The Impact of Universal Access to Antiretroviral Therapy on HIV Stigma in Botswana

Datos Bibliográficos

ID11040145
AutoresWilliam R Wolfe (0000-0003-2061-5320, At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...), Sheri D Weiser (0000-0002-7807-4072, At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...), Karen Leiter (At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...), Wayne T Steward (0000-0002-9692-1968, At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...), Fiona Percy-de Korte (At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...), Nthabiseng Phaladze (0000-0002-4669-9385, At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...), Vincent Iacopino (At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...), Michele Heisler (0000-0002-6889-2063, At the time of the study, William Wolfe, Sheri Weiser, Karen Leiter, Fiona Percy-de Korte, Vincent Iacopino, and Michele Heisler were with Physicians for Human Rights, Cambridge, MA. William Wolfe was also with the Department of Psychiatry, University of California, San Francisco. Sheri Weiser and Wayne Steward were with the Center for AIDS Prevention Studies, University of California, San Francisco. Nthabiseng Phaladze was with the Department of Nursing, University of Botswana, Gaborone. Vincent...)
Año2008
Volumen98
Número10
Páginas1865-1871
Fecha de publicación2008-10-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.122044
PMID18703447
PMCIDPMC2636454
OpenAlexW1965811461
IdiomaEN
Citas recibidas54
Referencias citadas25

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

Antiretroviral therapy · Confidence interval · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Logistic regression · Odds · Odds ratio · Population · Psychiatry · Social stigma · Stigma (botany) · Viral load · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Internal Medicine · Medicine