Stigma reduction Interventions for adolescents and young adults living with HIV in Sub-Saharan African countries: The state of the evidence.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ajar-African Journal of Aids Research Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI:10.2989/16085906.2025.2528710
Dorothy Serwaa Boakye, Samuel Adjorlolo
{"title":"Stigma reduction Interventions for adolescents and young adults living with HIV in Sub-Saharan African countries: The state of the evidence.","authors":"Dorothy Serwaa Boakye, Samuel Adjorlolo","doi":"10.2989/16085906.2025.2528710","DOIUrl":null,"url":null,"abstract":"<p><p><i>Background</i>: HIV-related stigma remains a significant barrier to well-being and access to healthcare for adolescents and young adults living with HIV in Sub-Saharan Africa. Stigma reduction interventions have been developed to address this challenge, but the effectiveness of these interventions in this population is not well-documented.<i>Objectives</i>: This narrative review synthesises the available evidence on the effectiveness of stigma reduction interventions for adolescents and young adults (aged 10-24 years) living with HIV in Sub-Saharan African countries.<i>Methods</i>: A comprehensive literature search was conducted using multiple electronic databases to identify relevant studies evaluating stigma reduction interventions targeting internalised stigma, perceived stigma, HIV disclosure, mental health, antiretroviral therapy (ART) adherence, and viral suppression among the population of interest.<i>Results</i>: Studies were conducted in Uganda, Zimbabwe, Kenya, Malawi, South Africa, Ethiopia, Zambia, and Nigeria. Various types of stigma reduction interventions were identified, including education and awareness campaigns, peer support and mentoring, counselling and psychosocial support, and community-based approaches. The evidence demonstrates the effectiveness of these interventions in reducing internalised, perceived and enacted stigma, improving HIV disclosure, enhancing mental health and well-being, increasing ART adherence, and potentially contributing to viral suppression. Factors influencing intervention effectiveness, such as intervention design, participant characteristics, and the sociocultural context, are discussed.<i>Conclusion</i>: Stigma reduction interventions have shown promise in improving a range of outcomes for adolescents and young adults living with HIV in Sub-Saharan Africa. However, more research is needed to identify the most effective intervention strategies and to explore the long-term impact on health outcomes.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"1-18"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ajar-African Journal of Aids Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2989/16085906.2025.2528710","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/20 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Background: HIV-related stigma remains a significant barrier to well-being and access to healthcare for adolescents and young adults living with HIV in Sub-Saharan Africa. Stigma reduction interventions have been developed to address this challenge, but the effectiveness of these interventions in this population is not well-documented.Objectives: This narrative review synthesises the available evidence on the effectiveness of stigma reduction interventions for adolescents and young adults (aged 10-24 years) living with HIV in Sub-Saharan African countries.Methods: A comprehensive literature search was conducted using multiple electronic databases to identify relevant studies evaluating stigma reduction interventions targeting internalised stigma, perceived stigma, HIV disclosure, mental health, antiretroviral therapy (ART) adherence, and viral suppression among the population of interest.Results: Studies were conducted in Uganda, Zimbabwe, Kenya, Malawi, South Africa, Ethiopia, Zambia, and Nigeria. Various types of stigma reduction interventions were identified, including education and awareness campaigns, peer support and mentoring, counselling and psychosocial support, and community-based approaches. The evidence demonstrates the effectiveness of these interventions in reducing internalised, perceived and enacted stigma, improving HIV disclosure, enhancing mental health and well-being, increasing ART adherence, and potentially contributing to viral suppression. Factors influencing intervention effectiveness, such as intervention design, participant characteristics, and the sociocultural context, are discussed.Conclusion: Stigma reduction interventions have shown promise in improving a range of outcomes for adolescents and young adults living with HIV in Sub-Saharan Africa. However, more research is needed to identify the most effective intervention strategies and to explore the long-term impact on health outcomes.

撒哈拉以南非洲国家对感染艾滋病毒的青少年和青壮年减少耻辱感的干预措施:证据状况。
背景:艾滋病毒相关的污名仍然是撒哈拉以南非洲感染艾滋病毒的青少年和青壮年获得福祉和保健的一个重大障碍。为应对这一挑战,已经制定了减少耻辱感的干预措施,但这些干预措施在这一人群中的有效性尚未得到充分记录。目的:这篇叙述性综述综合了撒哈拉以南非洲国家青少年和年轻成人(10-24岁)艾滋病毒感染者减少污名干预措施有效性的现有证据。方法:使用多个电子数据库进行全面的文献检索,以确定相关研究,评估针对内化耻辱感、感知耻辱感、HIV披露、心理健康、抗逆转录病毒治疗(ART)依从性和病毒抑制的耻辱感减少干预措施。结果:研究在乌干达、津巴布韦、肯尼亚、马拉维、南非、埃塞俄比亚、赞比亚和尼日利亚进行。确定了各种类型的减少污名的干预措施,包括教育和提高认识运动、同伴支持和指导、咨询和社会心理支持以及基于社区的方法。证据表明,这些干预措施在减少内在化、感知和实施的污名化、改善艾滋病毒披露、增强心理健康和福祉、提高抗逆转录病毒治疗依从性以及可能有助于抑制病毒方面是有效的。讨论了影响干预效果的因素,如干预设计、参与者特征和社会文化背景。结论:减少耻辱感的干预措施在改善撒哈拉以南非洲地区感染艾滋病毒的青少年和年轻人的一系列结果方面显示出了希望。然而,需要更多的研究来确定最有效的干预策略,并探索对健康结果的长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信