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How Does HIV-Related Stigma Correlate With HIV Prevalence in African Countries? Distinct Perspectives for HIV-Positive and Negative Individuals

Authors
  • Simo Fotso, Arlette
  • Wright, Connor G.
  • Low, Andrea
Publication Date
Apr 12, 2023
Source
HAL
Keywords
Language
English
License
Unknown
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Abstract

Research evaluating HIV/AIDS-related stigma across national contexts with varied HIV prevalence are scarce. We examined correlations of HIV-related stigma and HIV prevalence through the among HIV positive and HIV negative populations using data from the Malawi, Zambia, and Tanzania Population-based HIV Impact Assessments data collected from 2015 to 2017. Overall, a sample of 33837 HIV negative and 4848 HIV positive individuals were included in the study. Subnational HIV prevalence was negatively associated with discriminatory attitudes (OR=0.94, 95%CI= (0.93-0.95)) and prejudice (OR=0.99, 95%CI= (0.98-0.99)) expressed among HIV-negative individuals toward people living with HIV/AIDS (PLWH). HIV prevalence appears to be positively associated with internalized stigma expressed by PLWH (OR=1.02, 95%CI= (0.99-1.05)). No significant association was found between enacted stigma and anticipated stigma expressed by PLWH and HIV prevalence. These results provide direction on how resources should be invested to reduce HIV related stigma and mitigate its potential effects for populations.

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