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Gender, HIV Testing and Stigma: The Association of HIV Testing Behaviors and Community-Level and Individual-Level Stigma in Rural South Africa Differ for Men and Women
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2017 (English)In: Aids and Behavior, ISSN 1090-7165, E-ISSN 1573-3254, Vol. 21, no 9, 2579-2588 p.Article in journal (Refereed) Published
Abstract [en]

Stigma remains a significant barrier to HIV testing in South Africa. Despite being a social construct, most HIV-stigma research focuses on individuals; further the intersection of gender, testing and stigma is yet to be fully explored. We examined the relationship between anticipated stigma at individual and community levels and recent testing using a population-based sample (n = 1126) in Mpumalanga, South Africa. We used multi-level regression to estimate the potential effect of reducing community-level stigma on testing uptake using the g-computation algorithm. Men tested less frequently (OR 0.22, 95% CI 0.14-0.33) and reported more anticipated stigma (OR 5.1, 95% CI 2.6-10.1) than women. For men only, testing was higher among those reporting no stigma versus some (OR 1.40, 95% CI 0.97-2.03; p = 0.07). For women only, each percentage point reduction in community-level stigma, the likelihood of testing increased by 3% (p < 0.01). Programming should consider stigma reduction in the context of social norms and gender to tailor activities appropriately.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 21, no 9, 2579-2588 p.
Keyword [en]
HIV, Stigma, South Africa, Rural, Community, Gender
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-139137DOI: 10.1007/s10461-016-1671-8ISI: 000408092300002OAI: oai:DiVA.org:umu-139137DiVA: diva2:1146655
Available from: 2017-10-03 Created: 2017-10-03 Last updated: 2017-10-03Bibliographically approved

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Citation style
  • apa
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  • Other style
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  • de-DE
  • en-GB
  • en-US
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  • nn-NB
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