{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T16:26:56Z","timestamp":1792340816919,"version":"4.4.0"},"reference-count":59,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"crossref","award":["MND190703452772"],"award-info":[{"award-number":["MND190703452772"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People living with human immune deficiency virus (PLHIV) grapple with distinct challenges, including HIV stigma which affects their antiretroviral therapy (ART) adherence self-efficacy. This study investigates the interaction of HIV stigma and perceived social support on ART adherence self-efficacy among adult PLHIV in South Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study utilized a cross-sectional design that involved 201 participants selected using time location sampling at a tertiary health facility in Durban.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>HIV stigma was significantly and negatively associated with self-efficacy (\u03b2\u2009=\u2009\u22127.860, t\u2009=\u2009\u22124.654, p\u2009=\u2009.001), with variations across different stigma levels (\u03b2\u2009=\u2009\u22125.844, t\u2009=\u2009\u22124.003, p\u2009=\u2009.001). Social support was significantly and positively associated with self-efficacy at lower HIV stigma levels (\u03b2\u2009=\u20097.440, t\u2009=\u20093.887, p\u2009=\u2009.001), in contrast to higher levels (\u03b2\u2009=\u2009\u22122.825, t\u2009=\u20091.400, p\u2009=\u2009.163).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Social support significantly influences ART adherence self-efficacy, particularly at lower levels of HIV stigma, but the effect of support weakens as stigma intensifies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582241228743","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T01:50:17Z","timestamp":1712713817000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The Moderating Role of HIV Stigma on the Relationship between Perceived Social Support and Antiretroviral Therapy Adherence  Self-Efficacy among Adult PLHIV  in South Africa"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4299-5558","authenticated-orcid":false,"given":"Muziwandile Qiniso","family":"Luthuli","sequence":"first","affiliation":[{"name":"Discipline of Social Work, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"John-Langba","sequence":"additional","affiliation":[{"name":"Discipline of Social Work, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"bibr1-23259582241228743","unstructured":"Joint United Nations Programmes on HIV and AIDS (UNAIDS). 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