Prevalence and predictive factors of stigmatizing attitudes towards people living with HIV in the remote villages on the Maroni River in French Guiana

The Maroni basin, an isolated region which lies between Suriname and French Guiana, has been affected by the HIV epidemic 10 years after coastal French Guiana. However, the rise in HIV prevalence was sharp with a prevalence exceeding 1% within 10 years. Stigma and discrimination towards people living with HIV (PLWHIV) or "suspected to have HIV" is rampant as reported by health professionals or non-governmental organisations. The objective of this article is to present the first quantitative data from the general population of this region on stigma towards people living with HIV. Data were collected in 2012 by a structured questionnaire among a random sample of 896 individuals residing in remote villages on the Maroni River. Proportion comparisons between the Maroni sample and the sample from the general population on the coastline in 2011 were conducted. Simple and multivariate logistic regression models were used to predict stigmatising attitudes. For all situations involving PLWHIV, the proportion of negative attitudes was significantly higher on the Maroni than in coastal French Guiana (p < 0.001). Findings indicate that the different levels of knowledge, erroneous beliefs and poor situation (not having electricity in one's home; not having French health insurance) were associated with stigmatising attitudes. The present data could help both sides coordinate interventions both at the individual level by improving knowledge and at the community level to change norms in order to reduce stigma and discrimination aiming for increased impact

Environmental health · Family medicine · Geography · Logistic regression · Population · Psychiatry · Psychological intervention · Socioeconomics · Sociology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Gerontology

• Knowledge, attitudes, practices about HIV and implications in risk and stigma prevention among French Guianese and Brazilian border inhabitants

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• Population movements and the HIV cascade in recently diagnosed patients at the French Guiana -Suriname border

  Raphael Jaries, Vincent Vantilcke et al.•AIDS Care•2017

  Incluir item

• Thinking About Aids and Stigma

  Open Access•Gregory M Herek•Journal of Law, Medicine & Ethics•2002

  Incluir item

• Stigma in the HIV/Aids epidemic

  Anish P Mahajan, Jennifer N Sayles et al.•AIDS•2008

  Incluir item

• HIV-Related Stigma and Knowledge in the United States

  Gregory M Herek, John P Capitanio et al.•American Journal of Public Health•2002

  Incluir item

• A comparison of HIV/Aids-related stigma in four countries

  Open Access•B L Genberg, Zdenek Hlavka et al.•Social Science & Medicine•2009

  Incluir item

• Stigma rises despite antiretroviral roll-out

  Open Access•Brendan Maughan-Brown•Social Science & Medicine•2010

  Incluir item

• HIV and Aids-related stigma and discrimination

  Open Access•Richard Parker, Peter Aggleton•Social Science & Medicine•2003

  Incluir item