title: The impact of community support initiatives on the stigma experienced by people living with HIV/AIDS in South Africa.
abstract: In the current context of human resource shortages in South Africa, various community support interventions are being implemented to provide long-term psychosocial care to persons living with HIV/AIDS (PLWHA). However, it is important to analyze the unintended social side effects of such interventions in regards to the stigma felt by PLWHA, which might threaten the successful management of life-long treatment. Latent cross-lagged modeling was used to analyze longitudinal data on 294 PLWHA from a randomized controlled trial (1) to determine whether peer adherence support (PAS) and treatment buddying influence the stigma experienced by PLWHA; and (2) to analyze the interrelationships between each support form and stigma. Results indicate that having a treatment buddy decreases felt stigma scores, while receiving PAS increases levels of felt stigma at the second follow up. However, the PAS intervention was also found to have a positive influence on having a treatment buddy at this time. Furthermore, a treatment buddy mitigates the stigmatizing effect of PAS, resulting in a small negative indirect effect on stigma. The study indicates the importance of looking beyond the intended effects of an intervention, with the goal of minimizing any adverse consequences that might threaten the successful long-term management of HIV/AIDS and maximizing the opportunities created by such support.
authors.affiliation: Department of Sociology, Research Centre for Longitudinal and Life Course Studies (CELLO), University of Antwerp, Sint Jacobsstraat 2, 2000, Antwerp, Belgium, caroline.masquillier@uantwerpen.be.
authors.forename: Caroline
authors.initials: C
authors.lastname: Masquillier
authors.forename: Edwin
authors.initials: E
authors.lastname: Wouters
authors.forename: Dimitri
authors.initials: D
authors.lastname: Mortelmans
authors.forename: Frederik
authors.initials: F
authors.lastname: le Roux Booysen
mesh_terms: D000293:Adolescent; D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D003153:Community Health Services / Q000458:organization & administration*; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology*; D006379:Helping Behavior; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010379:Peer Group; D057545:Social Stigma; D012944:Social Support; D013019:South Africa; D013240:Stereotyping
chemical_list: D044966:Anti-Retroviral Agents