%0 Journal Article
%T Impact of a multicomponent navigation strategy on stigma among people living with HIV and Kaposi's sarcoma in Kenya: a qualitative analysis.
%A Collier SM
%A Semeere A
%A Chemtai L
%A Byakwaga H
%A Lagat C
%A Laker-Oketta M
%A Bramante J
%A Pacheco A
%A Zehtab M
%A Strahan AG
%A Grant M
%A Bogart LM
%A Bassett IV
%A Busakhala N
%A Opakas J
%A Maurer T
%A Martin J
%A Kiprono S
%A Freeman EE
%J J Natl Cancer Inst Monogr
%V 2024
%N 63
%D 2024 Jun 5
%M 38836529
暂无%R 10.1093/jncimonographs/lgae017
%X 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.