ArticleSocial science & medicine (1982)2015
A tale of two cities: stigma and health outcomes among people with HIV who inject drugs in St. Petersburg, Russia and Kohtla-Järve, Estonia.
Article in Social science & medicine (1982), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Interventions to reduce self-stigma in people who use drugs: A systematic review.Journal of substance use and addiction treatment · 2024Pooled it
- 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
- Combating HIV stigma in low- and middle-income healthcare settings: a scoping review.Journal of the International AIDS Society · 2020Pooled it
- The Association Between HIV and Substance Use Stigma and Attitudes and Utilization of HIV Care Among Adults Who Use Injection Drugs: A Systematic Review.AIDS and behavior · 2026Article
- Adapting a health facility HIV stigma-reduction participatory training intervention to address drug use stigma in HIV care and treatment clinics in Dar es Salaam, Tanzania.Harm reduction journal · 2024Article
- Willingness to use and distribute HIV self-testing kits among people who inject drugs in the San Diego-Tijuana border region.Harm reduction journal · 2024Article
- Stigma and other correlates of sharing injection equipment among people with HIV in St. Petersburg, Russia.Global public health · 2024Article
- Changes in Attitudes toward People with Substance Use Disorder: A Comparative Study of the General Population in Mexico.International journal of environmental research and public health · 2022Article
- Situational and motivational factors associated with unhealthy alcohol use among Russian women with HIV and hepatitis C Virus co-infection.Drug and alcohol dependence reports · 2022Article
- HIV related stigma associated with social support, alcohol use disorders, depression, anxiety, and suicidal ideation among people living with HIV: a systematic review and meta-analysis.International journal of mental health systems · 2022Article
- Addressing intersectional stigma as a care barrier for HIV-positive people who inject drugs: Design of an RCT in St. Petersburg, Russia.Contemporary clinical trials communications · 2021Article
- Drug use stigma and its association with active hepatitis C virus infection and injection drug use behaviors among community-based people who inject drugs in India.The International journal on drug policy · 2021Article
- HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia.AIDS and behavior · 2021Article
- "An ethnographic exploration of factors that drive policing of street-based female sex workers in a U.S. setting - identifying opportunities for intervention".BMC international health and human rights · 2020Article
- Stigma and quality of co-located care for HIV-positive people in addiction treatment in Ukraine: a cross-sectional study.Journal of the International AIDS Society · 2020Article
- Attitudes towards people living with HIV and people who inject drugs: A mixed method study of stigmas within harm reduction programs in Kazakhstan.The International journal on drug policy · 2019Article
- Study of human rights violations faced by women who use drugs in Estonia.Harm reduction journal · 2018Article
- HIV-related stigma among people living with HIV/AIDS in rural Central China.BMC health services research · 2018Article
- Hidden population size estimation from respondent-driven sampling: a network approach.Journal of the American Statistical Association · 2018Article
- HIV Stigma and Substance Use Among HIV-Positive Russians with Risky Drinking.AIDS and behavior · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Experiences of stigma are often associated with negative mental and physical health outcomes. The present work tested the associations between stigma and health-related outcomes among people with HIV who inject drugs in Kohtla-Järve, Estonia and St. Petersburg, Russia. These two cities share some of the highest rates of HIV outside of sub-Saharan Africa, largely driven by injection drug use, but Estonia has implemented harm reduction services more comprehensively. People who inject drugs were recruited using respondent-driven sampling; those who indicated being HIV-positive were included in the present sample (n = 381 in St. Petersburg; n = 288 in Kohtla-Järve). Participants reported their health information and completed measures of internalized HIV stigma, anticipated HIV stigma, internalized drug stigma, and anticipated drug stigma. Participants in both locations indicated similarly high levels of all four forms of stigma. However, stigma variables were more strongly associated with health outcomes in Russia than in Estonia. The St. Petersburg results were consistent with prior work linking stigma and health. Lower barriers to care in Kohtla-Järve may help explain why social stigma was not closely tied to negative health outcomes there. Implications for interventions and health policy are discussed.
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