Universidad Peruana Cayetano Heredia

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, Cesar Augusto
dc.contributor.author Paz, J.
dc.contributor.author Echevarria Zarate, Juan Ignacio
dc.contributor.author Gotuzzo Herencia, José Eduardo
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 https://hdl.handle.net/20.500.12866/5749
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. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries AIDS and Behavior
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject HIV Infections en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject HIV en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Middle Aged en_US
dc.subject Interviews as Topic en_US
dc.subject Case-Control Studies en_US
dc.subject Health Knowledge, Attitudes, Practice en_US
dc.subject Anti-HIV Agents en_US
dc.subject Health Services Accessibility en_US
dc.subject human en_US
dc.subject adult en_US
dc.subject female en_US
dc.subject male en_US
dc.subject middle aged en_US
dc.subject adolescent en_US
dc.subject Continuity of Patient Care en_US
dc.subject case control study en_US
dc.subject Hospitals, General en_US
dc.subject Self Concept en_US
dc.subject Prejudice en_US
dc.subject Social Stigma en_US
dc.subject questionnaire en_US
dc.subject psychology en_US
dc.subject health care delivery en_US
dc.subject social stigma en_US
dc.subject patient care en_US
dc.subject interview en_US
dc.subject attitude to health en_US
dc.subject self concept en_US
dc.subject general hospital en_US
dc.subject anti human immunodeficiency virus agent en_US
dc.subject Retention in care en_US
dc.subject prejudice en_US
dc.subject stereotyping en_US
dc.subject Stereotyping en_US
dc.subject Stigma en_US
dc.title HIV Stigma as a Barrier to Retention in HIV Care at a General Hospital in Lima, Peru: A Case–Control Study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s10461-014-0908-7
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.12
dc.relation.issn 1573-3254


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