The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa.

IF 2.2 Q3 INFECTIOUS DISEASES Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI:10.1177/23259582241228743

Muziwandile Qiniso Luthuli, Johannes John-Langba

{"title":"The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa.","authors":"Muziwandile Qiniso Luthuli, Johannes John-Langba","doi":"10.1177/23259582241228743","DOIUrl":null,"url":null,"abstract":"Background: People living with human immune deficiency virus (PLHIV) grapple with distinct challenges, including HIV stigma which affects their antiretroviral therapy (ART) adherence self-efficacy. This study investigates the interaction of HIV stigma and perceived social support on ART adherence self-efficacy among adult PLHIV in South Africa.Methods: This study utilized a cross-sectional design that involved 201 participants selected using time location sampling at a tertiary health facility in Durban.Results: HIV stigma was significantly and negatively associated with self-efficacy (β = -7.860, t = -4.654, p = .001), with variations across different stigma levels (β = -5.844, t = -4.003, p = .001). Social support was significantly and positively associated with self-efficacy at lower HIV stigma levels (β = 7.440, t = 3.887, p = .001), in contrast to higher levels (β = -2.825, t = 1.400, p = .163).Conclusion: Social support significantly influences ART adherence self-efficacy, particularly at lower levels of HIV stigma, but the effect of support weakens as stigma intensifies.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241228743"},"PeriodicalIF":2.2000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301718/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the International Association of Providers of AIDS Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/23259582241228743","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: People living with human immune deficiency virus (PLHIV) grapple with distinct challenges, including HIV stigma which affects their antiretroviral therapy (ART) adherence self-efficacy. This study investigates the interaction of HIV stigma and perceived social support on ART adherence self-efficacy among adult PLHIV in South Africa.

Methods: This study utilized a cross-sectional design that involved 201 participants selected using time location sampling at a tertiary health facility in Durban.

Results: HIV stigma was significantly and negatively associated with self-efficacy (β = -7.860, t = -4.654, p = .001), with variations across different stigma levels (β = -5.844, t = -4.003, p = .001). Social support was significantly and positively associated with self-efficacy at lower HIV stigma levels (β = 7.440, t = 3.887, p = .001), in contrast to higher levels (β = -2.825, t = 1.400, p = .163).

Conclusion: Social support significantly influences ART adherence self-efficacy, particularly at lower levels of HIV stigma, but the effect of support weakens as stigma intensifies.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

艾滋病耻辱感对南非成年艾滋病毒感染者感知到的社会支持与坚持抗逆转录病毒疗法自我效能之间关系的调节作用》（The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa）。

背景：人类免疫缺陷病毒感染者（PLHIV）面临着不同的挑战，其中包括影响他们坚持抗逆转录病毒疗法（ART）自我效能的艾滋病耻辱感。本研究调查了南非成年 PLHIV 中 HIV 耻辱感和感知到的社会支持对坚持抗逆转录病毒疗法自我效能的交互作用：本研究采用横断面设计，在德班的一家三级医疗机构通过时间地点抽样选出 201 名参与者：结果：艾滋病耻辱感与自我效能感呈显著负相关（β = -7.860，t = -4.654，p = .001），不同耻辱感程度的人之间存在差异（β = -5.844，t = -4.003，p = .001）。在较低的艾滋病污名化水平下，社会支持与自我效能显著正相关（β = 7.440，t = 3.887，p = .001），而在较高的污名化水平下（β = -2.825，t = 1.400，p = .163）：结论：社会支持对坚持抗逆转录病毒疗法的自我效能感有明显影响，尤其是在艾滋病耻辱感较低的情况下，但随着耻辱感的加剧，支持的效果会减弱。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊