Ethnicity, Stigma and Adherence to Antiretroviral Therapy (ART) among People Living with HIV/AIDS in Guangxi, ChinaYuchen Mao*, Xiaoming Li, Shan Qiao, Yuejiao Zhou and Qun Zhao
Department of Health Promotion, Education and Behavior, University of South Carolina, Columbia, USA
- *Corresponding Author:
- Yuchen Mao, PhD
University of South Carolina
Department of Health Promotion
Education and Behavior, 915 Greene St.
Discovery I Building, Suite 408, Columbia
SC 29208, USA
E-mail: [email protected]
Received date: December 17, 2016; Accepted date: January 05, 2017; Published date: January 12, 2017
Citation: Mao Y, Li X, Qiao S, Zhou Y, Zhao Q (2017) Ethnicity, Stigma and Adherence to Antiretroviral Therapy (ART) among People Living with HIV/AIDS in Guangxi, China. J AIDS Clin Res 8:652. doi:10.4172/2155-6113.1000652
Copyright: © 2017 Mao Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
This study examines the impact of ethnicity and multiple types of HIV-related stigma on adherence to antiretroviral therapy (ART) among 2,146 people living with HIV/AIDS (PLWHA) in Guangxi, China who had initiated ART. The results of multiple binary logistic regressions indicate that those who had experienced enacted stigma tended to report lower adherence, while better adherence was associated with older age, being women and having a job. Ethnicity had a moderator effect on the association between internalized stigma and adherence since better adherence was associated with lower internalized stigma among participants in ethnic minority groups other than Zhuang. Our findings indicate that PLWHA of other ethnic minority groups could benefit from internalized stigma reduction interventions; PLWHA, overall, could benefit most from increased employment opportunities and acquisition of coping skills to mitigate the negative effects of enacted stigma.