Gender, HIV Testing and Stigma: The Association of HIV Testing Behaviors and Community-Level and Individual-Level Stigma in Rural South Africa Differ for Men and Women.
Identifieur interne : 000803 ( Main/Exploration ); précédent : 000802; suivant : 000804Gender, HIV Testing and Stigma: The Association of HIV Testing Behaviors and Community-Level and Individual-Level Stigma in Rural South Africa Differ for Men and Women.
Auteurs : Sarah Treves-Kagan [États-Unis] ; Alison M. El Ayadi [États-Unis] ; Audrey Pettifor [États-Unis] ; Catherine Macphail [Afrique du Sud] ; Rhian Twine [Afrique du Sud] ; Suzanne Maman [États-Unis] ; Dean Peacock [Afrique du Sud] ; Kathleen Kahn [Afrique du Sud] ; Sheri A. Lippman [États-Unis]Source :
- AIDS and behavior [ 1573-3254 ] ; 2017.
Abstract
Stigma remains a significant barrier to HIV testing in South Africa. Despite being a social construct, most HIV-stigma research focuses on individuals; further the intersection of gender, testing and stigma is yet to be fully explored. We examined the relationship between anticipated stigma at individual and community levels and recent testing using a population-based sample (n = 1126) in Mpumalanga, South Africa. We used multi-level regression to estimate the potential effect of reducing community-level stigma on testing uptake using the g-computation algorithm. Men tested less frequently (OR 0.22, 95% CI 0.14-0.33) and reported more anticipated stigma (OR 5.1, 95% CI 2.6-10.1) than women. For men only, testing was higher among those reporting no stigma versus some (OR 1.40, 95% CI 0.97-2.03; p = 0.07). For women only, each percentage point reduction in community-level stigma, the likelihood of testing increased by 3% (p < 0.01). Programming should consider stigma reduction in the context of social norms and gender to tailor activities appropriately.
DOI: 10.1007/s10461-016-1671-8
PubMed: 28058565
Affiliations:
- Afrique du Sud, États-Unis
- Californie, Caroline du Nord, Gauteng
- Chapel Hill (Caroline du Nord), Johannesbourg
- Université de Caroline du Nord à Chapel Hill, Université du Witwatersrand
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Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Twine, Rhian" sort="Twine, Rhian" uniqKey="Twine R" first="Rhian" last="Twine">Rhian Twine</name><affiliation wicri:level="4"><nlm:affiliation>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" 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nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Lippman, Sheri A" sort="Lippman, Sheri A" uniqKey="Lippman S" first="Sheri A" last="Lippman">Sheri A. Lippman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="eISSN">1573-3254</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Stigma remains a significant barrier to HIV testing in South Africa. Despite being a social construct, most HIV-stigma research focuses on individuals; further the intersection of gender, testing and stigma is yet to be fully explored. We examined the relationship between anticipated stigma at individual and community levels and recent testing using a population-based sample (n = 1126) in Mpumalanga, South Africa. We used multi-level regression to estimate the potential effect of reducing community-level stigma on testing uptake using the g-computation algorithm. Men tested less frequently (OR 0.22, 95% CI 0.14-0.33) and reported more anticipated stigma (OR 5.1, 95% CI 2.6-10.1) than women. For men only, testing was higher among those reporting no stigma versus some (OR 1.40, 95% CI 0.97-2.03; p = 0.07). For women only, each percentage point reduction in community-level stigma, the likelihood of testing increased by 3% (p < 0.01). Programming should consider stigma reduction in the context of social norms and gender to tailor activities appropriately.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Californie</li><li>Caroline du Nord</li><li>Gauteng</li></region><settlement><li>Chapel Hill (Caroline du Nord)</li><li>Johannesbourg</li></settlement><orgName><li>Université de Caroline du Nord à Chapel Hill</li><li>Université du Witwatersrand</li></orgName></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Treves Kagan, Sarah" sort="Treves Kagan, Sarah" uniqKey="Treves Kagan S" first="Sarah" last="Treves-Kagan">Sarah Treves-Kagan</name></region><name sortKey="El Ayadi, Alison M" sort="El Ayadi, Alison M" uniqKey="El Ayadi A" first="Alison M" last="El Ayadi">Alison M. El Ayadi</name><name sortKey="Lippman, Sheri A" sort="Lippman, Sheri A" uniqKey="Lippman S" first="Sheri A" last="Lippman">Sheri A. Lippman</name><name sortKey="Maman, Suzanne" sort="Maman, Suzanne" uniqKey="Maman S" first="Suzanne" last="Maman">Suzanne Maman</name><name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name></country><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name></region><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><name sortKey="Peacock, Dean" sort="Peacock, Dean" uniqKey="Peacock D" first="Dean" last="Peacock">Dean Peacock</name><name sortKey="Twine, Rhian" sort="Twine, Rhian" uniqKey="Twine R" first="Rhian" last="Twine">Rhian Twine</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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