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HIV Stigma as a Barrier to Retention in HIV Care at a General Hospital in Lima, Peru: A Case–Control Study

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dc.contributor.author Valenzuela, C.
dc.contributor.author Ugarte-Gil, C.
dc.contributor.author Paz, J.
dc.contributor.author Echevarria, J.
dc.contributor.author Gotuzzo, E.
dc.contributor.author Vermund, S.H.
dc.contributor.author Kipp, A.M.
dc.date.accessioned 2019-02-22T14:55:29Z
dc.date.available 2019-02-22T14:55:29Z
dc.date.issued 2014
dc.identifier.uri http://doi.org/10.1007/s10461-014-0908-7
dc.identifier.uri http://repositorio.upch.edu.pe/handle/upch/5749
dc.description.abstract HIV stigma as a barrier to retention in HIV care has not been well-studied outside the United States. We conducted a case–control study in Lima, Peru to examine this issue. Cases were out-of-care for ≥12 months (n = 66) and controls were recruited from patients in active care presenting for a clinic visit (n = 110). A previously validated HIV stigma scale with four domains was used. Associations between being out-of-care and each stigma domain were assessed using multivariable logistic regression. Stigma scores were highest for disclosure concerns. Modest associations were found for greater disclosure concerns (OR 1.16; 95 % CI 0.99, 1.36) and concerns with public attitudes (OR 1.20; 95 % CI 1.03, 1.40). Enacted stigma and negative self-image showed non-linear associations with being out-of-care that plateaued or declined, respectively, at higher levels of stigma. The threshold effect for enacted stigma warrants further exploration, while disclosure concerns may be especially amenable to intervention in this population. © 2014, Springer Science+Business Media New York.
dc.language.iso eng
dc.publisher Springer
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru
dc.subject Adolescent
dc.subject Adult
dc.subject Female
dc.subject HIV Infections
dc.subject Humans
dc.subject Male
dc.subject HIV
dc.subject Surveys and Questionnaires
dc.subject Middle Aged
dc.subject Interviews as Topic
dc.subject Case-Control Studies
dc.subject Health Knowledge, Attitudes, Practice
dc.subject Anti-HIV Agents
dc.subject Health Services Accessibility
dc.subject human
dc.subject adult
dc.subject female
dc.subject male
dc.subject middle aged
dc.subject adolescent
dc.subject Continuity of Patient Care
dc.subject case control study
dc.subject Hospitals, General
dc.subject Self Concept
dc.subject Prejudice
dc.subject Social Stigma
dc.subject questionnaire
dc.subject psychology
dc.subject health care delivery
dc.subject social stigma
dc.subject patient care
dc.subject interview
dc.subject attitude to health
dc.subject self concept
dc.subject general hospital
dc.subject anti human immunodeficiency virus agent
dc.subject Retention in care
dc.subject prejudice
dc.subject stereotyping
dc.subject Stereotyping
dc.subject Stigma
dc.title HIV Stigma as a Barrier to Retention in HIV Care at a General Hospital in Lima, Peru: A Case–Control Study
dc.type info:eu-repo/semantics/article
dc.identifier.journal AIDS and behavior


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