HIV-related stigma experiences and coping strategies among pregnant women in rural Uganda: A qualitative descriptive study.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2022
2022
Historique:
received:
29
11
2020
accepted:
01
08
2022
entrez:
7
10
2022
pubmed:
8
10
2022
medline:
12
10
2022
Statut:
epublish
Résumé
HIV-related stigma is a global problem among HIV clients with far-reaching effects including increased rates of mother-to-child transmission of HIV. However, HIV-related stigma experiences and coping strategies have received little attention, especially among pregnant women in rural settings. We explored the HIV-related stigma experiences and coping strategies among pregnant women in rural northern Uganda. This was a qualitative descriptive study conducted among HIV-positive pregnant women seeking care at Aboke Health Center IV, Kole district, northern Uganda. We conducted 12 in-depth interviews using a semi-structured interview guide. Data were analyzed using the inductive thematic approach of Braun and Clarke. The age range of the 12 participants was 17 to 35 years while the average duration with HIV since diagnosis was five years. The majority of the participants were subsistence farmers who had attained a primary level of education. Social rejection and public ridicule were identified as HIV-related stigma experiences while ignoring, social support, and prayers were identified as HIV-related coping strategies among the study participants. Enacted HIV-related stigma is common among pregnant women in rural northern Uganda. Healthcare providers should work closely with HIV-positive women and other stakeholders to identify and strengthen HIV-related stigma coping strategies among pregnant women in rural settings.
Sections du résumé
BACKGROUND
HIV-related stigma is a global problem among HIV clients with far-reaching effects including increased rates of mother-to-child transmission of HIV. However, HIV-related stigma experiences and coping strategies have received little attention, especially among pregnant women in rural settings. We explored the HIV-related stigma experiences and coping strategies among pregnant women in rural northern Uganda.
METHODS
This was a qualitative descriptive study conducted among HIV-positive pregnant women seeking care at Aboke Health Center IV, Kole district, northern Uganda. We conducted 12 in-depth interviews using a semi-structured interview guide. Data were analyzed using the inductive thematic approach of Braun and Clarke.
RESULTS
The age range of the 12 participants was 17 to 35 years while the average duration with HIV since diagnosis was five years. The majority of the participants were subsistence farmers who had attained a primary level of education. Social rejection and public ridicule were identified as HIV-related stigma experiences while ignoring, social support, and prayers were identified as HIV-related coping strategies among the study participants.
CONCLUSION
Enacted HIV-related stigma is common among pregnant women in rural northern Uganda. Healthcare providers should work closely with HIV-positive women and other stakeholders to identify and strengthen HIV-related stigma coping strategies among pregnant women in rural settings.
Identifiants
pubmed: 36206276
doi: 10.1371/journal.pone.0272931
pii: PONE-D-20-36474
pmc: PMC9543605
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0272931Subventions
Organisme : FIC NIH HHS
ID : R25 TW011210
Pays : United States
Organisme : PEPFAR
Pays : United States
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
AIDS. 2015 Jan 2;29(1):83-90
pubmed: 25268886
Int J Community Based Nurs Midwifery. 2015 Oct;3(4):292-300
pubmed: 26448956
BMC Public Health. 2012 Jul 13;12:522
pubmed: 22794201
BMC Med. 2019 Feb 15;17(1):25
pubmed: 30764806
Int J Environ Res Public Health. 2020 Jan 19;17(2):
pubmed: 31963807
J Int AIDS Soc. 2009 Aug 06;12:15
pubmed: 19660113
Int J STD AIDS. 2012 Jul;23(7):481-4
pubmed: 22844001
AIDS Patient Care STDS. 2015 Feb;29(2):86-94
pubmed: 25607900
SAHARA J. 2014;11:126-37
pubmed: 25053275
Int J Gynaecol Obstet. 2014 Apr;125(1):89-92
pubmed: 24513258
J Soc Clin Psychol. 2012 Feb 1;31(2):123-150
pubmed: 22611302
AIDS Patient Care STDS. 2020 Jan;34(1):38-50
pubmed: 31944852
J Int AIDS Soc. 2013 Nov 13;16(3 Suppl 2):18640
pubmed: 24242258
J Int Assoc Physicians AIDS Care (Chic). 2012 May-Jun;11(3):172-8
pubmed: 22431893
AIDS Behav. 2017 Feb;21(2):428-440
pubmed: 27671479
Lancet HIV. 2020 Dec;7(12):e817-e824
pubmed: 32910903
AIDS Educ Prev. 2019 Feb;31(1):38-50
pubmed: 30742482
J Int AIDS Soc. 2013 Nov 13;16(3 Suppl 2):18881
pubmed: 24242269
BMC Psychiatry. 2020 Jun 8;20(1):288
pubmed: 32513133
PLoS One. 2015 Jun 03;10(6):e0127392
pubmed: 26039666
AIDS Care. 2009 Jun;21(6):742-53
pubmed: 19806490
AIDS. 2018 Mar 27;32(6):783-793
pubmed: 29369164
AIDS Behav. 2019 Aug;23(8):2025-2036
pubmed: 30343422
AIDS Behav. 2016 Jan;20(1):115-25
pubmed: 26650383
Ann Behav Med. 2013 Dec;46(3):285-94
pubmed: 23690283
J Int AIDS Soc. 2013 Nov 13;16(3 Suppl 2):18734
pubmed: 24242268
J Assoc Nurses AIDS Care. 2008 Mar-Apr;19(2):137-46
pubmed: 18328964
BMC Pregnancy Childbirth. 2017 May 8;17(1):138
pubmed: 28482821
BMC Public Health. 2005 Nov 16;5:121
pubmed: 16288659
Psychol Health. 2019 Jul;34(7):796-810
pubmed: 30773914
Qual Health Res. 2016 Nov;26(13):1753-1760
pubmed: 26613970
J Res Nurs. 2020 Aug;25(5):443-455
pubmed: 34394658
Glob Public Health. 2017 Dec;12(12):1479-1491
pubmed: 28278753
AIDS Care. 2017 Sep;29(9):1079-1087
pubmed: 28438030