A Systematic Review of the Impact of HIV-Related Stigma and Serostatus Disclosure on Retention in Care and Antiretroviral Therapy Adherence Among Women with HIV in the United States/Canada Article Swipe
Ekpereka S Nawfal
,
Aaliyah Gray
,
Diana M. Sheehan
,
Gladys E. Ibañez
,
Mary Jo Trepka
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1089/apc.2023.0178
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1089/apc.2023.0178
This systematic review explores the roles of HIV stigma and disclosure of HIV serostatus in antiretroviral therapy (ART) adherence and retention in care (RIC) among women with HIV (WHIV) in the United States and Canada. We conducted a systematic search of electronic databases (PubMed, Embase, CINAHL, PsycINFO, and Google scholar) to identify peer-reviewed articles published between January 1996 and December 2022. The search yielded 1120 articles after duplicates were removed. Of these, 27 articles met the inclusion criteria. The majority (89%) of the studies were conducted in the United States. The studies included WHIV from diverse racial/ethnic groups, residing in both urban and rural areas. Most of the studies suggested that internalized stigma, perceived community stigma, and fear of disclosure were important barriers to ART adherence and RIC among WHIV. HIV-related stigma experienced within the health care setting was also reported as a factor impacting health care utilization. A few studies identified mental health distress as a potential mechanism accounting for the association and suggested that social support and resilience may buffer the negative effects of stigma and disclosure on ART adherence and RIC among WHIV. Our review indicates that stigma and concerns about disclosure continue to significantly affect HIV health outcomes for WHIV in high-income countries. It underscores the importance of integrated HIV care services and interventions targeting mental health, resilience building, and improved patient-provider relationships for WHIV to enhance ART adherence and RIC. Longitudinal studies and investigations into additional mechanisms are needed to advance understanding and inform women-centered interventions.
Related Topics
Concepts
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1089/apc.2023.0178
- OA Status
- green
- Cited By
- 20
- References
- 95
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390263549
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4390263549Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1089/apc.2023.0178Digital Object Identifier
- Title
-
A Systematic Review of the Impact of HIV-Related Stigma and Serostatus Disclosure on Retention in Care and Antiretroviral Therapy Adherence Among Women with HIV in the United States/CanadaWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-27Full publication date if available
- Authors
-
Ekpereka S Nawfal, Aaliyah Gray, Diana M. Sheehan, Gladys E. Ibañez, Mary Jo TrepkaList of authors in order
- Landing page
-
https://doi.org/10.1089/apc.2023.0178Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://pmc.ncbi.nlm.nih.gov/articles/PMC10794841/pdf/apc.2023.0178.pdfDirect OA link when available
- Concepts
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Serostatus, Medicine, PsycINFO, CINAHL, Psychological intervention, Stigma (botany), Mental health, Ethnic group, Psychiatry, Health care, Social stigma, MEDLINE, Family medicine, Gerontology, Human immunodeficiency virus (HIV), Viral load, Economics, Sociology, Law, Political science, Anthropology, Economic growthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
20Total citation count in OpenAlex
- Citations by year (recent)
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2025: 17, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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95Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.distress | 154 |
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| abstract_inverted_index.identify | 51 |
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| abstract_inverted_index.included | 92 |
| abstract_inverted_index.majority | 79 |
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| abstract_inverted_index.reported | 140 |
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| abstract_inverted_index.scholar) | 49 |
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| abstract_inverted_index.PsycINFO, | 46 |
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| abstract_inverted_index.building, | 222 |
| abstract_inverted_index.community | 114 |
| abstract_inverted_index.conducted | 36, 85 |
| abstract_inverted_index.criteria. | 77 |
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| abstract_inverted_index.suggested | 109, 164 |
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| abstract_inverted_index.accounting | 159 |
| abstract_inverted_index.additional | 240 |
| abstract_inverted_index.countries. | 206 |
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| abstract_inverted_index.experienced | 132 |
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| abstract_inverted_index.underscores | 208 |
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| abstract_inverted_index.utilization. | 147 |
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| corresponding_author_ids | https://openalex.org/A5077437621 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| corresponding_institution_ids | https://openalex.org/I19700959 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/10 |
| sustainable_development_goals[0].score | 0.6200000047683716 |
| sustainable_development_goals[0].display_name | Reduced inequalities |
| citation_normalized_percentile.value | 0.95739956 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |