Fighting stigma, promoting care: a study on the use of occupationally-based HIV services in the Free State Province of South Africa

AIDS Care
Caroline MasquillierA J Van Rensburg

Abstract

Fear of breaches in confidentiality and HIV-related stigma in the workplace have been shown to be primary concerns and potential barriers to uptake of HIV testing and treatment by health care workers (HCWs) at the Occupational Health Unit (OHU). In a context of human resource shortages, it is essential to investigate potential ways of reducing HIV-related stigma and promoting confidentially in the workplace. Using Structural Equation Modelling (SEM), baseline data of the "HIV and TB Stigma among Health Care Workers Study" (HaTSaH Study) for 818 respondents has been analysed to investigate (1) whether bottom-up stigma-reduction activities already occur; and (2) whether such grassroots actions can reduce the fear of breaches in confidentiality and HIV-related stigma - and thus indirectly stimulate the uptake of HIV services at the OHU. Results (aim 1) illustrate the occurrence of existing activities aiming to reduce HIV-related stigma, such as HCWs giving extra support to HIV positive co-workers and educating co-workers who stigmatise HIV. Furthermore, results of the SEM analysis (aim 2) show that the Fighting-stigma factor has a significant negative effect on HIV-related stigma and a significant positive effect on Confidentialit...Continue Reading

References

Aug 8, 2009·Journal of the International AIDS Society·Laura NybladeKim Ashburn
Jun 7, 2012·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·J C M BrustN R Gandhi
Sep 14, 2013·Journal of the International AIDS Society·Grace W MwaiJanet Seeley
Jun 3, 2014·Human Resources for Health·Hendrik C J van Rensburg
Sep 30, 2014·The New England Journal of Medicine·Bongani M Mayosi, Solomon R Benatar
Oct 14, 2017·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·E WoutersA Rau

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Citations

Jul 18, 2018·AIDS Care·Sarah SkeenLorraine Sherr
Sep 19, 2018·The American Journal of Tropical Medicine and Hygiene·Amrita DaftaryEric Goosby

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Software Mentioned

Mplus
HIVOEXT
SPSS

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