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The impact of HIV treatment-related stigma on uptake of antiretroviral therapy

机译：HIV治疗相关的污名对抗逆转录病毒疗法的吸收的影响

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HIV-related stigma has been linked to avoidance of health care services and suboptimal adherence to antiretroviral therapy (ART). However, less is known about concerns of stigma related specifically to the taking of ART in uptake of treatment. This study examines experiences of HIV treatment-related stigma and assesses if these experiences are associated with ART uptake, independent of general HIV-related stigma. People living with HIV (PLHIV; n = 697) were targeted to complete an online questionnaire measuring perceived HIV- and treatment-related stigma, social support, self-esteem, resilience, psychological distress, health satisfaction and quality of life. Findings suggest that experiences of general and treatment-related stigma were common, and that participants appear to experience greater stigma related to taking HIV treatment than general stigma associated with HIV. Neither general nor treatment-related stigma uniquely impacted HIV treatment uptake. Instead, treatment uptake was associated with being older (adjusted OR 1.05; 95% CIs: 1.03, 1.08), greater duration of HIV infection (adjusted OR 1.07; 95% CIs: 1.03-1.11) and having greater health satisfaction (adjusted OR 1.28; 95% CIs: 1.03, 1.59). Findings highlight that concerns around taking HIV treatment can be an added source of stigma for PLHIV, however other factors may be greater contributors to the likelihood of taking HIV treatment.
机译：与HIV相关的污名与避免提供医疗服务以及对抗逆转录病毒疗法（ART）的依从性差有关。然而，关于耻辱的关注与专门在治疗中服用抗逆转录病毒有关。这项研究检查了与HIV治疗相关的污名的经历，并评估了这些经历是否与ART摄入相关，而与一般HIV相关的污名无关。艾滋病毒携带者（PLHIV; n = 697）的目标是完成在线问卷，以测量与艾滋病毒和治疗相关的污名，社会支持，自尊，韧性，心理困扰，健康满意度和生活质量。研究结果表明，普遍的和与治疗有关的污名的经历是很普遍的，并且与HIV相关的一般污名相比，参与者接受HIV治疗的经历的污名似乎更大。无论是普通的还是与治疗有关的污名，都不是唯一影响艾滋病毒吸收的方法。取而代之的是，治疗的摄取与年龄更大（调整后的OR为1.05; 95％CI：1.03、1.08），HIV感染持续时间较长（调整后的OR为1.07; 95％CI：1.03-1.11）和健康满意度更高（调整后的OR为1.28）有关。 ; 95％CI：1.03、1.59）。调查结果突出表明，有关接受艾滋病毒治疗的担忧可能成为艾滋病毒携带者的耻辱的另一种来源，但是其他因素可能对接受艾滋病毒治疗的可能性做出更大的贡献。

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