Ayiga N., Nambooze H., Nalugo S., Kaye D., Katamba A.
Population Training and Research Unit, Mafikeng Campus, North West University, Private Bag X2046, Mmabatho 2735, South Africa; College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda
Ayiga, N., Population Training and Research Unit, Mafikeng Campus, North West University, Private Bag X2046, Mmabatho 2735, South Africa; Nambooze, H., College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda; Nalugo, S., College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda; Kaye, D., College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda; Katamba, A., College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda
Background: Despite its importance in HIV/AIDS prevention and treatment, HIV/AIDS Counseling and Testing (HCT) is low in sub-Saharan Africa, where the disease continues to be a serious public health problem. This has in part been attributed to HIV/AIDS related stigma. Objective: To assess the level of HIV/AIDS related stigma and its impact on uptake of HCT in a high HIV prevalence population in Uganda. Methods: The paper used cross-sectional data on 135 men and 185 women in reproductive ages. Data were analyzed using the Pearson's chi-square statistic and the random intercept binary logistic regression model to identify significant predictors of uptake of HCT. Results: The result shows that only 18.4% of the respondents, most of them men expressed highly stigmatizing attitudes against PLHA and 59%, men and women alike, received HCT. Uptake of HCT was higher among men (OR=1.89, p<0.01) and women (OR=4.48, p <0.001) who expressed least stigmatizing attitudes. Secondary/higher education, work in the informal sector and being ever married were significant predictors of uptake of HCT. Compared to men, women aged 25-34, 35+ and with one sexual partner were more likely to have received HCT. Conclusions: The low level of stigma, older age, higher level of education, being ever married and monogamous sexual relationships are significant predictors of increased uptake of HCT.
adolescent; adult; article; attitude to illness; controlled study; counseling; educational status; employment status; female; HIV test; human; Human immunodeficiency virus infection; infection rate; major clinical study; male; marriage; prediction; prevalence; sex difference; sexual behavior; social status; stigma; Uganda; HIV counseling and Testing; Stigma; Uganda; Adolescent; Adult; Counseling; Cross-Sectional Studies; Female; HIV Seropositivity; Humans; Logistic Models; Male; Patient Acceptance of Health Care; Sex Distribution; Social Stigma; Uganda; Young Adult