement were associated to major depression symptoms. In conclusion, our findings describe for the first time the engagement in care of PLWH measured with PHE and highlight the importance of PLWH support to find strategies to cope stigma-related stress and optimize their care engagement.

scholarly journals PositiveLinks and the COVID-19 Response: Importance of Low-Barrier Messaging for PLWH in Non-urban Virginia in a Crisis

2021 ◽  
Author(s):  
Breanna R. Campbell ◽  
Sabrina Swoger ◽  
Alexa Tabackman ◽  
Eleanor Hilgart ◽  
Benjamin Elliott ◽  
...  
Keyword(s):  
Poisson Regression ◽  
Social Issues ◽  
Patient Care Team ◽  
People Living With Hiv ◽  
Evidence Based ◽  
Engagement In Care ◽  
Healthcare Resources ◽  
Secure Messaging ◽  
Rapport Building ◽  
Living With Hiv

AbstractPositiveLinks (PL) is an evidence-based mobile health intervention promoting engagement in care for people living with HIV. PL offers secure, in-app patient-provider messaging. We investigated messaging during the early COVID-19 pandemic, comparing messages exchanged between 01/13/2020 and 03/01/2020 (“Pre-COVID”) to messages exchanged between 03/02/2020 and 04/19/2020 (“early COVID”) using Poisson regression. We performed qualitative analysis on a subset of messages exchanged between 02/01/2020 and 03/31/2020. Between “Pre-COVID” and “early COVID” periods, weekly member and provider messaging rates increased significantly. Of the messages analyzed qualitatively, most (53.3%) addressed medical topics, and more than a fifth (21.3%) addressed social issues. COVID-related messages often focused on care coordination and risk information; half of COVID messages contained rapport-building. PL patients (“members”) and providers used in-app secure messaging to reach out to one another, identifying needs, organizing receipt of healthcare resources, and strengthening patient-care team relationships. These findings underscore the importance of low-barrier messaging during a crisis.

scholarly journals Testing Mindful Awareness as a Moderator in the Association Between HIV-Related Stress and Drug and Alcohol Use Problems Among People Living with HIV

Mindfulness ◽  
2020 ◽  
Vol 11 (5) ◽  
pp. 1159-1169
Author(s):  
K. Marie Sizemore ◽  
Steven Samrock ◽  
Shannon Gray ◽  
David Marcotte ◽  
H. Jonathon Rendina
Keyword(s):  
Alcohol Use ◽  
People Living With Hiv ◽  
Mindful Awareness ◽  
Drug And Alcohol Use ◽  
Related Stress ◽  
Living With Hiv ◽  
Drug And Alcohol

scholarly journals Associations Between Experienced and Internalized HIV Stigma, Adversarial Growth, and Health Outcomes in a Nationwide Sample of People Aging with HIV in Germany

2020 ◽  
Author(s):  
Jochen Drewes ◽  
Phil C. Langer ◽  
Jennifer Ebert ◽  
Dieter Kleiber ◽  
Burkhard Gusy
Keyword(s):  
Health Outcomes ◽  
Indirect Effect ◽  
Cross Sectional Study ◽  
Hiv Stigma ◽  
People Living With Hiv ◽  
Internalized Stigma ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adversarial Growth ◽  
Living With Hiv

Abstract HIV-related stigmatization and adversarial growth are known to influence health outcomes in people living with HIV. But not much is known how these psychosocial factors are related to each other and how they interact to influence health outcomes. We tested whether the effect of experienced and internalized stigma on mental health and self-rated health is mediated by adversarial growth, and whether each of these factors is uniquely associated with health outcomes. In our sample of 839 people aging with HIV in Germany based on a cross-sectional study design we did not find an indirect effect of experienced HIV stigma on health outcomes and a very small indirect effect of internalized HIV stigma. All variables were significant predictors of health outcomes in multiple regression analyses.

scholarly journals Understanding Engagement in HIV Programmes: How Health Services Can Adapt to Ensure No One Is Left Behind

2020 ◽  
Vol 17 (5) ◽  
pp. 458-466
Author(s):  
Anna Grimsrud ◽  
Lynne Wilkinson ◽  
Ingrid Eshun-Wilson ◽  
Charles Holmes ◽  
Izukanji Sikazwe ◽  
...  
Keyword(s):  
Quality Care ◽  
Treatment Interruption ◽  
Patient Choice ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Engagement In Care ◽  
Hiv Status ◽  
Hiv Care Cascade ◽  
Left Behind ◽  
Living With Hiv

Abstract Purpose of Review Despite the significant progress in the HIV response, gaps remain in ensuring engagement in care to support life-long medication adherence and viral suppression. This review sought to describe the different points in the HIV care cascade where people living with HIV were not engaging and highlight promising interventions. Recent Findings There are opportunities to improve engagement both between testing and treatment and to support re-engagement in care for those in a treatment interruption. The gap between testing and treatment includes people who know their HIV status and people who do not know their status. People in a treatment interruption include those who interrupt immediately following initiation, early on in their treatment (first 6 months) and late (after 6 months or more on ART). For each of these groups, specific interventions are required to support improved engagement. Summary There are diverse needs and specific populations of people living with HIV who are not engaged in care, and differentiated service delivery interventions are required to meet their needs and expectations. For the HIV response to realise the 2030 targets, engagement will need to be supported by quality care and patient choice combined with empowered patients who are treatment literate and have been supported to improve self-management.

scholarly journals Self Picture Stigma of People with HIV AIDS in Polyclinic Cendana Ngudi Waluyo Wlingi Hospital

2016 ◽  
Vol 3 (3) ◽  
pp. 213-217
Author(s):  
Endah Tri Suryani
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Social Withdrawal ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Internalized Stigma ◽  
Stigma And Discrimination ◽  
Stigma Of Mental Illness ◽  
Living With Hiv ◽  
Hiv Aids

The spread of HIV and AIDS in Indonesia over the last five years is quite high. United NationsAIDS (UNAIDS) even dub Indonesia as an Asia’s country with most spread of HIV/AIDS. However thefear of stigma and discrimination against PLWHA (people living with HIV/AIDS) remains a majorobstacle. The purpose of this research was to describe self stigma of HIV/AIDS in poly Cendana NgudiWaluyo Hospital Wlingi based questionnaire ISMI (Internalized Stigma of Mental Illness) that includeda portrait of alienation, acceptance of stereotypes, experience of discrimination, social withdrawal,and rejection of stigma. The samples were 27 people with HIV/AIDS. The results showed that generallyself stigma of HIV/AIDS were low 44.4% (12 patients). This result, indicated that the motivation ofpeople living with HIV/AIDS as well as their moral support was instrumental in lowering self-stigma.Recommendations from this study were expected for health care to prevent and overcome self stigma ofHIV/AIDS.

scholarly journals The Association between CD-4 Level, Stress and Depression Symptoms among People Living with HIV/AIDS

2019 ◽  
Vol 7 (20) ◽  
pp. 3459-3463
Author(s):  
Elmeida Effendy ◽  
Mustafa M. Amin ◽  
Lidya De Vega ◽  
Nurul Utami
Keyword(s):  
Hiv Infection ◽  
Rating Scales ◽  
Psychiatric Morbidity ◽  
Self Report ◽  
Depression Symptoms ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Infected People ◽  
Living With Hiv ◽  
Hiv Aids

BACKGROUND: The lives of individuals diagnosed with HIV and the subsequent illness, AIDS, were often chaotic because these individuals deal with the physical, emotional, and interpersonal sequelae of this illness. Depressive symptoms and stress were common and impact on functioning, quality of life, and health status, highlighting the importance of diagnosis and treatment of patients with HIV infection. Psychiatric clinical practice and rating scales have come to play an ever-increasing role both in determining specific symptoms and diagnosing an individual condition. Descriptive reports of psychiatric morbidity among those with HIV infection, that relied primarily on self-report rating scales, described high rates of symptomatic depression and stress. AIM: This study aimed to determine the proportion of depression among people living with HIV/AIDS using the BDI-II and PSS to determine a relationship between symptoms of depression and stress with CD4 counts. METHODS: This study was a numerical correlative analytic study with a cross-sectional study approach that assessed the correlation between stress, depression and CD4 level in people with HIV/AIDS that were receiving ARV therapy in the Voluntary Counselling Test (VCT) Polyclinic of General Hospital Haji Medan by recruiting 46 subjects. CD4 level was examined in the Pramita Medan laboratory. RESULTS: When analysis of BDI-II level and CD4 scores were done, a significant correlation was found (P < 0.05). The strength of the relationship between the BDI score and the CD4 score was 0.548 revealing a positive correlation with moderate correlation strength CONCLUSION: We have shown a significant relationship between depression, stress and CD4 level among people with HIV/AIDS in Medan, Indonesia. Psychological distress may affect the immunity in infected people, leading to the disease progressivity.

scholarly journals Psychological sexuality features in people living with HIV with the presence and the lack of substance use

2020 ◽  
Vol 11 (1) ◽  
pp. 91-101
Author(s):  
Darya V. Antonova ◽  
Victor V. Bocharov ◽  
Nelli S. Chrustaleva
Keyword(s):  
Substance Use ◽  
Heterosexual Transmission ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Negative Effects ◽  
Number Of Children ◽  
Opposite Sex ◽  
Living With Hiv ◽  
First Time ◽  
Angular Transformation

Psychological sexuality features in people living with HIV with and without substance use as a determinant of the HIV epidemic growth were explored. The study involved 136 respondents (2 groups of 50 people with different infection routes: blood-borne infection route and heterosexual transmission; 36 individuals without HIV). The following research methods were used: a specially developed clinical map, an original authors questionnaire Infection risk and the disease situation (allows to register the main characteristics of the life situation of the disease), the incomplete sentences test of Sachs Levy, Freiburgh Personality Inventory, I-structure Ammon test. Data processing included the Fisher criterion (Fisher angular transformation), ANOVA, content analysis. Significant negative effects in sexual sphere related to gender and the presence of HIV were revealed in the study. It has been established that people living with HIV with and without substance use differ in the frequency of concealment of HIV status and the presence of destructive type of sexuality. It has been established that people living with HIV and healthy respondents differ in the frequency of unrealistic way of thinking regarding opposite sex. A frequent occurrence of negatively colored attitude towards opposite sex and positively colored attitude towards sexual relations was noted in all groups. The results of the study determine the need for timely preventive measures in all population groups and psychocorrectional measures among people living with HIV, which will allow to prevent an increase in the number of children and adolescents with HIV. Psychological sexuality features in people living with HIV in the Russian sample were studied for the first time. The results are partially confirmed in foreign literature.

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