AIDS-Related Stigma, HIV Testing, and Transmission Risk Among Patrons of Informal Drinking Places in Cape Town, South Africa
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AIDS-related stigma as a barrier to HIV testing has not been examined within the context of high at risk environments such as drinking venues. Of particular importance is whether AIDS-related stigma is associated with HIV transmission risks among people who have never been tested for HIV.
We examined: (1) AIDS-related stigma as a barrier to testing, controlling for other potential barriers, and (2) whether stigma is associated with HIV risks among HIV-untested individuals.
We surveyed 2,572 individuals attending informal drinking establishments in Cape Town, South Africa to assess HIV testing status, AIDS-related stigma endorsement, and HIV transmission sexual risk behavior.
Endorsement of AIDS-related stigma was negatively associated with HIV lifetime testing. In addition, stigma endorsement was associated with higher HIV transmission risks.
AIDS-related stigma must be addressed in HIV prevention campaigns across South Africa. Antistigma messages should be integrated with risk reduction counseling and testing.
- AIDS-Related Stigma, HIV Testing, and Transmission Risk Among Patrons of Informal Drinking Places in Cape Town, South Africa
Annals of Behavioral Medicine
Volume 43, Issue 3 , pp 362-371
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- HIV/AIDS-related stigma
- HIV testing
- HIV risk behavior
- Substance use
- Industry Sectors
- Author Affiliations
- 1. University of Connecticut, Storrs, CT, USA
- 4. Center for Health, Intervention and Prevention, University of Connecticut, 2006 Hillside Rd, Unit 1248, Storrs, CT, 06269-1020, USA
- 2. Duke University, Durham, NC, USA
- 3. Stellenbosch University, Cape Town, South Africa