Of the four types of HIV stigma, (received stigma,[3] associated stigma,[3] anticipated stigma[4] and self-stigma[4]), self-stigma is arguably the most prevalent[5] and harmful.[6] Self-stigma significantly lowers QoL and HRQoL in PLHIV.[7]
PLHIV may have strong desires of non-disclosure, impelling them to opt for more confidential ways of receiving ART[8]
New thinking is needed for interventions that oppose self-stigma at an individual level, such as:[5]
For some PLHIV, the constant reminder of HIV status through treatment use can intensify feelings of self stigma[12][13]
In a survey of over 2000 PLHIV:[12]
A further qualitative analysis of 26 PLHIV also cited that need for regular medication was a persistent cue of status and strengthened feelings of self-stigma[13]
All images are for illustrative purposes only. Any person depicted is a model.
ABBREVIATIONS
ART: antiretroviral therapy; HRQoL: health-related QoL; PLHIV: people living with HIV; QoL: quality of life.