The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa

Background People living with human immune deficiency virus (PLHIV) grapple with distinct challenges, including HIV stigma which affects their antiretroviral therapy (ART) adherence self-efficacy. This study investigates the interaction of HIV stigma and perceived social support on ART adherence sel...

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Main Authors: Muziwandile Qiniso Luthuli BSW, MScoSci (Social Work), Johannes John-Langba MPH, MSW, PhD
Format: Article
Language:English
Published: SAGE Publishing 2024-04-01
Series:Journal of the International Association of Providers of AIDS Care
Online Access:https://doi.org/10.1177/23259582241228743
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author Muziwandile Qiniso Luthuli BSW, MScoSci (Social Work)
Johannes John-Langba MPH, MSW, PhD
author_facet Muziwandile Qiniso Luthuli BSW, MScoSci (Social Work)
Johannes John-Langba MPH, MSW, PhD
author_sort Muziwandile Qiniso Luthuli BSW, MScoSci (Social Work)
collection DOAJ
description Background People living with human immune deficiency virus (PLHIV) grapple with distinct challenges, including HIV stigma which affects their antiretroviral therapy (ART) adherence self-efficacy. This study investigates the interaction of HIV stigma and perceived social support on ART adherence self-efficacy among adult PLHIV in South Africa. Methods This study utilized a cross-sectional design that involved 201 participants selected using time location sampling at a tertiary health facility in Durban. Results HIV stigma was significantly and negatively associated with self-efficacy (β = −7.860, t  = −4.654, p  = .001), with variations across different stigma levels (β = −5.844, t  = −4.003, p  = .001). Social support was significantly and positively associated with self-efficacy at lower HIV stigma levels (β = 7.440, t  = 3.887, p  = .001), in contrast to higher levels (β = −2.825, t  = 1.400, p  = .163). Conclusion Social support significantly influences ART adherence self-efficacy, particularly at lower levels of HIV stigma, but the effect of support weakens as stigma intensifies.
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spelling doaj.art-d56a6c3f73724a3fafa429a05ffe1d4c2024-04-10T09:03:46ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822024-04-012310.1177/23259582241228743The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South AfricaMuziwandile Qiniso Luthuli BSW, MScoSci (Social Work)Johannes John-Langba MPH, MSW, PhDBackground People living with human immune deficiency virus (PLHIV) grapple with distinct challenges, including HIV stigma which affects their antiretroviral therapy (ART) adherence self-efficacy. This study investigates the interaction of HIV stigma and perceived social support on ART adherence self-efficacy among adult PLHIV in South Africa. Methods This study utilized a cross-sectional design that involved 201 participants selected using time location sampling at a tertiary health facility in Durban. Results HIV stigma was significantly and negatively associated with self-efficacy (β = −7.860, t  = −4.654, p  = .001), with variations across different stigma levels (β = −5.844, t  = −4.003, p  = .001). Social support was significantly and positively associated with self-efficacy at lower HIV stigma levels (β = 7.440, t  = 3.887, p  = .001), in contrast to higher levels (β = −2.825, t  = 1.400, p  = .163). Conclusion Social support significantly influences ART adherence self-efficacy, particularly at lower levels of HIV stigma, but the effect of support weakens as stigma intensifies.https://doi.org/10.1177/23259582241228743
spellingShingle Muziwandile Qiniso Luthuli BSW, MScoSci (Social Work)
Johannes John-Langba MPH, MSW, PhD
The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa
Journal of the International Association of Providers of AIDS Care
title The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa
title_full The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa
title_fullStr The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa
title_full_unstemmed The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa
title_short The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence Self-Efficacy among Adult PLHIV in South Africa
title_sort moderating role of hiv stigma on the relationship between perceived social support and antiretroviral therapy adherence self efficacy among adult plhiv in south africa
url https://doi.org/10.1177/23259582241228743
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