Literature DB >> 21521806

Stigma and access to HIV care among HIV-infected women in Kolkata, West Bengal.

Sharoda Dasgupta1, Patrick S Sullivan, Aparajita Dasgupta, Bibhuti Saha, Laura F Salazar.   

Abstract

OBJECTIVES: Stigma is an important issue for marginalized HIV-infected populations. We describe stigma among HIV-infected women on antiretroviral therapy and associations with access to clinical care, demographic factors, and structural elements of support.
METHODS: HIV-infected women attending a government-supported clinic in Kolkata, India, were asked about experiences with stigma. Clinical information was abstracted from medical records. We described factors associated with stigma using ordinal logistic regression.
RESULTS: Among 198 women, higher levels of stigma were associated with lower CD4 count upon entry into care (aOR = 0.78; 95% confidence interval [CI]: [0.65, 0.94]), district of residence (aOR = 1.9; CI: [1.0, 3.4]), presence of extended family in the household (aOR = 0.57; CI: [0.32, 1.0]), and employment at the time of the interview (aOR = 0.48; CI: [0.26, 0.90]). Stigma was not associated with having missed scheduled HIV care appointments.
CONCLUSION: Stigma is prevalent among Indian women with HIV, should be further explored, and may be important in considering public health interventions for better access to care.

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Mesh:

Year:  2011        PMID: 21521806      PMCID: PMC5936604          DOI: 10.1177/1545109711401410

Source DB:  PubMed          Journal:  J Int Assoc Provid AIDS Care        ISSN: 2325-9574


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