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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV-related stigma, social norms, and HIV testing in soweto and vulindlela, South Africa: National institutes of mental health project accept (HPTN 043)
Journal of Acquired Immune Deficiency Syndromes, Volume 55, No. 5, Year 2010
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Description
Objective: HIV testing is necessary to curb the increasing epidemic. However, HIV-related stigma and perceptions of low likelihood of societal HIV testing may reduce testing rates. This study aimed to explore this association in South Africa, where HIV rates are extraordinarily high. Methods: Data were taken from the Soweto and Vulindlela, South African sites of Project Accept, a multinational HIV prevention trial. Self-reported HIV testing, stigma, and social norms items were used to study the relationship between HIV testing, stigma, and perceptions about societal testing rates. The stigma items were broken into 3 factors: negative attitudes, negative perceptions about people living with HIV, and perceptions of fair treatment for people living with HIV (equity). Results: Results from a univariate logistic regression suggest that history of HIV testing was associated with decreased negative attitudes about people living with HIV/AIDS, increased perceptions that people living with HIV/AIDS experience discrimination, and increased perceptions that people with HIV should be treated equitably. Results from a multivariate logistic regression confirm these effects and suggest that these differences vary according to sex and age. Compared with people who had never tested for HIV, those who had previously tested were more likely to believe that the majority of people have tested for HIV. Conclusions: Data suggest that interventions designed to increase HIV testing in South Africa should address stigma and perceptions of societal testing. © 2010 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Young, Sean D.
United States, Los Angeles
David Geffen School of Medicine at Ucla
Hlávka, Zdeněk
Czech Republic, Prague
Charles University
Modiba, Precious
South Africa, Johannesburg
University of the Witwatersrand
Gray, Glenda E.
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
Rooyen, Heidi Van
South Africa, Pretoria
Human Sciences Research Council of South Africa
Richter, Linda M.
South Africa, Pretoria
Human Sciences Research Council of South Africa
Szekeres, Greg
United States, Los Angeles
David Geffen School of Medicine at Ucla
Coates, Thomas J.
United States, Los Angeles
David Geffen School of Medicine at Ucla
Statistics
Citations: 111
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.1097/QAI.0b013e3181fc6429
ISSN:
15254135
Research Areas
Infectious Diseases
Mental Health
Study Locations
South Africa