Alexander C. Tsai|David R. Bangsberg|Mwebesa Bwana|Jessica Haberer|Edward A. Frongillo|Conrad Muzoora|Elias Kumbakumba|Peter W. Hunt|Jeffrey N. Martin|Sheri D. Weiser
How Does Antiretroviral Treatment Attenuate the Stigma of HIV? Evidence from a Cohort Study in Rural Uganda
Center for Global Health|Massachusetts General Hospital|Center for Global Health|Mbarara University of Science and Technology|Harvard University|University of South Carolina|Mbarara University of Science and Technology|Mbarara University of Science and Technology|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital
program implementers qualitative researchers described increasing availability hiv antiretroviral therapy art associated improvements psychosocial health internalized stigma determine whether channels art reduces internalized stigma analyzed data 262 hivinfected treatmentnave persons rural uganda followed art initiation median 34 years fitted poisson regression models clustercorrelated robust estimates variance specifying internalized stigma dependent variable adjusting time treatment well sociodemographic clinical psychosocial variables time treatment internalized stigma declined steadily largest decline observed first 2 years treatment trend remained statistically significant multivariable adjustment 2 283 p 003 appeared driven artinduced improvements hiv symptom burden physical psychological wellbeing depression symptom severity