Proximate Context of HIV Stigma and Its Association with HIV Testing in Sierra Leone: A Population-Based Study

AIDS and Behavior
J Daniel KellyAlexander C Tsai

Abstract

The extent to which HIV stigma at the community level remains a barrier to greater uptake in HIV testing services is poorly understood. We used nationally representative data from the 2008 Sierra Leone Demographic and Health Survey. The primary outcome was HIV testing (past 12 months). Our explanatory variable was HIV stigmatizing attitudes (5-item scale). After multivariable adjustment, HIV testing had an inverse association with HIV stigmatizing attitudes measured at the individual [adjusted odds ratio (AOR) 0.94; 95 % CI 0.87-1.01] and community level (AOR 0.70; 95 % CI 0.58-0.85). HIV stigma had a stronger negative association with HIV testing when modeled at the community rather than individual level.

References

Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Feb 4, 2014·PloS One·Suzanne MamanUNKNOWN NIMH Project Accept (HPTN 043) study team

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Citations

Apr 25, 2018·African Journal of AIDS Research : AJAR·Matthew L RomoElizabeth A Kelvin
Oct 13, 2017·International Journal of Epidemiology·Alain VandormaelFrank Tanser
Aug 1, 2018·Journal of the International AIDS Society·Brian T Chan, Alexander C Tsai
Feb 14, 2019·Journal of Interpersonal Violence·Rosa M Gonzalez-GuardaCherelle Carrington
Sep 14, 2016·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Bernard KakuhikireAlexander C Tsai
Apr 2, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Brian T Chan, Alexander C Tsai
Aug 24, 2021·AIDS and Behavior·Seth C KalichmanLisa A Eaton

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