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

Kipp, A.M.; Valenzuela, C.; Gotuzzo Herencia, José Eduardo; Paz, J.; Echevarria Zarate, Juan Ignacio; Vermund, S.H.; Ugarte Gil, Cesar Augusto

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.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