Adverse Childhood Experiences and HIV-Related Stigma: A Quantitative Survey of Tanzanian Men, June 2019.
Experiencing adverse childhood experiences (ACEs) may impact personal opinions, attitudes, and judgments, which can further result in HIV-related stigma. HIV-related stigma consequentially may impact HIV preventive measures such as HIV testing, pre-exposure prophylaxis uptake, and condom use. The ex...
| Published in: | AIDS & Behavior Vol. 28; no. 11; pp. 3758 - 3768 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Nov2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180235230&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180235230 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Nov2024 vid: 28 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 180235230 178760017 180235230 180235230 10.1007/s10461-024-04445-5 180235230 ppf: 3758 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Adverse Childhood Experiences and HIV-Related Stigma: A Quantitative Survey of Tanzanian Men, June 2019. aug: au: Kaur, Amandeep Brown, Monique J. Kangogo, Geoffrey K. Li, Xiaoming Teri, Ivan E. Mbita, Gaspar Ahonkhai, Aima A. Conserve, Donaldson F. affil: https://ror.org/02b6qw903 Department of Biostatistics and Epidemiology, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Discovery, 4Th Floor, 29208, Columbia, SC, USA sug: subj: Attitude to AIDS Evaluation Adverse Childhood Experiences Evaluation Stigma HIV Infections Men Psychosocial Factors Human Tanzania Cross Sectional Studies Quantitative Studies Survey Research Self-Testing Questionnaires Emotional Abuse Sexual Abuse Sociodemographic Factors Fisher's Exact Test Analysis of Variance Logistic Regression Linear Regression Confidence Intervals Odds Ratio Descriptive Statistics Funding Source ab: Experiencing adverse childhood experiences (ACEs) may impact personal opinions, attitudes, and judgments, which can further result in HIV-related stigma. HIV-related stigma consequentially may impact HIV preventive measures such as HIV testing, pre-exposure prophylaxis uptake, and condom use. The extent to which ACEs influence HIV-related stigma perception has not been well studied. Therefore, the study aimed to examine the association between ACEs and perceived and interpersonal HIV-related stigma among Tanzanian HIV-negative men. Quantitative survey data were obtained from the Tanzania STEP (Self-Testing Education and Promotion) project established in four wards: Mabibo, Manzese, Tandale, and Mwanyanamala. A total of 507 men responded to the ACEs and HIV-related stigma questionnaires. ACEs were operationalized as types of ACEs (environmental, physical/psychological, sexual abuse) and ACE score (0 (reference) vs. 1, 2, 3, ≥ 4). Perceived HIV-related stigma was analyzed both as a binary (HIV stigma vs. no HIV stigma) and a continuous variable. Unadjusted and adjusted multinomial logistic and linear regression models were used to assess the associations between ACEs and HIV-related stigma. ACE types were associated with HIV stigma (b = 0.237, 95% CI [0.122–0.352], p = <.0001). Findings of the adjusted multinomial logistic regression model show that experiencing one ACE (aOR = 1.9; p-value = 0.023), two ACEs (aOR = 1.8; p-value = 0.044), four or more ACEs (aOR = 4.1; p-value = < 0.0001) were associated with greater perceived HIV-related stigma. Moreover, experiencing environmental (aOR = 8.6; p-value = 0.005), physical/psychological (aOR = 2.5; p-value = 0.004), and sexual abuse (aOR = 3.4; p-value = < 0.0001) were associated with higher odds of HIV-related stigma. Our study findings suggest that those who experience childhood trauma are more likely to have a higher perception of HIV-related stigma. Intervention programs targeting HIV stigma should consider addressing ACEs entailing the behavioral and psychological impact of childhood trauma. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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