Different Dimensions of HIV-Related Stigma May Have Opposite Effects on HIV Testing: Evidence Among Young Men and Women in South Africa
- 530 Downloads
Although HIV-related stigma in general is known to deter HIV-testing, the extent to which different dimensions of stigma independently influence testing behaviour is poorly understood. We used data on young black men (n = 553) and women (n = 674) from the 2009 Cape Area Panel Study to examine the independent effects of stigmatising attitudes, perceived stigma and observed enacted stigma on HIV-testing. Multivariate logistic regression models showed that stigma had a strong relationship with HIV-testing among women, but not men. Women who held stigmatising attitudes were more likely to have been tested (OR 3, p < 0.01), while perceived stigma (OR 0.61, p < 0.1) and observed enacted stigma (OR 0.42, p < 0.01) reduced the odds significantly of women having had an HIV test. Our findings highlight that different dimensions of stigma may have opposite effects on HIV testing, and point towards the need for interventions that limit the impact of enacted and perceived stigma on HIV-testing among women.
KeywordsHIV/AIDS Stigmatisation HIV-testing Africa Women
We would like to thank Muthoni Ngatia, Atheendar Venkataramani, David Maughan-Brown and Rebecca Maughan-Brown for helpful comments and suggestions. Brendan Maughan-Brown is grateful for funding from the National Research Foundation (NRF) Research Chair in Poverty and Inequality Research for his Postdoctoral Research Fellowship. Opinions expressed and conclusions arrived at, are those of the authors and are not necessarily to be attributed to the NRF.
- 10.Kalichman S, Simbayi L. HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town South Africa. BMJ. 2003;79:442–7.Google Scholar
- 22.Deacon H, Stephney I, Prosalendis S. Understanding HIV/AIDS stigma: A theoretical and methodological analysis. Cape Town: HSRC, Social Cohesion and Integration Unit (SCI); 2005.Google Scholar
- 26.Lam D, Ardington C, Branson N, et al. The Cape Area Panel Study: Overview and Technical Documentation. Cape Town: University Of Cape Town; 2012.Google Scholar
- 27.Actuarial Society of South Africa. ASSA 2008 HIV/AIDS projection model. Actuarial Society of South Africa; 2011.Google Scholar