Perceived stigma among patients receiving antiretroviral treatment: A prospective randomised trial comparing an m-DOT strategy with standard-of-care in Kenya
Authors & affiliation
Susan Kaai, Sandra Bullock, Avina Sarna, Matthew Chersich, Stanley Lüchters, Scott Geibel, Paul Munyao, Kishorchandra Mandaliya, Marleen Temmerman, Naomi Rutenberg
Abstract
HIV and AIDS remain highly stigmatised. Modified directly observed therapy (m-DOT) supports antiretroviral treatment (ART) adherence but little is known about its association with perceived stigma in resource-constrained settings. In 2003, 234 HIV-infected adults enrolled in a two-arm randomised trial comparing a health centre-based m-DOT strategy with standard self-administration of ART. Data on perceived stigma were collected using Berger's HIV stigma scale prior to starting ART and after 12 months. This was a secondary analysis to examine whether perceived stigma was related to treatment delivery. Perceived stigma scores declined after 12 months of treatment from a mean of 44.9 (sd = 7.6) to a mean of 41.4 (sd = 7.7), (t = 6.14, P < 0.001). No differences were found between the mean scores of participants in both study arms. Also, no difference in scores was detected using GLM, controlling for socio-demographic characteristics and baseline scores. Findings indicate that a well managed clinic-based m-DOT does not increase perceived HIV-related stigma.
Publication date:
2010
Staff members:
Stanley Luchters
Marleen Temmerman
Link to publication
Attachments
10-Soc_Asp_HIV_-_Perceived_stigma_among_patients_receiving_antiretroviral_treatment.pdf (open)Related publications
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