Effect of Internalized Stigma on Sexual Relations of PLHA with their Regular Partners in Delhi, India

HIV is predominantly a sexually transmitted infection; hence, it is one of the most stigmatized infections. The internalized stigma is the outcome of widespread overt stigma. Research shows that it causes depression, stress, and reduced quality of life (QOL), social support, and ART adherence of PLHA. Its impact on the sexual relations between married /regular partners has not been explored. The researcher conducted mixed-method research with 105 HIV-positive consenting adults recruited through snowball sampling from HIV prevention projects and care homes. This research assessed the impact of the internalized stigma on sexual relations between married partners through a semi-structured interview schedule developed in Hindi. Chi-square tests were employed to check for the relationship between various variables. In addition, focus group discussions and case studies were thematically analyzed to understand the internalized stigma and its impact on the sexual behavior of the infected. Both methodologies indicated the adverse impact of internalized stigma on the sexual relations between married / regular partners.