Desire for, and uptake of HIV tests by Ghanaian women: the relevance of community level stigma.
Identifieur interne : 000834 ( Main/Exploration ); précédent : 000833; suivant : 000835Desire for, and uptake of HIV tests by Ghanaian women: the relevance of community level stigma.
Auteurs : Emmanuel F. Koku [États-Unis]Source :
- Journal of community health [ 1573-3610 ] ; 2011.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Acceptation des soins par le patient (psychologie), Adolescent, Adulte, Caractéristiques de l'habitat, Dépistage systématique (utilisation), Enquêtes de santé, Femelle, Ghana, Humains, Infections à VIH (diagnostic), Infections à VIH (psychologie), Jeune adulte, Stéréotypage, Études rétrospectives.
- MESH :
- diagnostic : Infections à VIH.
- psychologie : Acceptation des soins par le patient, Infections à VIH.
- utilisation : Dépistage systématique.
- Acceptation des soins par le patient, Adolescent, Adulte, Caractéristiques de l'habitat, Enquêtes de santé, Femelle, Ghana, Humains, Jeune adulte, Stéréotypage, Études rétrospectives.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Female, Ghana, HIV Infections (diagnosis), HIV Infections (psychology), Health Surveys, Humans, Mass Screening (utilization), Patient Acceptance of Health Care (psychology), Patient Acceptance of Health Care (statistics & numerical data), Residence Characteristics, Retrospective Studies, Stereotyping, Young Adult.
- MESH :
- geographic : Ghana.
- diagnosis : HIV Infections.
- psychology : HIV Infections, Patient Acceptance of Health Care.
- statistics & numerical data : Patient Acceptance of Health Care.
- utilization : Mass Screening.
- Adolescent, Adult, Female, Health Surveys, Humans, Residence Characteristics, Retrospective Studies, Stereotyping, Young Adult.
Abstract
Voluntary counseling and testing (VCT) has been recognized as the crux of HIV surveillance, prevention and treatment programs. Since 2000, Ghana government has launched a number of HIV prevention and treatment programs intended to increase VCT services. Despite these efforts, uptake of testing is still low, though many women reported interest in getting tested. The disconnect between intention and action is attributable to several factors, including HIV-related stigma. The study used data from the 2003 Ghana Demographic and Health Survey and fitted complementary log-log models to regress women's desire for and uptake of an HIV test on levels of personal and community stigma. Consistent with findings from previous research, the study revealed significant associations between a number of socio-demographic and socio-cognitive variables and the desire for and uptake of an HIV test by Ghanaian women. Most significantly, the study showed that widespread stigma in the community exert greater negative effects on individuals who endorse stigmatizing beliefs and predispositions, compared to their peers with more favorable attitudes. Since community level educational and risk reduction programs have demonstrable influences on reducing HIV stigma, it is imperative that the Ghana government's ongoing anti-stigma campaigns and other HIV prevention programs take cognizance of the role of community stigma in influencing HIV testing.
DOI: 10.1007/s10900-010-9310-1
PubMed: 20838860
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Voluntary counseling and testing (VCT) has been recognized as the crux of HIV surveillance, prevention and treatment programs. Since 2000, Ghana government has launched a number of HIV prevention and treatment programs intended to increase VCT services. Despite these efforts, uptake of testing is still low, though many women reported interest in getting tested. The disconnect between intention and action is attributable to several factors, including HIV-related stigma. The study used data from the 2003 Ghana Demographic and Health Survey and fitted complementary log-log models to regress women's desire for and uptake of an HIV test on levels of personal and community stigma. Consistent with findings from previous research, the study revealed significant associations between a number of socio-demographic and socio-cognitive variables and the desire for and uptake of an HIV test by Ghanaian women. Most significantly, the study showed that widespread stigma in the community exert greater negative effects on individuals who endorse stigmatizing beliefs and predispositions, compared to their peers with more favorable attitudes. Since community level educational and risk reduction programs have demonstrable influences on reducing HIV stigma, it is imperative that the Ghana government's ongoing anti-stigma campaigns and other HIV prevention programs take cognizance of the role of community stigma in influencing HIV testing.</div>
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