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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
HIV-related stigma, service utilization, and status disclosure among truck drivers crossing the Southern borders in Brazil
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 20, No. 7, Year 2008
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Description
HIV-related stigma and discrimination (S&D) have been shown to impede prevention, care and treatment. Yet, few quantitative studies have tested the associations between stigma, service utilization and status disclosure, especially in countries with concentrated HIV epidemics. Surveys, administered to a random sample of 1,775 truck drivers crossing Southern borders in Brazil, included items on multiple conceptual domains of S&D, such as fear of casual contact and blame towards people living with HIV/AIDS. Pearson's chi-square tests and logistic regression were used to examine correlations. Less stigma (both individual items and grouped as a scale) was significantly correlated with VCT use (p≤0.001), knowing where to get tested (p≤0.001) and willingness to disclose HIV-positive test results (p=0.013). Findings indicate that stigma is an important barrier to HIV testing and disclosure among truck drivers in Southern Brazil. Learning more about stigma is important given the growing assertions that testing is a 'critical gateway' to HIV prevention and treatment. As access to HIV testing and treatment improves, providers increasingly need to understand and address how stigma acts as a barrier to services. © 2008 Taylor & Francis.
Authors & Co-Authors
Pulerwitz, Julie
Unknown Affiliation
Michaelis, Annie P.
Unknown Affiliation
Lippman, Sheri A.
United States, Berkeley
University of California, Berkeley
Díaz, Juan José
Unknown Affiliation
Statistics
Citations: 78
Authors: 4
Affiliations: 1
Identifiers
Doi:
10.1080/09540120701506796
ISSN:
13600451
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative