Evidence map›Paper›PMID 38770109›Full record

ArticleHIV/AIDS (Auckland, N.Z.)2024

HIV-Related Stigma Among Pregnant Adolescents: A Qualitative Study of Patient Perspectives in Southwestern Uganda.

Amir Kabunga, Caroline Kambugu Nabasirye, Eustes Kigingo, Halimah Namata, Enos Mwirotsi Shikanga, Samson Udho, Anna Grace Auma, Jannat Nabaziwa, Raymond Tumwesigye, Marvin Musinguzi and 2 more

Erratum issuedAbstract read
In one paragraph

Article in HIV/AIDS (Auckland, N.Z.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Amir KabungaDepartment of Psychiatry, Lira University, Lira City, Uganda.ORCID 0000-0002-0481-2220
Caroline Kambugu NabasiryeDepartment of Midwifery, Lira University, Lira City, Uganda.ORCID 0000-0003-1778-2558
Eustes KigingoDepartment of Environmental Health and Disease Control, Lira University, Lira City, Uganda.ORCID 0000-0001-9748-693X
Halimah NamataDepartment of Mental Health, Makerere University, Kampala, Uganda.
Enos Mwirotsi ShikangaDepartment of Education Psychology, Moi University, Eldoret City, Kenya.
Samson UdhoDepartment of Midwifery, Lira University, Lira City, Uganda.
Anna Grace AumaDepartment of Midwifery, Lira University, Lira City, Uganda.
Jannat NabaziwaDepartment of Community Health, Lira University, Lira City, Uganda.
Raymond TumwesigyeDepartment of Nursing, Mbarara University of Science and Technology, Mbarara City, Uganda.
Marvin MusinguziDepartment of Community Health, Lira University, Lira City, Uganda.
Ponsiano OkaloDepartment of Psychiatry, Lira University, Lira City, Uganda.
Walter AcupDepartment of Community Health, Lira University, Lira City, Uganda.ORCID 0000-0002-6222-3598

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The HIV epidemic disproportionately affects adolescents in Sub-Saharan Africa, with adolescent girls facing heightened vulnerability. Despite advancements in antiretroviral therapy, HIV-related stigma remains prevalent, particularly among pregnant adolescents. This qualitative study explores the perspectives of adolescents living with HIV in southwestern Uganda, seeking to understand the nature of HIV-related stigma in this context. Methods: One-on-one narrative interviews were conducted with 28 pregnant adolescents living with HIV aged 14-19 receiving care at Mbarara Regional Referral Hospital. The qualitative approach allowed for in-depth exploration of participants' experiences. Thematic analysis was employed to identify recurring patterns in the narratives. Results: Five overarching themes emerged from the analysis: Experiences of double stigma, social and cultural influences shaping stigma, healthcare system challenges, psychosocial impacts of stigma, and resilience and coping mechanisms. Double stigma, arising from societal prejudices related to both HIV status and teenage pregnancy, created a complex environment for participants. Despite these challenges, participants exhibited resilience through external support and internal strength. Conclusion: This study reveals the pervasive double stigma experienced by pregnant adolescents living with HIV in southwestern Uganda, driven by societal biases against both HIV status and teenage pregnancy. Urgent targeted interventions are needed to address the intersectionality of stigma, cultural influences, healthcare issues, and psychosocial well-being for the betterment of this vulnerable population.

Indexed as

adolescentsHIV-related stigmapregnant adolescentsqualitative studysocial support

Identifiers

PMID38770109
PMCPMC11104363

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.