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Stigmatization, Medication Adherence and Resilience Among Recently Diagnosed People Living With HIV/AIDS (PLWHA): A
Emmanuel O Adesuyi1,2, Cynthia A Attah1,3, Oluwatosin A Ige4
1Institute of Nursing Research Osogbo Osun Nigeria.
Recently diagnosed people living with HIV/AIDS (PLWHA) in Nigeria show high stigma, resilience, and medication adherence. However, a significant portion struggle with adherence, highlighting the need for targeted interventions.
Area of Science:
- Public Health
- HIV/AIDS Research
- Psychosocial Studies
Background:
- Stigma, medication adherence, and resilience are critical factors influencing outcomes for people living with HIV/AIDS (PLWHA).
- Understanding these factors among newly diagnosed individuals in diverse settings is essential for effective care.
- Nigeria faces a significant burden of HIV/AIDS, necessitating research into patient experiences and support systems.
Purpose of the Study:
- To assess stigma levels, medication adherence, and resilience in recently diagnosed PLWHA in Nigeria.
- To examine the interrelationships between medication adherence, stigmatization, and resilience.
- To identify factors influencing these outcomes to inform public health strategies.
Main Methods:
- A convergent-parallel mixed-methods design combining quantitative and qualitative approaches.
- Quantitative phase: Cross-sectional survey of 200 PLWHA at Lagos University Teaching Hospital.
- Qualitative phase: Semi-structured interviews with 26 PLWHA; data analyzed thematically; quantitative data analyzed using Spearman's rho correlation.
Main Results:
- High levels of stigma (57%) and medication adherence (76%) were reported among participants.
- A majority (57.2%) demonstrated high resilience.
- Qualitative analysis revealed themes of building resilience, diagnosis/treatment experiences, and adherence facilitators.
Conclusions:
- Newly diagnosed PLWHA in Nigeria experience significant stigma alongside high resilience and medication adherence.
- A notable proportion (nearly one-third) exhibited non-adherence, indicating a critical area for intervention.
- Efforts should focus on reducing stigma and enhancing resilience to improve medication adherence and overall outcomes for PLWHA.
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