HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: Results from the MAMAS study

Janet M. Turan; Elizabeth A. Bukusi; Maricianah Onono; William L. Holzemer; Suellen Miller; Craig R. Cohen

doi:10.1007/s10461-010-9798-5

HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: Results from the MAMAS study

Janet M. Turan, Elizabeth A. Bukusi, Maricianah Onono, William L. Holzemer, Suellen Miller, Craig R. Cohen

School of Nursing

Research output: Contribution to journal › Article › peer-review

197 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	1111-1120
Number of pages	10
Journal	AIDS and behavior
Volume	15
Issue number	6
DOIs	https://doi.org/10.1007/s10461-010-9798-5
State	Published - Aug 2011

All Science Journal Classification (ASJC) codes

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

Keywords

HIV/AIDS
Intimate partner violence
Kenya
Pregnancy
Stigma

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10.1007/s10461-010-9798-5

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title = "HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: Results from the MAMAS study",

abstract = "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.",

keywords = "HIV/AIDS, Intimate partner violence, Kenya, Pregnancy, Stigma",

author = "Turan, {Janet M.} and Bukusi, {Elizabeth A.} and Maricianah Onono and Holzemer, {William L.} and Suellen Miller and Cohen, {Craig R.}",

note = "Funding Information: Acknowledgments We thank the Kenyan women who participated in the study and shared their experiences with us. We acknowledge the important logistical support of the KEMRI-UCSF Collaborative Group and especially Family AIDS Care and Education Services (FACES). We thank the FACES CCHAs in Migori and Rongo for their diligent work in collecting the data. We gratefully acknowledge the Director of KEMRI and the Director of KEMRI{\textquoteright}s Centre for Microbiology for their support in conducting this research. We also thank Katie Doolan, Nicole Kley, John Oguda, Abbey Hatcher, and Anna Leddy for their important contributions to this research. The project described was supported by Award Number K01MH081777 from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health.",

year = "2011",

month = aug,

doi = "10.1007/s10461-010-9798-5",

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journal = "AIDS and behavior",

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AU - Onono, Maricianah

AU - Holzemer, William L.

AU - Miller, Suellen

AU - Cohen, Craig R.

N1 - Funding Information: Acknowledgments We thank the Kenyan women who participated in the study and shared their experiences with us. We acknowledge the important logistical support of the KEMRI-UCSF Collaborative Group and especially Family AIDS Care and Education Services (FACES). We thank the FACES CCHAs in Migori and Rongo for their diligent work in collecting the data. We gratefully acknowledge the Director of KEMRI and the Director of KEMRI’s Centre for Microbiology for their support in conducting this research. We also thank Katie Doolan, Nicole Kley, John Oguda, Abbey Hatcher, and Anna Leddy for their important contributions to this research. The project described was supported by Award Number K01MH081777 from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health.

PY - 2011/8

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N2 - 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.

AB - 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.

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HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: Results from the MAMAS study

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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