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Perceived stigma by children on antiretroviral treatment in Cambodia

Hubert Barennes1,2,3,4, Sovann Tat5,6, Daniel Reinharz7,8

  • 1Agence Nationale de Recherche sur le VIH et les Hepatites, Preah Monyvong 5 Blvd, Phnom Penh, Cambodia. barenneshub@yahoo.fr.

BMC Pediatrics
|December 11, 2014
PubMed

Insights

Perceived stigma affects nearly half of children on antiretroviral therapy (ART) in Cambodia, impacting their quality of life. School attendance and low income were linked to higher stigma, while social support offered protection.

Area of Science:

  • Pediatric infectious diseases
  • Social psychology
  • Global health

Background:

  • HIV-related stigma significantly impacts the quality of life for affected individuals.
  • Limited understanding exists regarding perceived and enacted stigma among HIV-infected children in resource-limited settings.
  • This study investigated perceived stigma and its associated factors in children undergoing antiretroviral therapy (ART) in Cambodia.

Purpose of the Study:

  • To determine the prevalence of perceived stigma among children receiving ART in Cambodia.
  • To identify factors associated with perceived stigma in this pediatric population.
  • To inform interventions aimed at reducing HIV-related stigma in children.

Main Methods:

  • A confidential, standardized questionnaire assessed sociodemographics, HIV history, ART adherence, and perceived stigma in children (7-15 years) or their guardians.
  • Data were collected during routine ART visits at a referral hospital in Cambodia.
  • Bivariate and multivariate analyses were employed to identify associations between perceived stigma and child characteristics.

Main Results:

  • Of 183 children, 43.2% experienced perceived stigma, including social exclusion and rejection.
  • School attendance (OR: 3.9) and low income (OR: 2.2) were associated with increased perceived stigma.
  • Social support was associated with a reduced risk of perceived stigma (OR: 0.4).

Conclusions:

  • Perceived stigma is a significant challenge for pediatric ART patients in Cambodia.
  • Interventions addressing psychological support are needed in healthcare, educational, and community settings.
  • Preventing HIV-related stigma is crucial for improving the well-being of affected children.
Abstract

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