Multiple forms of discrimination and internalized stigma compromise retention in HIV care among adolescents: findings from a South African cohort

M. Pantelic,M. Casale,L. Cluver,E. Toska,M. Moshabela

Published 2020 in Journal of the International AIDS Society

ABSTRACT

Efficacious antiretroviral treatment (ART) enables people to live long and healthy lives with HIV but young people are dying from AIDS‐related causes more than ever before. Qualitative evidence suggest that various forms of HIV‐related discrimination and resulting shame act as profound barriers to young people’s engagement with HIV services. However, the impact of these risks on adolescent retention in HIV care has not been quantified. This study has two aims: (1) to examine whether and how different types of discrimination compromise retention in care among adolescents living with HIV in South Africa; and (2) to test whether internalized stigma mediates these relationships.

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