Mateveke Kudzanai, Singh Basant, Chingono Alfred, Sibanda E, Machingura Ian
Research Support Center, University of Zimbabwe, College of Health Science , Harare, Zimbabwe.
Department of Psychiatry and Behavioral Sciences, Division of Global and Community Health, Medical University of South Carolina , Charleston, SC, USA.
J Public Health Afr. 2016 Aug 17;7(1):533. doi: 10.4081/jphia.2016.533.
HIV related stigma and discrimination is a known barrier for HIV prevention and care. We aimed to assess the relationship between socio-economic status (SES) and HIV related stigma in Zimbabwe. This paper uses data from , which examined the impact of community-based voluntary counseling and testing intervention on HIV incidence and stigma. Total of 2522 eligible participants responded to a psychometric assessment tool, which assessed HIV related stigma and discrimination attitudes on 4 point Likert scale. The tool measured three components of HIV-related stigma: shame, blame and social isolation, perceived discrimination, and equity. Participants' ownership of basic assets was used to assess the socio-economic status. Shame, blame and social isolation component of HIV related stigma was found to be significantly associated with medium [odds ratio (OR)=1.73, P<0.01] and low SES (OR=1.97, P<0.01), indicating more stigmatizing attitudes by participants belonging to medium and low SES in comparison to high SES. For HIV related stigma and discrimination programs to be effective, they should take into account the socio-economic context of target population.
与艾滋病病毒相关的耻辱感和歧视是艾滋病病毒预防与护理工作中一个已知的障碍。我们旨在评估津巴布韦社会经济地位（SES）与艾滋病病毒相关耻辱感之间的关系。本文使用了来自[具体来源未给出]的数据，该数据研究了基于社区的自愿咨询和检测干预对艾滋病病毒发病率和耻辱感的影响。共有2522名符合条件的参与者对一种心理测量评估工具做出了回应，该工具在4点李克特量表上评估与艾滋病病毒相关的耻辱感和歧视态度。该工具测量了与艾滋病病毒相关耻辱感的三个组成部分：羞耻、指责和社会孤立、感知到的歧视以及公平性。参与者对基本资产的拥有情况被用于评估社会经济地位。研究发现，与艾滋病病毒相关耻辱感的羞耻、指责和社会孤立部分与中等社会经济地位[优势比（OR）=1.73，P<0.01]和低社会经济地位（OR=1.97，P<0.01）显著相关，这表明与高社会经济地位的参与者相比，中等和低社会经济地位的参与者具有更强的耻辱感态度。为使与艾滋病病毒相关的耻辱感和歧视项目有效，应考虑目标人群的社会经济背景。
