Relationship between Knowledge of Someone Infected With HIV/AIDS and HIV Stigma: A Moderated Mediation Model of HIV Knowledge, Gender and HIV Test Uptake
Journal Title: HIV/AIDS Research and Treatment – Open Journal - Year 2018, Vol 0, Issue 1
Abstract
Introduction: Sub-Saharan Africa has been particularly impacted by the HIV epidemic with an estimated 24.7 million out of 36.9 million people living with HIV/AIDS (PLWH). Nigeria has the second highest number of people living with HIV/AIDS in the world. Despite various prevention efforts, HIV related knowledge and HIV testing remain low while stigmatizing attitudes for PLWH are still high. Previous research has shown that people who know someone with HIV tend to have lower stigmatizing attitudes; however the role that HIV related knowledge plays in this relationship has not been examined. Aim: The purpose of this study is to examine the relationship between knowledge of someone infected by HIV/AIDS (KSIH) and HIV stigma, and whether HIV related knowledge mediates this relationship. We further examined the moderating role of gender and HIV test uptake. Methodology: The current study utilized data from the 2013 Nigeria Demographic Health Survey, a nationally representative cross-sectional survey designed to obtain data on key health related indicators. Descriptive statistics and vicariate correlations were first conducted. Structural equation modeling was then used to conduct mediation and moderated mediation analyses. Results: Results showed that HIV related knowledge mediated the relationship between knowledge of someone infected with HIV and HIV stigma. Moderated mediation results revealed that gender the indirect effect of HIV knowledge of the relationship between KSIH and HIV stigma, with the conditional effect being stronger for women. Additionally, HIV test uptake moderated the relationship between KSIH and HIV stigma, with the effect being stronger among those previously tested for HIV. Conclusion: This is the first study to show the mediating role of HIV related knowledge in the relationship between KSIH and HIV stigma in addition to the effect of various social demographic factors. Further, the study highlights clinical and outreach implications of including anti-stigma messages as part of HIV testing counseling and campaigns.
Authors and Affiliations
George C. T. Mugoya
Keywords
Related Articles
- EP ID EP560728
- DOI 10.17140/HARTOJ-SE-1-103
- Views 117
- Downloads 0
Barriers and Facilitators to HIV Testing Among Women
Aim: The purpose of this secondary analysis was to analyze for barriers and facilitators to HIV testing in women attending community health clinics. Introduction: The Centers for Disease Control and Prevention (CDC), rep...
HIV-Related Health Status, Adherence, and Stress Coping Capacity among Men Living with HIV in Japan
Object: The aim of this study was to ascertain the associations between human immunodeficiency virus (HIV)-related health status and stress coping capacity, and between adherence to taking medicine and stress-coping capa...
Potential Therapy of HIV/AIDS and Ebola Outbreak with Pregnancy Hormone, Human Chorionic Gonadotropin
HIV is a retrovirus that destroys hosts’ immune system. AIDS is a late stage HIV infection. About 35 million people are living worldwide with HIV/AIDS, mostly in sub-Saharan Africa. Although there is no known cure, advan...
The Elderly are Facing HIV/AIDS Crisis
The world’s population is aging, and the population aged 60 or over is growing faster than all younger age groups globally. In 2017, there are an estimated 962 million people aged 60 or over in the world, comprising 13%...
A Rare Case of BCGiosis With Severe Combined Immunodeficiency
Background: Bacille Calmette-Guerin (BCG), a live attenuated vaccine, is safe and given to all neonates in endemic countries; however may rarely cause disseminated disease, especially in immuno-deficient individuals. Cas...