Online Program

Impact of stigma on HIV prevention behaviors among HIV-infected individuals seeking HIV care in Kenya

Tuesday, November 5, 2013 : 4:30 p.m. - 4:45 p.m.

Caroline Kingori, PhD, MPH, CHES, Department of Social and Public Health, Ohio University, Athens, OH
Michael Reece, PhD, MPH, School of Public Health, Indiana University-Bloomington, Bloomington, IN
Samuel Obeng, PhD, African Studies Department, Indiana University, Bloomington, IN
Maresa Murray, Ph.D, Applied Health Science Department, Indiana University, Bloomington, IN
Brian Dodge, PhD, Center for Sexual Health Promotion, Indiana University-Bloomington, Bloomington, IN
Enbal Shacham, PhD, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO
Peter Ngatia, PhD, African Medical Research Foundation, African Medical Research Foundation, Nairobi, Kenya
Emmanuel Akach, MBChB, African Medical Research Foundation, African Medical Research Foundation, Nairobi, Kenya
David Ojakaa, PhD, African Medical Research Foundation, African Medical Research Foundation, Nairobi, Kenya
Background: Generally, there is a likely correlation between initial diagnosis of HIV with the onset of HIV stigma. Consequently, HIV-positive individuals are likely to internalize stigma, may suffer from psychosocial issues, or engage in maladaptive behaviors to cope with the diagnosis. Purpose: The current study examined the impact of HIV felt stigma on overall health and success of HIV prevention behaviors among 370 participants living with HIV and receiving care at an urban HIV clinic in Kenya in 2011. Method: An 18-item instrument was cross culturally adapted to measure felt stigma. Descriptive and logistic regression analyses examined the data. Result: 25.9% (n = 96) of participants who reported experiencing high levels of felt stigma related to other people's attitudes toward their condition, ostracizing, and a disruption of their personal life, were likely to not adhere to prescribed HIV medication and not disclose their HIV serostatus to one other person. Those who also experienced felt stigma related to a disruption of their personal lives while mediated by depression were likely to report poor overall health. Conclusion: Findings support having HIV clinics and interventions develop relevant HIV prevention strategies that focus on the emerging dimensions of felt stigma which can significantly impact disclosure of serostatus, medication adherence, and overall health.

Learning Areas:

Diversity and culture
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the impact of HIV stigma on HIV prevention behaviors in Kenya.

Keyword(s): HIV/AIDS, Culture

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Caroline Kingori Ph.D; MPH is an Assistant Professor of Community Health at Ohio University. Dr. Kingori's research primarily focuses on global health and HIV/AIDS. Other research interests include but not limited to: drug use, community based participatory research, maternal and child health, instrument design and testing, program planning and evaluation in the United States and Africa. Dr. Kingori has taught at the undergraduate and graduate levels at Morgan State University, Indiana University and Ohio University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.