Effects of Stigmatization/Discrimination on Antiretroviral Therapy Adherence among HIV-Infected Patients in a Rural Tertiary Medical Center in Nigeria

Author:

Omosanya Olusegun Emmanuel1,Elegbede Olayide Toyin1,Agboola Segun Matthew1,Isinkaye Ayodeji Olusola2,Omopariola Olusoji Adegoke3

Affiliation:

1. Department of Family Medicine, Federal Medical Centre, Ido-Ekiti, Nigeria

2. Department of Community Medicine, Federal Medical Centre, Ido-Ekiti, Nigeria

3. Department of Oral and Dental Surgery, Federal Medical Centre, Ido-Ekiti, Nigeria

Abstract

Introduction: Stigmatization and discrimination impact negatively on interventions and act as barriers to all HIV/AIDS activities. This study assessed the relationship between stigmatization and discrimination and adherence to antiretroviral therapy (ART) among HIV-infected patients attending the Federal Medical Centre, Ido-Ekiti, Nigeria. Methods: A cross-sectional study was carried out among respondents selected by systematic random sampling. Structured, interviewer-administered questionnaires were used to collect data subsequently analyzed with SPSS 16. Results: A total of 100 respondents comprising 61 (61.0%) female participants were interviewed. A large proportion, 92.0%, had a low level of stigmatization. In all, 88 (88.0%) had a good level of antiretroviral adherence using a threshold of >95%. More people living with HIV/AIDS (PLWHAs) with low stigmatization and discrimination had good adherence to ART ( P < .001). Conclusion: The PLWHAs with low levels of stigmatization and discrimination are more likely to adhere to ART than those with high levels. Counseling services and health education on adherence should be a strong component of all PLWHA care.

Publisher

SAGE Publications

Subject

Infectious Diseases,Dermatology,Immunology

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