Characterizing the dual burden of stigma in people with multidrug-resistant tuberculosis (MDR-TB) and HIV co-infection in South Africa: A mixed methods, prospective cohort study
Among MDR/RR-TB and PLWH in South Africa, MDR/RR-TB-related stigma exceeded HIV-related stigma and external stigma was associated with increased mortality. Strategic efforts to address stigma, particularly for key and vulnerable populations, is critical to advancing human rights and improving treatment outcomes.
Authors
- Mbali Zulu
- R Perumal
- Kevin J. Guzman (ORCID: https://orcid.org/0009-0008-0817-6891)
- Boitumelo Seepamore (ORCID: https://orcid.org/0000-0001-8083-2613)
- Jennifer A. Zelnick (ORCID: https://orcid.org/0000-0002-5340-1372)
- Hlengiwe Nyilana
- Xuan Lu (ORCID: https://orcid.org/0000-0003-3716-3017)
- G. Friedland
- Karl Reis
- Nesri Padayatchi
- Allison Wolf
- Max O'Donnell
- Amrita Daftary
- Kogieleum Naidoo
- K. Rivet Amico
- Ken Cheung
- Jacquelyn Yushkov
Institutions
- South African Medical Research Council (ZA)
- York University (CA)
- Touro College (US)
- University of Washington (US)
- University of Michigan (US)
- Columbia University Irving Medical Center (US)
- Centre for the AIDS Programme of Research in South Africa (ZA)
- Yale University (US)
- Centre for Global Health Research (CA)
- University of KwaZulu-Natal (ZA)
Publication Details
- Journal
- JAIDS Journal of Acquired Immune Deficiency Syndromes
- Published
- 2026-02-02
- DOI
- https://doi.org/10.1097/qai.0000000000003835
- Primary Topic
- Tuberculosis Research and Epidemiology
- Type
- article
- Field-Weighted Citation Impact
- 0.00