Individual-, Interpersonal- and Institutional-Level Factors Associated with HIV Stigma Among Youth in Kenya

Cyrus Mugo, Pamela Kohler, Manasi Kumar, Jacinta Badia, James Kibugi, Dalton C. Wamalwa, Kawango Agot, Grace C. John-Stewart

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

HIV stigma remains a barrier in achieving optimal HIV treatment. We studied the prevalence and predictors of HIV stigma among adolescents and youth with HIV (AYWHIV) ages 15–24 years in Western Kenya. Of 1011 AYWHIV, 69% were female with a median age of 18 years. Most (59%) attended adolescent clinic days, and 40% attended support groups. One-quarter (27%) had experienced physical, 18% emotional, and 7% sexual violence. The majority of AYWHIV (88%) reported disclosure concerns, 48% reported perceived community stigma, 36% experienced, and 24% internalized stigma. Compared to AYWHIV attending adolescent clinics, those in general/adult clinics had higher internalized stigma. Similarly, having dropped out of school was associated with higher internalized stigma. AYWHIV in sexual relationships had higher experienced stigma and disclosure concerns. Lastly, exposure to violence was associated with higher experienced, internalized, perceived community stigma and disclosure concerns. These risk factors can be targeted when developing stigma-prevention interventions.

Original languageEnglish
Pages (from-to)2566-2578
Number of pages13
JournalAIDS and Behavior
Volume27
Issue number8
DOIs
Publication statusPublished - Aug 2023

Keywords

  • Adolescent
  • HIV stigma
  • Sexual behavior
  • Stigma types
  • Violence
  • Youth

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