IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0173928.html
   My bibliography  Save this article

Significant association between perceived HIV related stigma and late presentation for HIV/AIDS care in low and middle-income countries: A systematic review and meta-analysis

Author

Listed:
  • Hailay Abrha Gesesew
  • Amanuel Tesfay Gebremedhin
  • Tariku Dejene Demissie
  • Mirkuzie Woldie Kerie
  • Morankar Sudhakar
  • Lillian Mwanri

Abstract

Background: Late presentation for human immunodeficiency virus (HIV) care is a major impediment for the success of antiretroviral therapy (ART) outcomes. The role that stigma plays as a potential barrier to timely diagnosis and treatment of HIV among people living with HIV/AIDS (acquired immunodeficiency syndrome) is ambivalent. This review aimed to assess the best available evidence regarding the association between perceived HIV related stigma and time to present for HIV/AIDS care. Methods: Quantitative studies conducted in English language between 2002 and 2016 that evaluated the association between HIV related stigma and late presentation for HIV care were sought across four major databases. This review considered studies that included the following outcome: ‘late HIV testing’, ‘late HIV diagnosis’ and ‘late presentation for HIV care after testing’. Data were extracted using a standardized Joanna Briggs Institute (JBI) data extraction tool. Meta- analysis was undertaken using Revman-5 software. I2 and chi-square test were used to assess heterogeneity. Summary statistics were expressed as pooled odds ratio with 95% confidence intervals and corresponding p-value. Results: Ten studies from low- and middle- income countries met the search criteria, including six (6) and four (4) case control studies and cross-sectional studies respectively. The total sample size in the included studies was 3,788 participants. Half (5) of the studies reported a significant association between stigma and late presentation for HIV care. The meta-analytical association showed that people who perceived high HIV related stigma had two times more probability of late presentation for HIV care than who perceived low stigma (pooled odds ratio = 2.4; 95%CI: 1.6–3.6, I2 = 79%). Conclusions: High perceptions of HIV related stigma influenced timely presentation for HIV care. In order to avoid late HIV care presentation due the fear of stigma among patients, health professionals should play a key role in informing and counselling patients on the benefits of early HIV testing or early entry to HIV care. Additionally, linking the systems and positive case tracing after HIV testing should be strengthened.

Suggested Citation

  • Hailay Abrha Gesesew & Amanuel Tesfay Gebremedhin & Tariku Dejene Demissie & Mirkuzie Woldie Kerie & Morankar Sudhakar & Lillian Mwanri, 2017. "Significant association between perceived HIV related stigma and late presentation for HIV/AIDS care in low and middle-income countries: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-16, March.
  • Handle: RePEc:plo:pone00:0173928
    DOI: 10.1371/journal.pone.0173928
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0173928
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0173928&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0173928?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Dharma N. Bhatta & Jennifer Hecht & Shelley N. Facente, 2021. "Psychosocial Determinants of HIV Stigma among Men Who Have Sex with Men in San Francisco, California," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    2. Yu, Hang, 2023. "Social stigma as a barrier to HIV testing: Evidence from a randomized experiment in Mozambique," Journal of Development Economics, Elsevier, vol. 161(C).
    3. Hailay Abrha Gesesew & Paul Ward & Kifle Woldemichael & Lillian Mwanri, 2018. "Early mortality among children and adults in antiretroviral therapy programs in Southwest Ethiopia, 2003–15," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-17, June.
    4. Anna Kuehne & Carmen Koschollek & Claudia Santos-Hövener & Adama Thorlie & Johanna Müllerschön & Christina Mputu Tshibadi & Pierre Mayamba & Helene Batemona-Abeke & Stephen Amoah & Virginia Wangare Gr, 2018. "Impact of HIV knowledge and stigma on the uptake of HIV testing – Results from a community-based participatory research survey among migrants from sub-Saharan Africa in Germany," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-19, April.
    5. Toan Ha & David Givens & Trang Nguyen & Nam Nguyen, 2022. "Stigmatizing Attitudes toward People Living with HIV among Young Women Migrant Workers in Vietnam," IJERPH, MDPI, vol. 19(11), pages 1-15, May.
    6. Watt, Melissa H. & Knettel, Brandon A. & Knippler, Elizabeth T. & Kisigo, Godfrey & Ngocho, James S. & Renju, Jenny & Rogathi, Jane & Sao, Saumya S. & Minja, Linda & Osaki, Haika & Mwamba, Rimel N. & , 2020. "The development of Maisha, a video-assisted counseling intervention to address HIV stigma at entry into antenatal care in Tanzania," Evaluation and Program Planning, Elsevier, vol. 83(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0173928. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.