Media saturation, communication exposure and HIV stigma in Nigeria
ABSTRACT HIV-related stigma constitutes an impediment to public health as it hampers HIV/AIDS control efforts in many ways. To address the complex problems of increasing HIV infection rate, widespread misinformation about the infection and the rising level of HIV-related stigma, the various tiers of government in Nigeria are working with local and international non-governmental organizations to develop and implement strategic communication programs. This paper assesses the link between these communication efforts and HIV-related stigma using data from a nationally representative household survey. The results show that accepting attitudes towards people living with HIV are more prevalent among men than among women. Exposure to HIV-related communication on the media is associated with increased knowledge about HIV, which is in turn a strong predictor of accepting attitudes. Communication exposure also has a significant and positive association with accepting attitudes towards people living with HIV. In contrast, community media saturation is not strongly linked with accepting attitudes for either sex. The findings strongly suggest that media-based HIV programs constitute an effective strategy to combat HIV/AIDS-related stigma and should therefore be intensified in Nigeria.
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ABSTRACT: Adherence is a decisive factor in achieving a successful response to antiretroviral therapy (ART) for HIV infection. No previous studies have been conducted regarding HIV treatment adherence in Guinea-Bissau. In this study we assessed barriers and facilitators to patient ART adherence. Semi-structured interviews were conducted with 20 adult, HIV infected individuals receiving ART at a HIV treatment centre in Bissau, Guinea-Bissau. The grounded theory method was used to gather and analyse data. Results indicated that HIV-related knowledge was a determining factor for optimal adherence. The facilitators were experienced treatment benefits and complementing social networks. The barriers were treatment-related costs and competing livelihood needs; poor clinic infrastructure; perceived stigma; and traditional practices. Our findings indicate that good ART adherence, especially in resource-limited settings, requires that patients achieve adequate HIV-related knowledge. More studies on HIV-related knowledge and adherence among HIV infected individuals are currently needed.African Journal of AIDS Research 03/2013; 12(1):1-8. DOI:10.2989/16085906.2013.815405 · 0.61 Impact Factor
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ABSTRACT: Stigma has been of tremendous concern in the AIDS epidemic. In this paper we investigate reported experiences of stigma in western Uganda, as related by coresidents treatment partners (TPs) of people receiving treatment through a community-based treatment programme. A survey (n = 110) and open-ended interviews (n = 30) were used. We found that while stigma persists, it is balanced by kindness and sympathy expressed by relatives and neighbours. Stigma ex-periences involve isolation and gossip, rather than harassment or violence. We argue that the persistence of isolating behavior may be related to 1) practical concerns about avoiding requests for assistance coming from families of people with AIDS; and 2) the perception that people with AIDS are "walking corpses", in a liminal state between life and death. The perception of AIDS as a death sentence appears to be a stronger driver of stigma than perceptions of sexual misbe-haviour or promiscuity in the acquisition of AIDS. We argue that treatment has the potential to reduce stigma because it permits a repeal of this perceived death sentence.
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ABSTRACT: Abstract Purpose: To evaluate the level and predictors of discriminatory attitudes of pharmacy students and pharmacists towards people living with HIV/AIDS (PLWHA). Methods: A cross-sectional survey of pharmacy students and pharmacists (n = 523) to assess discriminatory attitudes towards PLWHA was conducted using a self completed questionnaire. Correlation and regression analyses were conducted. Results: Pharmacists were more knowledgeable and had less negative perceptions than students towards PLWHA. Level of professional training (p < 0.0001), knowledge status (p < 0.0001) and five negative perception items, namely, (a) people who got HIV through sex deserve it (p = 0.003), (b) PLWHA would make their colleagues apprehensive (p < 0.0001), (c) PLWHA have poor hygiene (r = 0.082, p = 0.032), (d) PLWHA should feel ashamed of themselves (p < 0.0001), and (e) people who behave promiscuously should be blamed for AIDS (p = 0.031), were all significantly associated with higher discrimination. However, being a student and having negative perceptions such as “PLWHA should feel ashamed of themselves and “PLWHA would make their colleagues apprehensive” were independent predictors of discrimination. Conclusions: Discriminatory attitudes against PLWHA among pharmacy students and pharmacists who participated in this study were high and level of training and their perceptions were contributory. Keywords: Discrimination, HIV/AIDS, Pharmacists, Perception, Professionalism, Stigmatization.Tropical Journal of Pharmaceutical Research 02/2014; 13(2):295-302. DOI:10.4314/tjpr.v13i2.20 · 0.50 Impact Factor