ArticleAIDS and behavior2013
How does antiretroviral treatment attenuate the stigma of HIV? Evidence from a cohort study in rural Uganda.
Article in AIDS and behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- 'Management of a spoiled identity': systematic review of interventions to address self-stigma among people living with and affected by HIV.BMJ global health · 2019Pooled it
- Reliability and validity of depression assessment among persons with HIV in sub-Saharan Africa: systematic review and meta-analysis.Journal of acquired immune deficiency syndromes (1999) · 2014Pooled it
- Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis.Journal of the International AIDS Society · 2013Pooled it
- An agricultural livelihood intervention is associated with reduced HIV stigma among people with HIV.AIDS (London, England) · 2024Trial
- "The one who doesn't take ART medication has no wealth at all and no purpose on Earth" - a qualitative assessment of how HIV-positive adults in Uganda understand the health and wealth-related benefits of ART.BMC public health · 2022Trial
- Effects of an intervention on internalized HIV-related stigma for individuals newly entering HIV care.AIDS (London, England) · 2020Trial
- "How am I going to live?": exploring barriers to ART adherence among adolescents and young adults living with HIV in Uganda.BMC public health · 2018Trial
- Declining but increasingly concentrated HIV stigma in rural Uganda: population-based cohort study, 2014-2024.medRxiv : the preprint server for health sciences · 2026Article
- Article
- The association of HIV status and depressive symptoms in the Ndlovu Cohort study.Scientific reports · 2025Article
- Effective Messages to Reduce Stigma among People Newly Diagnosed with HIV during Rapid ART Initiation.International journal of environmental research and public health · 2024Article
- Association Between Clinical Encounter Frequency and HIV-Related Stigma Among Newly-Diagnosed People Living with HIV in Rwanda.AIDS and behavior · 2024Article
- Article
- "African geographical review · 2024Article
- Prevalence and predictors of perceived COVID-19 stigma within a population-based sample of adults with COVID-19.BMC public health · 2023Article
- Perceptions and factors associated with the uptake of the community client-led antiretroviral therapy delivery model (CCLAD) at a large urban clinic in Uganda: a mixed methods study.BMC health services research · 2023Article
- "This is really something: same place, same day result, same day treatment" women's experiences of testing positive for HPV and receiving same-day treatment in Papua New Guinea: an interpretative phenomenological analysis.BMC women's health · 2023Article
- Changing attitudes towards HIV testing and treatment among three generations of men in Cameroon: a qualitative analysis using the Fogg Behavior Model.BMC public health · 2023Article
- Article
- Protocol for the pilot quasi-experimental controlled trial of a gender-responsive implementation strategy with providers to improve HIV outcomes in Uganda.Pilot and feasibility studies · 2022Article
1 more citing papers are in PubMed but not listed here.
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Authors and funding
10 authors.
Funding
Abstract
Program implementers and qualitative researchers have described how increasing availability of HIV antiretroviral therapy (ART) is associated with improvements in psychosocial health and internalized stigma. To determine whether, and through what channels, ART reduces internalized stigma, we analyzed data from 262 HIV-infected, treatment-naïve persons in rural Uganda followed from ART initiation over a median of 3.4 years. We fitted Poisson regression models with cluster-correlated robust estimates of variance, specifying internalized stigma as the dependent variable, adjusting for time on treatment as well as socio-demographic, clinical, and psychosocial variables. Over time on treatment, internalized stigma declined steadily, with the largest decline observed during the first 2 years of treatment. This trend remained statistically significant after multivariable adjustment (χ(2) = 28.3; P = 0.03), and appeared to be driven by ART-induced improvements in HIV symptom burden, physical and psychological wellbeing, and depression symptom severity.
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