ArticleHIV/AIDS (Auckland, N.Z.)2021
Social Support, Food Insecurity, and HIV Stigma Among Men Living with HIV in Rural Southwestern Uganda: A Cross-Sectional Analysis.
Article in HIV/AIDS (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Understanding the Stigma Experience of Men Living with HIV in Sub-Saharan Africa: A Qualitative Meta-synthesis.AIDS and behavior · 2024Pooled it
- HIV-related stigma and associated factors: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Association of Food Insecurity with Mental Health and Clinical Outcomes Among Women Living with HIV/AIDS: A Cross-Sectional Study of Southwestern Iran.Maternal and child health journal · 2026Article
- Factors influencing men to discontinue antiretroviral at Seventh Day Adventist clinic, Maseru, Lesotho.Frontiers in public health · 2026Article
- Experiences of Stigmatization and Discrimination in Accessing Health Care Services Among People Living with HIV (PLHIV) in Akwa Ibom State, Nigeria.HIV/AIDS (Auckland, N.Z.) · 2024Article
- Social support experiences of adolescents living with perinatal HIV in rural Limpopo, South Africa.Southern African journal of HIV medicine · 2024Article
- Exploring feasibility and acceptability of an integrated urban gardens and peer nutritional counselling intervention for people with HIV in the Dominican Republic.Public health nutrition · 2023Article
- Individual-, Interpersonal- and Institutional-Level Factors Associated with HIV Stigma Among Youth in Kenya.AIDS and behavior · 2023Article
- Food Insecurity and Transmission Risks Among People with HIV Who Use Substances.AIDS and behavior · 2023Article
- Determinants of social support among people living with HIV in Nigeria-a multicenter cross-sectional study.Frontiers in public health · 2023Article
- Telling the story of intersectional stigma in HIV-associated Kaposi's sarcoma in western Kenya: a convergent mixed-methods approach.Journal of the International AIDS Society · 2022Article
- Does resource insecurity drive HIV-related stigma? Associations between food and housing insecurity with HIV-related stigma in cohort of women living with HIV in Canada.Journal of the International AIDS Society · 2022Article
- The Optimization of HIV Testing in Eastern Indonesia: Findings from the 2017 Indonesian Demographic and Health Survey.Healthcare (Basel, Switzerland) · 2022Article
- "Men Are Scared That Others Will Know and Will Discriminate Against Them So They Would Rather Not Start Treatment." Perceptions of Heterosexual Men on HIV-Related Stigma in HIV Services in Blantyre, Malawi.Journal of the International Association of Providers of AIDS CareArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundHIV stigma is one of the major barriers to HIV care due to the fear of disclosure and social discrimination. HIV stigma among men in sub-Saharan countries, including Uganda, has been linked to the fear about how HIV status might affect their status in society. HIV among men in sub-Saharan settings has been associated with feelings of shame, reduced self-worth, and self-blame for their HIV positive status. Information about HIV stigma and its associated factors among men living with HIV in rural Uganda is limited. This study assessed the burden of HIV stigma and its association with social support and food insecurity among men accessing HIV care at a rural health facility in southwestern Uganda.
methodsWe conducted a clinic-based cross-sectional study and consecutively enrolled 252 adult men accessing HIV care at a rural health centre in southwestern Uganda. We collected information on sociodemographic information, HIV stigma, social support, and food insecurity. We fitted modified Poisson regression models to determine the associations between social support, food insecurity, and HIV stigma.
resultsThe mean HIV stigma score of the study participants was 70.08 (SD 19.34) and 75% reported food insecurity 5% of whom were severely food insecure. The risk of HIV stigma was lower among those aged 35 years and above (adjusted risk ratio [ARR]=0.89; 95% CI 0.83-0.96; P=0.003, those who had been on ART for more than 5 years (ARR=0.92; 95% CI=0.84-0.99; P=0.04), and those who had social support (ARR=0.99; 95% CI=0.98-0.99; P=<0.001). Food insecurity was associated with an increased risk of HIV stigma (ARR=1.07; 95% CI 1.00-1.15; P=0.03). Social support moderated the effect of food insecurity on HIV stigma (P=0.45).
conclusionStigma is common among men living with HIV in rural Uganda and is significantly associated with food insecurity. Social support moderated the effect of severe food insecurity on HIV stigma among men living with HIV. Interventions to build social support systems and to economically empower men living with HIV should be incorporated into the mainstream HIV care clinics.
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