TY - JOUR
T1 - Correlates and Experiences of HIV Stigma in Prisoners Living With HIV in Indonesia
T2 - A Mixed-Method Analysis
AU - Culbert, Gabriel J.
AU - Earnshaw, Valerie A.
AU - Wulanyani, Ni Made Swasti
AU - Wegman, Martin P.
AU - Waluyo, Agung
AU - Altice, Frederick L.
N1 - Funding Information:
The research was supported through a Fulbright Senior Scholar Award in Global Health from the J. William Fulbright Commission, U.S. State Department; NIH Fogarty International Center, Global Health Fellows and Scholars Research Training Grant R25 TW009338; and the National Institutes on Drug Abuse ( R01 DA 25943 and K24 DA017072 ). Additional funding was provided by the Chicago Developmental Center for AIDS Research, a National Institutes of Health (NIH)-funded program ( P30 AI 082151 ) that is supported by the following NIH Institutes and Centers: National Institute of Allergy and Infectious Diseases , National Cancer Institute , National Institute of Mental Health , National Institute on Drug Abuse , National Institute of Child Health and Human Development , National Heart, Lung, and Blood Institute , and National Center for Complementary and Alternative Medicine . We thank study participants for generously sharing their time and experiences. We thank Mariska Iriyanti, Azalia Muchransyah, Budhi Mulyadi, and Herlia Yuliantini for research assistance. We gratefully acknowledge operational support from the Directorate General of Corrections, Republic of Indonesia, especially Akbar Hadi Prabowo, Finnahari, Astia Murni, and Hetty Widiastuti. We also thank Nurlan Silitonga, Cindy Hidayati, Alia Hartanti, David Shenman, Suzanne Blogg (HIV Cooperation Programme for Indonesia); Judith Levy, Kathleen Norr, and Colleen Corte (University of Illinois at Chicago); Elly Nurachmah, Dewi Irawaty, and Junaiti Sahar (Universitas Indonesia).
Publisher Copyright:
© 2015 Association of Nurses in AIDS Care.
PY - 2015/11
Y1 - 2015/11
N2 - 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.
AB - 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.
KW - Antiretroviral therapy
KW - Drug use
KW - HIV
KW - Indonesia
KW - Prisoners
KW - Stigma
UR - http://www.scopus.com/inward/record.url?scp=84943271584&partnerID=8YFLogxK
U2 - 10.1016/j.jana.2015.07.006
DO - 10.1016/j.jana.2015.07.006
M3 - Article
C2 - 26304049
AN - SCOPUS:84943271584
SN - 1055-3290
VL - 26
SP - 743
EP - 757
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 6
M1 - 744
ER -