ArticleAIDS (London, England)2015
Persistent HIV-related stigma in rural Uganda during a period of increasing HIV incidence despite treatment expansion.
Article in AIDS (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.
- Socio-demographic, clinical and service use determinants associated with HIV related stigma among people living with HIV/AIDS: a systematic review and meta-analysis.BMC health services research · 2021Pooled it
- Universal HIV testing and treatment and HIV stigma reduction: a comparative thematic analysis of qualitative data from the HPTN 071 (PopART) trial in South Africa and Zambia.Sociology of health & illness · 2021Trial
- Cell Phone Counseling Improves Retention of Mothers With HIV Infection in Care and Infant HIV Testing in Kisumu, Kenya: A Randomized Controlled Study.Global health, science and practice · 2019Trial
- "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
- Longitudinal Correlates of Internalized HIV Stigma Among Ugandan PLWH.AIDS and behavior · 2026Article
- Long-term trends in HIV-related stigma among older adults with and without HIV: a cohort study from Mbarara, Uganda.The Gerontologist · 2026Article
- Article
- Community and Individual Education Influences on Sexual and Reproductive Health Knowledge in Uganda: A Human Capital and Social Learning Perspective.Population research and policy review · 2025Article
- Stigma and Associated Sex Disparities Among Patients with Tuberculosis in Uganda: A Cross-Sectional Study.Research square · 2024Article
- "African geographical review · 2024Article
- Article
- Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa.International journal of environmental research and public health · 2023Article
- Article
- A Multilevel Integrated Intervention to Reduce the Impact of HIV Stigma on HIV Treatment Outcomes Among Adolescents Living With HIV in Uganda: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2022Article
- Priorities for health and wellbeing for older people with and without HIV in Uganda: a qualitative methods study.Journal of the International AIDS Society · 2022Article
- Understanding PrEP Acceptability Among Priority Populations: Results from a Qualitative Study of Potential Users in Central Uganda.AIDS and behavior · 2022Article
- Exploring factors associated with HIV secondary stigma among adolescents and young adults in Uganda: A cross-sectional study.Global public health · 2022Article
- HIV-related stigma experiences and coping strategies among pregnant women in rural Uganda: A qualitative descriptive study.PloS one · 2022Article
- HIV-AIDS Stigma in Burundi: A Qualitative Descriptive Study.International journal of environmental research and public health · 2021Article
- The impact of discomfort with HIV status and hopelessness on depressive symptoms among adolescents living with HIV in Uganda.AIDS care · 2021Article
Corrections and comments
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Authors and funding
11 authors at 9 institutions in 3 countries.
Funding
Abstract
objectiveProgramme implementers have argued that the increasing availability of antiretroviral therapy (ART) will reduce the stigma of HIV. We analyzed data from Uganda to assess how HIV-related stigma has changed during a period of ART expansion.
designSerial cross-sectional surveys.
methodsWe analyzed data from the Uganda AIDS Rural Treatment Outcomes study during 2007-2012 to estimate trends in internalized stigma among people living with HIV (PLHIV) at the time of treatment initiation. We analyzed data from the Uganda Demographic and Health Surveys from 2006 to 2011 to estimate trends in stigmatizing attitudes and anticipated stigma in the general population. We fitted regression models adjusted for sociodemographic characteristics, with year of data collection as the primary explanatory variable.
resultsWe estimated an upward trend in internalized stigma among PLHIV presenting for treatment initiation [adjusted b = 0.18; 95% confidence interval (CI), 0.06-0.30]. In the general population, the odds of reporting anticipated stigma were greater in 2011 compared with 2006 [adjusted odds ratio (OR) = 1.80; 95% CI, 1.51-2.13], despite an apparent decline in stigmatizing attitudes (adjusted OR = 0.62; 95% CI, 0.52-0.74).
conclusionInternalized stigma has increased over time among PLHIV in the setting of worsening anticipated stigma in the general population. Further study is needed to better understand the reasons for increasing HIV-related stigma in Uganda and its impact on HIV prevention efforts.
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