Impact of a multicomponent navigation strategy on stigma among people living with HIV and Kaposi's sarcoma in Kenya: a qualitative analysis.
J Natl Cancer Inst Monogr
; 2024(63): 38-44, 2024 Jun 05.
Article
en En
| MEDLINE
| ID: mdl-38836529
ABSTRACT
Persons with HIV-associated Kaposi's sarcoma (KS) experience three co-existing stigmatizing health conditions skin disease, HIV, and cancer, which contribute to a complex experience of stigmatization and to delays in diagnosis and treatment. Despite the importance of stigma among these patients, there are few proven stigma-reduction strategies for HIV-associated malignancies. Using qualitative methods, we explore how people with HIV-associated KS in western Kenya between August 2022 and 2023 describe changes in their stigma experience after participation in a multicomponent navigation strategy, which included 1) physical navigation and care coordination, 2) video-based education with motivational survivor stories, 3) travel stipend, 4) health insurance enrollment assistance, 5) health insurance stipend, and 6) peer mentorship. A purposive sample of persons at different stages of chemotherapy treatment were invited to participate. Participants described how a multicomponent navigation strategy contributed to increased knowledge and awareness, a sense of belonging, hope to survive, encouragement, and social support, which served as stigma mitigators, likely counteracting the major drivers of intersectional stigma in HIV-associated KS.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Sarcoma de Kaposi
/
Infecciones por VIH
/
Investigación Cualitativa
/
Estigma Social
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Africa
Idioma:
En
Revista:
J Natl Cancer Inst Monogr
/
J. natl. cancer inst. monogr
/
Journal of the national cancer institute monographs
Asunto de la revista:
NEOPLASIAS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos