Multiple forms of discrimination and internalized stigma compromise retention in HIV care among adolescents: findings from a South African cohort

dc.contributor.authorCasale, Marisa
dc.contributor.authorPantelic, Marija
dc.contributor.authorCluver, Lucie Dale
dc.date.accessioned2021-01-18T11:37:04Z
dc.date.available2021-01-18T11:37:04Z
dc.date.issued2020
dc.description.abstractEfficacious antiretroviral treatment (ART) enables people to live long and healthy lives with HIV but young people are dying from AIDS-related causes more than ever before. Qualitative evidence suggest that various forms of HIV-related discrimination and resulting shame act as profound barriers to young people’s engagement with HIV services. However, the impact of these risks on adolescent retention in HIV care has not been quantified. This study has two aims: (1) to examine whether and how different types of discrimination compromise retention in care among adolescents living with HIV in South Africa; and (2) to test whether internalized stigma mediates these relationships. Methods: Between 2014 and 2017, adolescents living with HIV (aged 10 to 19) from 53 health facilities in the Eastern Cape, South Africa, were interviewed at baseline (n = 1059) and 18-month follow-up (n = 979, 92.4%), with responses linked to medical records. Data were analysed through multiple regression and mediation models. Results: About 37.9% of adolescents reported full retention in care over the 2-year period, which was associated with reduced odds of viral failure (OR: 0.371; 95% CI:.224,.614). At baseline, 6.9% of adolescents reported discrimination due to their HIV status; 14.9% reported discrimination due to HIV in their families and 19.1% reported discrimination in healthcare settings.en_US
dc.identifier.citationCasale, M. et al. (2020). Multiple forms of discrimination and internalized stigma compromise retention in HIV care among adolescents: findings from a South African cohort. Journal of the International AIDS Society ,23(5),e25488en_US
dc.identifier.issn1758-2652
dc.identifier.uri10.1002/jia2.25488
dc.identifier.urihttp://hdl.handle.net/10566/5662
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.subjectAdherenceen_US
dc.subjectAdolescenten_US
dc.subjectDiscriminationen_US
dc.subjectHIVen_US
dc.subjectStigmaen_US
dc.titleMultiple forms of discrimination and internalized stigma compromise retention in HIV care among adolescents: findings from a South African cohorten_US
dc.typeArticleen_US

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