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P4.68 Internalised of hiv-related stigma and associated factors among hiv-infected adults receiving care
  1. Mina Qobadi1,
  2. Ali Dehghanifirouzabadi1,
  3. Tiffany Mcdonald2,
  4. Tametria Samms1,
  5. Kendra Johnson1
  1. 1Mississippi State Department of Health, Jackson, USA
  2. 2Mississippi State Department of Health, Jacskon, USA


Introduction Internalisation of HIV-related stigma may affect a person’s disease management and his\her accessibility to services. However, little is known about HIV-related stigma and its associated factors in patients with HIV. We aimed to examine HIV-related stigma and its associated factors.

Methods We used Mississippi Medical Monitoring Project (MMP) data from 2011 to 2014 (n=793). MMP is a cross-sectional surveillance system designed to assess the behavioural and clinical characteristics of HIV-infected adults at least 18 years of age receiving outpatient care in the United States. Dependent variable was HIV-related stigma. Our independent variables were gender, sexual orientation, race, age, education, poverty level, smoking, binge drinking, drug abuse, length of time diagnosed with HIV, and insurance. T-test, one-way ANOVA, and multiple linear regression were conducted (p<0.05).

Results Overall, 75% of respondents reported at least one internalised HIV-related stigma experience. The average stigma score overall was 2.3 (out of 6), with a standard error of 0.07. Our finding showed that stigma was significantly higher among females (M=2.6, t=2.9, p=0.003), patients aged 18–24 (M=2.9, F=4.6, p=0.003), those with less than high school education (M=2.7, t=2.4, p=0.02), binge drinker (M=2.8, t=2.3, p=0.02), drug abuser (M=2.7, t=2.3, p=0.02 ), those who have been diagnosed with HIV since <5 years ago (M=2.6, F=6.6, p=0.001), and those who had private insurance (M=2.8, F=5.5, p=0.004). Multiple linear regression analysis showed that being female (β=0.52), having less than high school education (β=0.55), drug abusing (β=0.66), and having private insurance (β=0.77) contribute positively to predict experiencing stigma after entering all variables together.

Conclusion The findings indicate that HIV-related stigma is very common among HIV patients, and is significantly associated with gender, education, drug abuse and insurance status, highlighting a need for stigma reduction interventions, with a focus on population at risk.

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