Community Group Membership and Stigmatising Attitudes Towards People Living with HIV in Eastern Zimbabwe
Identifieur interne : 002A05 ( Main/Exploration ); précédent : 002A04; suivant : 002A06Community Group Membership and Stigmatising Attitudes Towards People Living with HIV in Eastern Zimbabwe
Auteurs : Mercy Nhamo-Murire [Zimbabwe] ; Catherine Campbell [Royaume-Uni] ; Simon Gregson [Royaume-Uni, Zimbabwe]Source :
- Journal of Community Health [ 0094-5145 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Infections à VIH.
- épidémiologie : Zimbabwe.
- Adolescent, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Facteurs de l'âge, Facteurs socioéconomiques, Femelle, Humains, Jeune adulte, Mâle, Soutien social, Stigmate social, Études prospectives.
- Wicri :
- geographic : Zimbabwe.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Zimbabwe.
- psychology : HIV Infections.
- Adolescent, Adult, Age Factors, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Prospective Studies, Social Stigma, Social Support, Socioeconomic Factors, Young Adult.
Abstract
Stigmatising attitudes towards people living with HIV and AIDS (PLHIV) are hampering attempts to control HIV epidemics in sub-Saharan African countries. This study measures the effect of social capital, in the form of local community groups, in reducing stigma and tests a new explanatory framework for the association between community group membership and less stigmatising attitudes. Prospective data on membership of a wide range of different community groups and stigmatising attitudes (being unwilling to care for a relative with AIDS), collected from a general population cohort of 5,253 men and women aged 15–54 years in eastern Zimbabwe between 2003 and 2008 were analysed using multivariable logistic regression. 36 % of respondents were members of community groups throughout the study period. Individuals in community groups were less likely to express stigmatising attitudes towards PLHIV—3.4 versus 9.5 % (adjusted odds ratio = 0.46,
Url:
DOI: 10.1007/s10900-013-9741-6
PubMed: 23913105
PubMed Central: 3890052
Affiliations:
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Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation></author><author><name sortKey="Campbell, Catherine" sort="Campbell, Catherine" uniqKey="Campbell C" first="Catherine" last="Campbell">Catherine Campbell</name><affiliation wicri:level="3"><nlm:aff id="Aff2">London School of Economics and Political Science, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Economics and Political Science, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Imperial College London, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Imperial College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Biomedical Research and Training Institute, Harare, Zimbabwe</nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Biomedical Research and Training Institute, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Community Health</title><idno type="ISSN">0094-5145</idno><idno type="eISSN">1573-3610</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Female</term><term>HIV Infections (psychology)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Social Stigma</term><term>Social Support</term><term>Socioeconomic Factors</term><term>Young Adult</term><term>Zimbabwe (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs de l'âge</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (psychologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Soutien social</term><term>Stigmate social</term><term>Zimbabwe (épidémiologie)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Zimbabwe</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Zimbabwe</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Social Stigma</term><term>Social Support</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs de l'âge</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Soutien social</term><term>Stigmate social</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Zimbabwe</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Stigmatising attitudes towards people living with HIV and AIDS (PLHIV) are hampering attempts to control HIV epidemics in sub-Saharan African countries. This study measures the effect of social capital, in the form of local community groups, in reducing stigma and tests a new explanatory framework for the association between community group membership and less stigmatising attitudes. Prospective data on membership of a wide range of different community groups and stigmatising attitudes (being unwilling to care for a relative with AIDS), collected from a general population cohort of 5,253 men and women aged 15–54 years in eastern Zimbabwe between 2003 and 2008 were analysed using multivariable logistic regression. 36 % of respondents were members of community groups throughout the study period. Individuals in community groups were less likely to express stigmatising attitudes towards PLHIV—3.4 versus 9.5 % (adjusted odds ratio = 0.46, <italic>p</italic> < 0.001). Discussions of care for PLHIV within groups, improved knowledge about AIDS, greater exposure to PLHIV, and increased uptake of HIV testing and counselling did not account for the association. Further work is needed to identify the mechanisms through which community participation can reduce stigma. Nevertheless, these findings suggest that promoting well-informed discussions about HIV within pre-existing community groups and involving these groups in stigma reduction programmes could be effective means of reducing stigma at the grassroots level.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Baum, F" uniqKey="Baum F">F Baum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bond, V" uniqKey="Bond V">V Bond</name></author><author><name sortKey="Nyblade, L" uniqKey="Nyblade L">L Nyblade</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Breakwell, Gm" uniqKey="Breakwell G">GM Breakwell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brewer, M" uniqKey="Brewer M">M Brewer</name></author><author><name sortKey="Gardner, W" uniqKey="Gardner W">W Gardner</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Harpman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Putnam, Rd" uniqKey="Putnam R">RD Putnam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scott, K" uniqKey="Scott K">K Scott</name></author><author><name sortKey="Campbell, C" uniqKey="Campbell C">C Campbell</name></author><author><name sortKey="Gregson, S" uniqKey="Gregson S">S Gregson</name></author><author><name sortKey="Nhamo, M" uniqKey="Nhamo M">M Nhamo</name></author><author><name sortKey="Nyamukapa, Ca" uniqKey="Nyamukapa C">CA Nyamukapa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sivaram, S" uniqKey="Sivaram S">S Sivaram</name></author><author><name sortKey="Zelaya, C" uniqKey="Zelaya C">C Zelaya</name></author><author><name sortKey="Srikrishnan, Ak" uniqKey="Srikrishnan A">AK Srikrishnan</name></author><author><name sortKey="Latkin, C" uniqKey="Latkin C">C Latkin</name></author><author><name sortKey="Go, Vf" uniqKey="Go V">VF Go</name></author><author><name sortKey="Sol, S" uniqKey="Sol S">S Sol</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tawil, O" uniqKey="Tawil O">O Tawil</name></author><author><name sortKey="Verster, A" uniqKey="Verster A">A Verster</name></author><author><name sortKey="O Eilly, K" uniqKey="O Eilly K">K O’Reilly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uslaner, Em" uniqKey="Uslaner E">EM Uslaner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wallerstein, N" uniqKey="Wallerstein N">N Wallerstein</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Zimbabwe</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Zimbabwe"><noRegion><name sortKey="Nhamo Murire, Mercy" sort="Nhamo Murire, Mercy" uniqKey="Nhamo Murire M" first="Mercy" last="Nhamo-Murire">Mercy Nhamo-Murire</name></noRegion><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name><name sortKey="Nhamo Murire, Mercy" sort="Nhamo Murire, Mercy" uniqKey="Nhamo Murire M" first="Mercy" last="Nhamo-Murire">Mercy Nhamo-Murire</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Campbell, Catherine" sort="Campbell, Catherine" uniqKey="Campbell C" first="Catherine" last="Campbell">Catherine Campbell</name></region><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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