The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: a series of meta-analyses
Open accessAbstract
Objective: To conduct a systematic review and series of meta-analyses on the association between HIV-related stigma and health among people living with HIV. Data sources: A structured search was conducted on 6 electronic databases for journal articles reporting associations between HIV-related stigma and health-related outcomes published between 1996 and 2013. Study eligibility criteria: Controlled studies, cohort studies, case-control studies and cross-sectional studies in people living with HIV were considered for inclusion. Outcome measures: Mental health (depressive symptoms, emotional and mental distress, anxiety), quality of life, physical health, social support, adherence to antiretroviral therapy, access to and usage of health/social services and risk behaviours. Results: 64 studies were included in our meta-analyses. We found significant associations between HIV-related stigma and higher rates of depression, lower social support and lower levels of adherence to antiretroviral medications and access to and usage of health and social services. Weaker relationships were observed between HIV-related stigma and anxiety, quality of life, physical health, emotional and mental distress and sexual risk practices. While risk of bias assessments revealed overall good quality related to how HIV stigma and health outcomes were measured on the included studies, high risk of bias among individual studies was observed in terms of appropriate control for potential confounders. Additional research should focus on elucidating the mechanisms behind the negative relationship between stigma and health to better inform interventions to reduce the impact of stigma on the health and well-being of people with HIV. Conclusions: This systematic review and series of meta-analyses support the notion that HIV-related stigma has a detrimental impact on a variety of health-related outcomes in people with HIV. This review can inform the development of multifaceted, intersectoral interventions to reduce the impact of HIV-related stigma on the health and well-being of people living with HIV.
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Cites
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Cited by
Stigma in health facilities: Why it matters and how we can change it
Nyblade, L., Stockton, M. A., Giger, K., Bond, V., Ekstrand, M. L., Lean, R. M., Mitchell, E. M. H., Nelson, L. R. E., Sapag, J. C., Siraprapasiri, T., et al. (2019) · BMC Medicine · doi:10.1186/s12916-019-1256-2 · Cited by 881
Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes
Turan, B., Hatcher, A. M., Weiser, S. D., Johnson, M. O., Rice, W. S., & Turan, J. M. (2017) · American Journal of Public Health · doi:10.2105/ajph.2017.303744 · Cited by 489
Stigma, HIV and health: a qualitative synthesis
Chambers, L. A., Rueda, S., Baker, D. N., Wilson, M. G., Deutsch, R., Raeifar, E., Rourke, S. B., & Team, T. S. R. (2015) · BMC Public Health · doi:10.1186/s12889-015-2197-0 · Cited by 419
Self-citationEpidemiology of HIV in the USA: epidemic burden, inequities, contexts, and responses
Sullivan, P. S., Satcher Johnson, A., Pembleton, E. S., Stephenson, R., Justice, A. C., Althoff, K. N., Bradley, H., Castel, A. D., Oster, A. M., Rosenberg, E. S., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00395-0 · Cited by 355
Kane, J. C., Elafros, M. A., Murray, S. M., Mitchell, E. M. H., Augustinavicius, J. L., Causevic, S., & Baral, S. D. (2019) · BMC Medicine · doi:10.1186/s12916-019-1250-8 · Cited by 324
Metadata
- Authors
- Rueda, S., Mitra, S., Chen, S., Gogolishvili, D., Globerman, J., Chambers, L., Wilson, M., Logie, C. H., Shi, Q., Morassaei, S., & Rourke, S. B.
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2016-07
- Volume
- 6
- Issue
- 7
- Pages
- e011453
- ISSN
- 2044-6055 (ISSN-L)
- OpenAlex
- W2463820852
- Cited by
- 946
- References
- 19
- FWCI
- 38.65
- Type
- journal article
- Language
- en
- Open access
- gold
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- Rueda, S., Mitra, S., Chen, S., Gogolishvili, D., Globerman, J., Chambers, L., Wilson, M., Logie, C. H., Shi, Q., Morassaei, S., & Rourke, S. B. (2016). Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: a series of meta-analyses. BMJ Open. https://doi.org/10.1136/bmjopen-2016-011453
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