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Medical Mistrust and Stigma Associated with COVID-19 Among People Living with HIV in South Africa.
Jarolimova, Jana; Yan, Joyce; Govere, Sabina; Ngobese, Nompumelelo; Shazi, Zinhle M; Khumalo, Anele R; Bunda, Bridget A; Wara, Nafisa J; Zionts, Danielle; Thulare, Hilary; Parker, Robert A; Bogart, Laura M; Bassett, Ingrid V.
  • Jarolimova J; Division of Infectious Diseases, Massachusetts General Hospital, Boston, USA. jjarolimova@mgh.harvard.edu.
  • Yan J; Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, USA. jjarolimova@mgh.harvard.edu.
  • Govere S; Biostatistics Center, Massachusetts General Hospital, Boston, USA.
  • Ngobese N; AIDS Healthcare Foundation, Durban, South Africa.
  • Shazi ZM; AIDS Healthcare Foundation, Durban, South Africa.
  • Khumalo AR; AIDS Healthcare Foundation, Durban, South Africa.
  • Bunda BA; AIDS Healthcare Foundation, Durban, South Africa.
  • Wara NJ; Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, USA.
  • Zionts D; Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, USA.
  • Thulare H; Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, USA.
  • Parker RA; AIDS Healthcare Foundation, Durban, South Africa.
  • Bogart LM; Biostatistics Center, Massachusetts General Hospital, Boston, USA.
  • Bassett IV; Center for AIDS Research (CFAR), Harvard University, Boston, USA.
AIDS Behav ; 25(12): 3967-3977, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1230260
ABSTRACT
We evaluated COVID-19 stigma and medical mistrust among people living with HIV in South Africa. We conducted telephone interviews with participants in a prospective study of a decentralized antiretroviral therapy program. Scales assessing medical mistrust, conspiracy beliefs, anticipated and internalized stigma, and stereotypes specific to COVID-19 were adapted primarily from the HIV literature, with higher scores indicating more stigma or mistrust. Among 303 participants, the median stigma summary score was 4 [interquartile range (IQR) 0-8; possible range 0-24] and 6 (IQR 2-9) for mistrust (possible range 0-28). A substantial proportion of participants agreed or strongly agreed with at least one item assessing stigma (54%) or mistrust (43%). Higher COVID-19 stigma was associated with female gender and antecedent HIV stigma, and lower stigma with reporting television as a source of information on COVID-19. Further efforts should focus on effects of stigma and mistrust on protective health behaviors and vaccine hesitancy.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Vaccines Limits: Female / Humans Country/Region as subject: Africa Language: English Journal: AIDS Behav Journal subject: Behavioral Sciences / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2021 Document Type: Article Affiliation country: S10461-021-03307-8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Vaccines Limits: Female / Humans Country/Region as subject: Africa Language: English Journal: AIDS Behav Journal subject: Behavioral Sciences / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2021 Document Type: Article Affiliation country: S10461-021-03307-8