Proximate Context of HIV Stigma and Its Association with HIV Testing in Sierra Leone: A Population-Based Study.
Proximate Context of HIV Stigma and Its Association with HIV Testing in Sierra Leone: A Population-Based Study.
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DOI：
10.1007/s10461-015-1035-9
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发表时间：
2016-01
影响因子：
4.4
通讯作者：
Tsai AC
中科院分区：
文献类型：
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作者：
Kelly JD;Weiser SD;Tsai AC
人们对社区一级艾滋病毒污名化在多大程度上仍然是进一步接受艾滋病毒的障碍知之甚少。我们使用了2008年塞拉利昂人口和健康调查的全国代表性数据。主要结局是HIV检测（过去12个月）。我们的解释变量是艾滋病污名化的态度（5项量表）。多变量调整后，HIV检测与个体（调整后的比值比[AOR]=0.94; 95%CI，0.87-1.01）和社区水平（AOR=0.70; 95%CI，0.58-0.85）测量的HIV污名化态度呈负相关。当在社区而不是个人水平上建模时，艾滋病毒污名与艾滋病毒检测有更强的负相关。
The extent to which HIV stigma at the community level remains a barrier to greater uptake is poorly understood. We used nationally representative data from the 2008 Sierra Leone Demographic and Health Survey. The primary outcome was HIV testing (past 12 months). Our explanatory variable was HIV stigmatizing attitudes (5-item scale). After multivariable adjustment, HIV testing had an inverse association with HIV stigmatizing attitudes measured at the individual (adjusted odds ratio [AOR]=0.94; 95% CI, 0.87–1.01) and community level (AOR=0.70; 95% CI, 0.58–0.85). HIV stigma had a stronger negative association with HIV testing when modeled at the community rather than individual level.