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Stigma interdependence among pregnant HIV-infected couples in a cluster randomized controlled trial from rural South Africa

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  • Abbamonte, J.M.
  • Ramlagan, S.
  • Lee, T.K.
  • Cristofari, N.V.
  • Weiss, S.M.
  • Peltzer, K.
  • Sifunda, S.
  • Jones, D.L.

Abstract

Stigma can exacerbate negative health outcomes in people living with HIV (PLWH). This longitudinal, cluster randomized controlled trial in rural Mpumalanga, South Africa, examined the interdependence of HIV-related stigma among pregnant couples living with HIV, and the potential impact of a lay health worker delivered intervention, Protect Your Family, on changes in stigma over time across couples, controlling for physical intimate partner violence (IPV), verbal IPV, gender, HIV knowledge, and months since HIV diagnosis. Using a form of the Actor-Partner Interdependence model, changes in stigma over time were also examined within each dyad of seroconcordant participants with HIV.

Suggested Citation

  • Abbamonte, J.M. & Ramlagan, S. & Lee, T.K. & Cristofari, N.V. & Weiss, S.M. & Peltzer, K. & Sifunda, S. & Jones, D.L., 2020. "Stigma interdependence among pregnant HIV-infected couples in a cluster randomized controlled trial from rural South Africa," Social Science & Medicine, Elsevier, vol. 253(C).
  • Handle: RePEc:eee:socmed:v:253:y:2020:i:c:s0277953620301593
    DOI: 10.1016/j.socscimed.2020.112940
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    References listed on IDEAS

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    1. Alonzo, Angelo A. & Reynolds, Nancy R., 1995. "Stigma, HIV and AIDS: An exploration and elaboration of a stigma trajectory," Social Science & Medicine, Elsevier, vol. 41(3), pages 303-315, August.
    2. Bauer, Greta R. & Scheim, Ayden I., 2019. "Methods for analytic intercategorical intersectionality in quantitative research: Discrimination as a mediator of health inequalities," Social Science & Medicine, Elsevier, vol. 226(C), pages 236-245.
    3. Perales, Francisco & Todd, Abram, 2018. "Structural stigma and the health and wellbeing of Australian LGB populations: Exploiting geographic variation in the results of the 2017 same-sex marriage plebiscite," Social Science & Medicine, Elsevier, vol. 208(C), pages 190-199.
    4. Rice, Whitney S. & Logie, Carmen H. & Napoles, Tessa M. & Walcott, Melonie & Batchelder, Abigail W. & Kempf, Mirjam-Colette & Wingood, Gina M. & Konkle-Parker, Deborah J. & Turan, Bulent & Wilson, Tra, 2018. "Perceptions of intersectional stigma among diverse women living with HIV in the United States," Social Science & Medicine, Elsevier, vol. 208(C), pages 9-17.
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    Cited by:

    1. Hampanda, K. & Matenga, T.F.L. & Nkwemu, S. & Shankalala, P. & Chi, B.H. & Darbes, L.A. & Turan, J.M. & Mutale, W. & Bull, S. & Abuogi, L., 2021. "Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia: Interview findings from the target community," Social Science & Medicine, Elsevier, vol. 283(C).

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