NDLI: Perceived HIV stigma and life satisfaction among persons living with HIV infection in five African countries: a longitudinal study.

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Perceived HIV stigma and life satisfaction among persons living with HIV infection in five African countries: a longitudinal study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Greeff, Minrie Uys, Leana R. Wantland, Dean Makoae, Lucy Chirwa, Maureen Dlamini, Priscilla Kohi, Thecla W. Mullan, Joseph Naidoo, Joanne Rachel Cuca, Yvette Holzemer, William L.
Spatial Coverage	Africa
Description	Country affiliation: South Africa Author Affiliation: Greeff M ( North-West University, Potchefstroom Campus, South Africa.)
Abstract	BACKGROUND: Descriptive literature exists on the effects of HIV-related stigma on the lives of people living with HIV infection but few empirical studies have measured perceived HIV stigma nor explored its potential relationship to quality of life (QoL) over time in people living with HIV infection. AIM: A cohort study of a purposive convenient sample of 1457 HIV-positive persons was followed for one year in a longitudinal design that examined the effects of stigma and the life satisfaction dimension of the HIV/AIDS Targeted Quality of Life Instrument (HAT-QOL) over time, as well as the influence of other demographic and assessed social variables. Data were collected three times about six months apart from December 2005 to March 2007. RESULTS: The average age in this sample was 36.8 years (SD=8.78, n=1454) and 72.7% (n=1056) were female. The initial sample of participants was balanced among the five countries: Lesotho, Malawi, South Africa, Swaziland, and Tanzania. An attrition analysis demonstrated few demographic differences between those who remained in the study 12 months later compared with those at baseline. However, those who completed the study and who answered the QoL questions had significantly higher life satisfaction scores at baseline than those who left the study. There was a general increase in the report of life satisfaction QoL in all countries over the one-year period. However, as stigma scores increased over time there was a significant decrease in life satisfaction with differing rates of change by country. Certain factors had a positive influence on life satisfaction QoL: positive HIV media reports, taking antiretrovirals, reduced symptom intensity, and disclosure to a friend. CONCLUSION: This cohort study is the first to document empirically in a longitudinal sample, that perceived HIV stigma has a significantly negative and constant impact upon life satisfaction QoL for people with HIV infection. In the absence of any intervention to address and reduce stigmatization, individuals will continue to report poorer life satisfaction evidenced by reduced living enjoyment, loss of control in life, decreased social interactivity, and decreased perceived health status.
File Format	HTM / HTML
ISSN	00207489
e-ISSN	1873491X
DOI	10.1016/j.ijnurstu.2009.09.008
Journal	International Journal of Nursing Studies
Issue Number	4
Volume Number	47
Language	English
Publisher	Elsevier
Publisher Date	2010-04-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Nursing Hiv Infections Psychology Personal Satisfaction Stereotyping Africa Longitudinal Studies Quality Of Life Questionnaires Research Support, N.i.h., Extramural Research Support, U.s. Gov't, P.h.s.
Content Type	Text
Resource Type	Article
Subject	Nursing

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