@article{ac2401dca25f48a0a387a196a96e0d70,
title = "Association of experienced and internalized stigma with self-disclosure of HIV status by youth living with HIV",
abstract = "We examined patterns of disclosure among youth living with HIV (YLHIV) in Kenya, and the association between self-disclosure and antiretroviral therapy adherence, stigma, depression, resilience, and social support. Of 96 YLHIV, 78% were female, 33% were ages 14–18, and 40% acquired HIV perinatally. Sixty-three (66%) YLHIV had self-disclosed their HIV status; 67% to family and 43% to non-family members. Older YLHIV were 75% more likely to have self-disclosed than those 14–18 years. Of the 68 either married or ever sexually active, 45 (66%) did not disclose to their partners. Those who had self-disclosed were more likely to report internalized stigma (50% vs. 21%, prevalence ratio [PR] 2.3, 1.1–4.6), experienced stigma (26% vs. 3%, PR 11.0, 1.4–86), and elevated depressive symptoms (57% vs. 30%, PR 1.8, 1.0–3.1). The association with stigma was stronger with self-disclosure to family than non-family. Support should be provided to YLHIV during self-disclosure to mitigate psychosocial harms.",
keywords = "Adolescents, Depression, Disclosure, HIV, Mental health, Resilience, Social support, Stigma",
author = "Cyrus Mugo and David Seeh and Brandon Guthrie and Megan Moreno and Manasi Kumar and Grace John-Stewart and Irene Inwani and Keshet Ronen",
note = "Funding Information: National Institutes of health (AI027757 University of Washington Center for AIDS research New Investigator Award). During manuscript development, C.M. was a scholar in the International AIDS Research and Training Program, supported by the Fogarty International Center, National Institute on Drug Abuse, and National Institute of Mental Health (NIH grant D43 TW009580). Funding Information: We wish to thank the Vijana-SMART participants from Kayole in Nairobi, the staff of Kayole II sub-County Hospital and the study staff, Caroline Akinyi, Helen Moraa, Margaret Nduati, and Alex Muriithi for their participation and hard work. This project was funded by University of Washington{\textquoteright}s Center for AIDS Research New Investigator Award (AI027757). We also acknowledge the International AIDS Research Training Program (IARTP), supported by the Fogarty International Center, National Institute on Drug Abuse, and National Institute of Mental Health (NIH grant D43 TW009580); and the Global Center for Integrated Health of Women, Adolescents, and Children (Global WACh) for supporting authors during the preparation of this paper. Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.",
year = "2021",
month = jul,
doi = "10.1007/s10461-020-03137-0",
language = "English",
volume = "25",
pages = "2084--2093",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "7",
}
