HIV/AIDS Stigma and Refusal of HIV Testing Among Pregnant Women in Rural Kenya: Results from the MAMAS Study.
Summary of "HIV/AIDS Stigma and Refusal of HIV Testing Among Pregnant Women in Rural Kenya: Results from the MAMAS Study."
HIV/AIDS stigma is a common thread in the narratives of pregnant women affected by HIV/AIDS globally and may be associated with refusal of HIV testing. We conducted a cross-sectional study of women attending antenatal clinics in Kenya (N = 1525). Women completed an interview with measures of HIV/AIDS stigma and subsequently information on their acceptance of HIV testing was obtained from medical records. Associations of stigma measures with HIV testing refusal were examined using multivariate logistic regression. Rates of anticipated HIV/AIDS stigma were high-32% anticipated break-up of their relationship, and 45% anticipated losing their friends. Women who anticipated male partner stigma were more than twice as likely to refuse HIV testing, after adjusting for other individual-level predictors (OR = 2.10, 95%
CI:
1.15-3.85). This study demonstrated quantitatively that anticipations of HIV/AIDS stigma can be barriers to acceptance of HIV testing by pregnant women and highlights the need to develop interventions that address pregnant women's fears of HIV/AIDS stigma and violence from male partners.
Affiliation
Department of Obstetrics, Gynecology, and Reproductive Sciences and Center for AIDS Prevention Studies, University of California, San Francisco, 50 Beale St., Suite 1200, San Francisco, CA, 94105, USA, Janet.Turan@ucsf.edu.
Journal Details
This article was published in the following journal.
Name: AIDS and behavior
ISSN: 1573-3254
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20827573
- DOI: http://dx.doi.org/10.1007/s10461-010-9798-5
Medical and Biotech [MESH] Definitions
Pregnant Women
Human females who are pregnant, as cultural, psychological, or sociological entities.
Refusal To Treat
Refusal of the health professional to initiate or continue treatment of a patient or group of patients. The refusal can be based on any reason. The concept is differentiated from PATIENT REFUSAL OF TREATMENT see TREATMENT REFUSAL which originates with the patient and not the health professional.
Rural Population
The inhabitants of rural areas or of small towns classified as rural.
Refusal To Participate
Refusal to take part in activities or procedures that are requested or expected of an individual. This may include refusal by HEALTH PERSONNEL to participate in specific medical procedures or refusal by PATIENTS or members of the public to take part in clinical trials or health promotion programs.
Pregnanolone
A pregnane found in the urine of pregnant women and sows. It has anesthetic, hypnotic, and sedative properties.
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