Relationship Between Psychotherapy and Mitigation of Self-Stigmitization Among Adult Persons Living with HIV in Nairobi City, Kenya
Abstract
Human Immunodeficiency virus (HIV) has caused a lot of suffering ever since the first case was reported. To date there are about 80,000,000 People living with HIV (PLWH). Although the rate of new infections has reduced, the effects remain far reaching, especially in Sub-Sahara Africa. Apprehension associated with HIV often scares many from finding out their HIV standing, considering restraint methods, avoiding risky conducts, and uplifting of PLWH endeavours. Many studies focused on HIV testing and counselling services which is for now mainly service provider driven. The drive of this study was showing the relationship between psychotherapy and mitigation of self-stigmatization (SS) among Adult PLWH in Embakasi East Sub-County (herein denoted Embakasi East), Nairobi City, County (herein denoted Nairobi City), Kenya; Social Cognitive Theory guided this study, employing descriptive research design on a target population of 3,886 PLWH registered for ART treatment at 7 public health centres in Embakasi East, Nairobi City. Cochran’s sample size formula was applied in determining the suitable sample size of 246 that was confirmed by the sampling table. Purposive sampling was used to select both the public health centres and the informants from each centre. Proportionate random sampling assisted in picking participants (both male and female), then random sampling was used to construct the sample. The sample of 246 (74 males and 172 females) was drawn, with 6 informants. Informants were interviewed and questionnaires completed by PLWH. In the analysis of the data, descriptive statistics, mainly frequencies, percentages and mean were applied on facts while thematic analysis on qualitative data. The study results showed that SS was very prevalent, caused by the respondents themselves and those around them. They acknowledged being hated, them hating themselves and did not want their HIV status known. Just a few had utilized psychotherapy service, who agreed that they were relieved a lot of pain they were undergoing, and they recommended it to others. The study recommended that authorities need to consider promoting and committing resources for psychotherapy as a solution to SS among PLWH, invest more in advocacy work, and invigorating sensitization among families on their role in supporting PLWH being
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References
Akatukwasa., Namanya et al. Dimensions of HIV-related stigma in rural communities in
Kenya and Uganda at the start of a large HIV ‘test and treat’ trial. PLoS ONE
(5)e0249462.https:// doi.org/10.1371/journal.pone.0249462, 2021.
Alshenqeeti. Interviewing as a Data Collection Method: A Critical Review (2014). doi:10.5430/elr. v3n1p39 URL: http://dx.doi.org/10.5430/elr.v3n1p39
Baugher et al. AIDS Behav. (2017)21(9):2600–2608.doi:10.1007/s10461-017-1712-y.
Berendes., Rimal. Addressing the slow uptake of HIV testing in Malawi: the role of stigma, self-efficacy, and knowledge in the Malawi BRIDGE project. J Assoc Nurses AIDS Care. (2011) 22:215– 28. doi: 10.1016/j.jana.2010.08.005.
Carlo Caduff. Designing and validating a research questionnaire, 2023.
Casale et al. Recent Interventions to Improve Retention in HIV Care and Adherence to
Antiretroviral Treatment Among Adolescents and Youth: A Systematic Review. AIDS Patient Care STDS. 2019;33(6):237–52. pmid:31166783 CDC, 2016
Dipeolu. HIV and AIDS in Workplace: The role of behaviour antecedents on behavioural intentions., Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan. Nigeria, 2015.
Frank Quansah. The use of Cronbach’s Alpha Reliability Estimate in Research Among Students in Public Universities In Ghana .Africa Journal of Teacher Education.ISSN
-7822. A Journal of Spread Corporation. Vol. 6 No. 1 2017. Pages 56-64.
Goldfried, M. R. (2013). What should we expect from psychotherapy? Clin. Psychol. Rev. 33,862-869.doi: 10.1016/j.cpr.2013.05.003
Gunasekaran et al. The perspectives of healthcare professionals in mental health settings on stigma and recovery-A qualitative inquiry. BMC Health Serv Res. 2022 Jul
;22(1):888. doi: 10.1186/s12913-022-08248-z. PMID: 35804378; PMCID: PMC9270770.
Harsono et al., Criminalization of HIV Exposure: A Review of Empirical Studies in the
United States. PMID: 27605364. PMCID: PMC5218970. DOI:10.1007/s10461-016-1540-5, 2017.
Kamau. Relationship Between Occupational Stress and Psychological Wellbeing Among Head Teachers in Public Primary Schools in Kirinyaga County, Kenya., 2018
Kerubo.,Sagini: Influence of Variations in Job Description on Organizational Performance In Nyanchwa Adventist College in Kisii County, Kenya. DOI:https:// doi.org/10.37284/ eajbe.5.1. 888 , 2022
Krause, L., Herbst-Irmer, R., Sheldrick, G. M., & Stalke, D. (2015). Comparison of Silver and Molybdenum Microfocus X-Ray Sources for Single-Crystal Structure Determination. Journal of Applied Crystallography, 48(1), 3-10
Labra, O., & Thomas, D. (2017). The Persistence of Stigma Linked With HIV/AIDS in Health‐Care Contexts: A Chronic Social Incapacity. HIV/AIDS-Contemporary Challenges, 125-139.
Logie., Tharao et al. Associations between HIV-related stigma, racial discrimination, gender
discrimination, and depression among HIV-Positive African, Caribbean, and Black Women in Ontario, Canada. AIDS Patient Care STDS. (2013) 27:114–22.doi: 10.1089/apc.2012.0296
Luszczynska et al., Behavior Using Social Cognitive Theory from Part I - Theory and
Behavior Change: Cambridge University Press: 04 July 2020
Ma., Chan., Loke. Self‑Stigma Reduction Interventions for People Living with HIV/AIDS and
Their Families: A Systematic Review. AIDS and Behavior (2019) 23:707–741. https://doi.org/ 10.1007/s10461-018-2304-1
Marsh., Wilcoxon. Underutilization of Mental Health Services Among College Students: An
Examination of System-related Barriers. Journal of College Student Psychotherapy, (2015)29(3), 227-243.
Mojaverian., Hashimoto., & Kim. Cultural differences in professional help seeking: A
comparison of Japan and the U.S. Frontiers in Psychology, (3),2013, 1-8.
NACC. Kenya Aids Response Progress Report 2018, 2019
Njeru, G. K. (2015). Strategic Management Practices and Performance of Small and Medium Sized Enterprises in Kenya (Doctoral dissertation).
Öktem. The Role of the Family in Attributing Meaning to Living with HIV and Its Stigma in
Turkey. SAGE Open October-December 2015: 1–15 © The Author(s) 2015DOI: 10.1177/2158244015615165. sgo.sagepub.com
Pantelic., Sprague., Stangl. It’s not "All in Your Head": Critical Knowledge Gaps on
Internalized HIV-stigma and a Call for Integrating Social and Structural Conceptualizations, 2019.
Parkhurst JO. Structural Approaches for Prevention of Sexually Transmitted HIV in
General Populations: Definitions and an Operational Approach. J Int AIDS Soc 17(1):19052, 2014.
Sahin. A Brief Study on Descriptive Research: Its Nature and Application in Social Science:
International Journal of Research and Analysis in Humanities. Volume 1, Issue 1; June 2021
Sidibe., Goosby (2013). Global Action to Reduce HIV Stigma and Discrimination. Journal of
the International AIDS Society 16(Suppl 2).
Thorpe, M. (2013). Conducting Qualitative Research as an Adjunct to the Development of Therapeutic Abilities in Counselling Psychology. New Zealand Psychology. 42. (3):
https://journals.sagepub.com/doi/10.1177/0011000006286990
Turan et al. Moment-to-Moment Within-Person Associations Between Acts of Discrimination and internalized stigma in people living with HIV: an experience Sampling Study. Stigma and Health. 2016; Epub ahead of print.
Turan., Elafros et al. Challenges and opportunities in examining and addressing intersectional stigma and health. BMC Med.2019;17(1):7. Epub.2019/02/16.https:// doi.Org/ 10.1186/s 12916-018-1246-9 PMID: 30764816; PubMed Central PMCID: PMC6376691
Turan, Fazeli et al. How does stigma affect people living with HIV? The mediating roles of internalized and anticipated HIV stigma in the effects of perceived community stigma on health and psychosocial outcomes. AIDS Behav. 2017;21(1):283–291.
Turan, Hatcher, Weiser et al. Framing mechanisms linking HIV-related stigma, adherence to
treatment, and health outcomes. Am J Public Health. 2017;107(6):863–9
UNAIDS Data, 2020
UNAIDS, 2021
UNAIDS (2020 Report)
Xu., Ming., Zhang et al. Family support, discrimination, and quality of life among ART-
treated HIV-infected patients: a two-year study in China. Infect Dis Poverty 6, 152 (2017). https://doi.org/10.1186/s40249-017-0364-5.
Yator et al. BMC Women’s Health (2022) 22:240. https://doi.org/10.1186/s12905-022-01807
Yator., Mathai et al. Burden of HIV-Related Stigma and Post-Partum Depression: A Cross-
Sectional Study of Patients Attending Prevention of Mother-to-Child Transmission Clinic at Kenyatta National Hospital in Nairobi. Front. Psychiatry11: (2021)532557. doi: 10.3389/fpsyt.2020.53255.
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