Estigma relacionado al VIH y adhesión al tratamiento en hombres que reciben el TARGA
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2020-11-09
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Pontificia Universidad Católica del Perú
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La presente investigación tuvo como objetivo analizar la relación e influencia del estigma
percibido por los pacientes con VIH en su adhesión terapéutica al Tratamiento
Antirretrovírico de Gran Actividad (TARGA). Asimismo, buscó identificar relaciones entre
la edad, grado de instrucción, estado civil, nivel socioeconómico, tiempo de tratamiento y
tiempo de diagnóstico, y la adhesión al tratamiento y el nivel de estigma percibido. Los
participantes fueron 70 pacientes entre 19 y 76 años (M=40.21; DE=12.01), que acudían a
un centro que provee el TARGA. A ellos se les aplicó el HIV Stigma Scale abreviado y el
Cuestionario de Evaluación de la Adhesión al Tratamiento Antirretroviral (CEAT-VIH).
Los resultados muestran que el estigma percibido y la adhesión al tratamiento en los
participantes tienen una relación negativa (r= -.29, p<.05); además, el primero predice el 7
% de la varianza de la adhesión. Por otro lado, la dimensión "estigma ejecutado” se
relaciona con la adhesión al tratamiento (r= -.44, p<.01); y las áreas del estigma predicen el
20 % de la varianza de la adhesión, siendo el área estigma ejecutado la única que aporta al
modelo. Se halló que, a mayor edad, mayor la adhesión al tratamiento y menor el estigma
percibido; asimismo, a mayor tiempo recibiendo el tratamiento, menor la dimensión de
estigma “preocupación sobre actitudes de otros”. No se encontraron diferencias
significativas entre otras variables sociodemográficas y los constructos estudiados.
The purpose of this investigation was to explore the relation and influence between perceived HIV stigma and adherence to Highly Active Antiretroviral Treatment (TARGA) among HIV patients. Moreover, the study sought to identify the association between variables such as age, educational level, marital status, socioeconomic level, time in treatment and time of diagnosis, and the adherence to treatment and the level of perceived stigma. The participants were 70 patients from an HIV clinic between 19 and 76 years (M=40.21; DE=12.01). They were assessed with the abridged HIV Stigma Scale and the Adherence to Antiretroviral Treatment Evaluation Questionnaire (CEAT-VIH). Results suggested a significant association between perceived stigma and adherence to treatment (r= -.29, p<.05); besides, the first predicts 7 % of the adherence variability. Regarding the stigma dimensions of the instrument, “executed stigma” was significantly related to the adherence of the participants (r=-.44 p<.01), and the regression model of all the areas of stigma shows 20 % predictability over adherence to treatment. Furthermore, the age of the participants, was related to perceived stigma and the adherence to treatment; likewise, the time receiving treatment was related to the stigma dimension “concern with public attitudes about people with HIV”. No significant differences were found between other sociodemographic variables and the constructs studied in this investigation.
The purpose of this investigation was to explore the relation and influence between perceived HIV stigma and adherence to Highly Active Antiretroviral Treatment (TARGA) among HIV patients. Moreover, the study sought to identify the association between variables such as age, educational level, marital status, socioeconomic level, time in treatment and time of diagnosis, and the adherence to treatment and the level of perceived stigma. The participants were 70 patients from an HIV clinic between 19 and 76 years (M=40.21; DE=12.01). They were assessed with the abridged HIV Stigma Scale and the Adherence to Antiretroviral Treatment Evaluation Questionnaire (CEAT-VIH). Results suggested a significant association between perceived stigma and adherence to treatment (r= -.29, p<.05); besides, the first predicts 7 % of the adherence variability. Regarding the stigma dimensions of the instrument, “executed stigma” was significantly related to the adherence of the participants (r=-.44 p<.01), and the regression model of all the areas of stigma shows 20 % predictability over adherence to treatment. Furthermore, the age of the participants, was related to perceived stigma and the adherence to treatment; likewise, the time receiving treatment was related to the stigma dimension “concern with public attitudes about people with HIV”. No significant differences were found between other sociodemographic variables and the constructs studied in this investigation.
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SIDA (Enfermedad)--Aspectos psicológicos--Investigaciones, SIDA (Enfermedad)--Aspectos sociales--Perú--Lima, SIDA (Enfermedad)--Discriminación, SIDA (Enfermedad)--Tratamiento
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