Correlates and Experiences of HIV Stigma in Prisoners Living With HIV in Indonesia: A Mixed-Method Analysis

Gabriel J. Culbert, Valerie A. Earnshaw, Ni Made Swasti Wulanyani, Martin P. Wegman, Agung Waluyo, Frederick L. Altice

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

In Indonesia, the syndemic nature of HIV, drug use, and incarceration may influence experiences of stigma for HIV-infected prisoners. This mixed-method study explores HIV stigma in prisoners living with HIV in Indonesia. Randomly selected male HIV-infected prisoners (n = 102) from two large prisons in Jakarta completed in-depth interviews and a structured HIV stigma survey. Quantitative results found four groups of HIV-infected prisoners with significantly higher HIV stigma levels, including those: (a) with drug-related offenses, (b) seeking help to decrease drug use, (c) diagnosed with HIV before the current incarceration, and (d) who had not disclosed their HIV status to family members or friends. Qualitative results highlighted the prominent role of HIV stigma in decisions to disclose HIV status to family members, partners, and other prisoners. Interventions should address HIV stigma in HIV-infected prisoners in Indonesia to achieve HIV treatment as prevention goals.

Original languageEnglish
Article number744
Pages (from-to)743-757
Number of pages15
JournalJournal of the Association of Nurses in AIDS Care
Volume26
Issue number6
DOIs
Publication statusPublished - 1 Nov 2015

Keywords

  • Antiretroviral therapy
  • Drug use
  • HIV
  • Indonesia
  • Prisoners
  • Stigma

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