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The impact of universal access to antiretroviral therapy on HIV stigma in Botswana.

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Title: The impact of universal access to antiretroviral therapy on HIV stigma in Botswana.
Authors: Wolfe WR (AUTHOR), Weiser SD (AUTHOR), Leiter K (AUTHOR), Steward WT (AUTHOR), Percy-de Korte F (AUTHOR), Phaladze N (AUTHOR), Iacopino V (AUTHOR), Heisler M (AUTHOR)
Source: American Journal of Public Health. Oct2008, Vol. 98 Issue 10, p1865-1871. 7p.
Subjects: Antiviral agents, Health promotion, Public health, AIDS prevention, HIV infections, Medical care, Confidence intervals, Medical research
Geographic Terms: Botswana
Abstract: OBJECTIVES: We sought to examine the impact of treatment access on HIV stigma in Botswana 3 years after the introduction of a national program of universal access to antiretroviral therapy. METHODS: We studied the prevalence and correlates of HIV stigma in a population-based study of 1268 adults in Botswana in 2004. We used multivariate logistic regression to assess correlates of stigmatizing attitudes and a new measure, anticipated HIV stigma. RESULTS: Overall, 38% of participants had at least 1 stigmatizing attitude: 23% would not buy food from a shopkeeper with HIV; 5% would not care for a relative with HIV. Seventy percent reported at least 1 measure of anticipated stigma: 54% anticipated ostracism after testing positive for HIV, and 31% anticipated mistreatment at work. Perceived access to antiretroviral therapy was strongly and independently associated with decreased odds of holding stigmatizing attitudes (adjusted odds ratio [AOR] = 0.42; 95% confidence interval [CI] = 0.24, 0.74) and of anticipated stigma (AOR = 0.09; 95% CI = 0.03, 0.30). CONCLUSIONS: Our findings suggest that antiretroviral therapy access may be a factor in reducing HIV stigma. Nevertheless, the persistence of stigmatizing attitudes and significant anticipated stigma suggest that HIV stigma must be a target for ongoing intervention. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The impact of universal access to antiretroviral therapy on HIV stigma in Botswana.
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  Data: <searchLink fieldCode="AR" term="%22Wolfe+WR%22">Wolfe WR</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weiser+SD%22">Weiser SD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leiter+K%22">Leiter K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Steward+WT%22">Steward WT</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Percy-de+Korte+F%22">Percy-de Korte F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Phaladze+N%22">Phaladze N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iacopino+V%22">Iacopino V</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heisler+M%22">Heisler M</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Oct2008, Vol. 98 Issue 10, p1865-1871. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Antiviral+agents%22">Antiviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22AIDS+prevention%22">AIDS prevention</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+research%22">Medical research</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Botswana%22">Botswana</searchLink>
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  Label: Abstract
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  Data: OBJECTIVES: We sought to examine the impact of treatment access on HIV stigma in Botswana 3 years after the introduction of a national program of universal access to antiretroviral therapy. METHODS: We studied the prevalence and correlates of HIV stigma in a population-based study of 1268 adults in Botswana in 2004. We used multivariate logistic regression to assess correlates of stigmatizing attitudes and a new measure, anticipated HIV stigma. RESULTS: Overall, 38% of participants had at least 1 stigmatizing attitude: 23% would not buy food from a shopkeeper with HIV; 5% would not care for a relative with HIV. Seventy percent reported at least 1 measure of anticipated stigma: 54% anticipated ostracism after testing positive for HIV, and 31% anticipated mistreatment at work. Perceived access to antiretroviral therapy was strongly and independently associated with decreased odds of holding stigmatizing attitudes (adjusted odds ratio [AOR] = 0.42; 95% confidence interval [CI] = 0.24, 0.74) and of anticipated stigma (AOR = 0.09; 95% CI = 0.03, 0.30). CONCLUSIONS: Our findings suggest that antiretroviral therapy access may be a factor in reducing HIV stigma. Nevertheless, the persistence of stigmatizing attitudes and significant anticipated stigma suggest that HIV stigma must be a target for ongoing intervention. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/AJPH.2007.122044
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        Text: English
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        PageCount: 7
        StartPage: 1865
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        Type: general
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      – SubjectFull: Public health
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      – SubjectFull: HIV infections
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      – SubjectFull: Medical care
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Medical research
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      – SubjectFull: Botswana
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              Text: Oct2008
              Type: published
              Y: 2008
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