HIV Stigma, HIV status disclosure, and ART adherence in the context of an integrated opioid use disorder and HIV treatment setting in Dar es Salaam, Tanzania.
HIV Stigma, HIV status disclosure, and ART adherence in the context of an integrated opioid use disorder and HIV treatment setting in Dar es Salaam, Tanzania.
复制标题
坦桑尼亚达累斯萨拉姆综合阿片类药物使用障碍和艾滋病毒治疗背景下的艾滋病毒耻辱、艾滋病毒状况披露和抗逆转录病毒治疗依从性。
DOI：
10.1080/09540121.2022.2032575
复制
发表时间：
2023
期刊：
影响因子：
1.7
通讯作者：
Nkya,IddiHaruna
中科院分区：
文献类型：
--
作者：
Saleem,HaneefaT;Knight,Deja;Yang,Cui;Kidorf,Michael;Latkin,Carl;Nkya,IddiHaruna
在阿片类药物使用障碍治疗（OUDT）和艾滋病毒综合治疗模式的背景下，对影响抗逆转录病毒治疗（ART）依从性的社会因素（包括耻辱）知之甚少。我们定性地研究了艾滋病毒的耻辱，艾滋病毒状态披露，艾滋病毒感染者在坦桑尼亚的综合艾滋病毒服务的OUDT诊所与艾滋病毒感染者之间的ART坚持之间的关系。我们对2020年1月至4月期间在坦桑尼亚达累斯萨拉姆的一家OUDT诊所接受艾滋病毒护理的25名客户进行了深入访谈。艾滋病污名化，特别是预期污名化，和艾滋病状况披露是影响抗逆转录病毒治疗依从性的关键因素。参与者担心非自愿的艾滋病毒状况披露和艾滋病毒的耻辱，从他们的同龄人参加了OUDT。大多数参与者报告说，他们在OUDT诊所向同行隐瞒了自己的艾滋病毒状况，也没有与诊所的其他艾滋病毒感染者联系。减少艾滋病毒污名化和加强诊所结构和程序，以维护隐私和保密性是至关重要的，以减轻污名化对坚持抗逆转录病毒治疗的影响。
Little is known about social factors, including stigma, that affect antiretroviral therapy (ART) adherence among people enrolled in opioid use disorder treatment (OUDT) in the context of integrated OUDT and HIV treatment models. We qualitatively examined the relationship between HIV stigma, HIV status disclosure, and ART adherence among clients living with HIV at an OUDT clinic with integrated HIV services in Tanzania. We conducted in-depth interviews with 25 clients receiving HIV care at an OUDT clinic in Dar es Salaam, Tanzania between January and April 2020. HIV stigma, particularly anticipated stigma, and HIV status disclosure were key factors that affected ART adherence. Participants feared non-voluntary HIV status disclosure to and HIV stigma from their peers enrolled in OUDT. Most participants reported concealing their HIV status from peers at the OUDT clinic and not associating with other clients living with HIV at the clinic. Reducing HIV stigma and enhancing clinic structures and procedures to maintain privacy and confidentiality are essential to mitigating the effects of stigma on ART adherence.