Assessing the Impact of Food Assistance on Stigma Among People Living with HIV in Uganda Using the HIV/AIDS Stigma Instrument-PLWA (HASI-P)
Assessing the Impact of Food Assistance on Stigma Among People Living with HIV in Uganda Using the HIV/AIDS Stigma Instrument-PLWA (HASI-P)
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DOI：
10.1007/s10461-016-1476-9
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发表时间：
2017-03-01
影响因子：
4.4
通讯作者：
Kadiyala, Suneetha
中科院分区：
文献类型：
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作者：
Maluccio, John A.;Wu, Fan;Kadiyala, Suneetha
艾滋病毒感染者/艾滋病患者中与艾滋病毒有关的耻辱感在整个撒哈拉以南非洲普遍存在。有有限的证据，然而，在哪些干预措施是有效的，以减少it. We使用的数据从一个12个月的粮食援助干预的前瞻性影响评估904抗逆转录病毒疗法（ART）初治艾滋病毒感染者在乌干达检查该计划对耻辱的影响。污名使用综合HASI-P量表进行测量，该量表表现出良好的内部一致性（Cronbach's alpha = 0.87），并且与几个相关结构相关，包括样本中与身体和心理健康相关的生活质量、披露和身体健康症状。使用准实验差异中的差异匹配方法，以更好地推断因果关系，我们测试了干预是否改善了整体耻辱量表及其分量表。食物援助干预对报告的内化（而非外部）耻辱感有显著影响，约为0.2 SD（p < 0.01）。HASI-P污名量表是测量和跟踪污名的有用工具。粮食援助干预措施，嵌入在艾滋病毒护理计划，可以减少内化的耻辱。
HIV-related stigma among persons living with HIV/AIDS (PLHIV) is prevalent throughout sub-Saharan Africa. There is limited evidence, however, on which interventions are effective in reducing it. We used data from a prospective impact evaluation of a 12-month food assistance intervention among 904 antiretroviral therapy (ART)- na < ve PLHIV in Uganda to examine the program impact on stigma. Stigma was measured using the comprehensive HASI-P scale, which demonstrated good internal consistency (Cronbach's alpha = 0.87) and was correlated with several related constructs including physical and mental health-related quality of life, disclosure, and physical health symptoms in the sample. Using quasi-experimental difference-in-difference matching methods to better infer causality, we tested whether the intervention improved the overall stigma scale and its subscales. The food assistance intervention had a significant effect on reported internalized (but not external) stigma of approximately 0.2 SD (p < 0.01). The HASI-P stigma scale is a useful tool for measuring and tracking stigma. Food assistance interventions, embedded in an HIV care program, can reduce internalized stigma.