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Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women

BACKGROUND: Stigma and discrimination remains a barrier to uptake of HIV/AIDS counselling and treatment as well as effective HIV reduction programmes. Despite ethnic diversity of Nigeria, studies on determinants of HIV stigma incorporating the ethnic dimension are very few. This paper provides empir...

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Autores principales: Odimegwu, Clifford O., Alabi, Olatunji, De Wet, Nicole, Akinyemi, Joshua O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006838/
https://www.ncbi.nlm.nih.gov/pubmed/29914438
http://dx.doi.org/10.1186/s12889-018-5668-2
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author Odimegwu, Clifford O.
Alabi, Olatunji
De Wet, Nicole
Akinyemi, Joshua O.
author_facet Odimegwu, Clifford O.
Alabi, Olatunji
De Wet, Nicole
Akinyemi, Joshua O.
author_sort Odimegwu, Clifford O.
collection PubMed
description BACKGROUND: Stigma and discrimination remains a barrier to uptake of HIV/AIDS counselling and treatment as well as effective HIV reduction programmes. Despite ethnic diversity of Nigeria, studies on determinants of HIV stigma incorporating the ethnic dimension are very few. This paper provides empirical explanation of the ethnic dimension of determinant of HIV stigma and discrimination in Nigeria. METHODS: Nationally representative data from Nigerian Demographic and Health Survey 2013 (Individual recode) was analysed to explore ethnic differentials and homogeneity in the determinants of HIV/AIDS stigma and discrimination among women in multi-ethnic Nigeria. RESULTS: Result shows that determinants of HIV stigma and discrimination varies by ethnicity in Nigeria. Significant ethnic differentials in HIV/AIDS stigma and discrimination by Secondary school education exist among Hausa and Igbo respectively (OR = 0.79; CI: 1.49-2.28 and OR=1.62; CI: 1.18-2.23, p<0.05). Wealth status significantly influenced HIIV/AIDS stigma and discrimination among Hausa, Igbo and Yoruba ethnic groups (p<0.05). Knowledge of HIV/AIDS was significantly associated with lower odds of discriminating attitudes among the Hausa and Fulani ethnic groups (OR = 0.45; CI: 0.30-0.67 and OR=0.36; CI: 0.16-0.83, p<0.05). CONCLUSIONS: Identifying ethnic differential and homogeneity in predictors of HIV/AIDS stigma is key to reducing HIV/AIDS prevalence in Nigeria and countries with similar settings.
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spelling pubmed-60068382018-06-26 Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women Odimegwu, Clifford O. Alabi, Olatunji De Wet, Nicole Akinyemi, Joshua O. BMC Public Health Research Article BACKGROUND: Stigma and discrimination remains a barrier to uptake of HIV/AIDS counselling and treatment as well as effective HIV reduction programmes. Despite ethnic diversity of Nigeria, studies on determinants of HIV stigma incorporating the ethnic dimension are very few. This paper provides empirical explanation of the ethnic dimension of determinant of HIV stigma and discrimination in Nigeria. METHODS: Nationally representative data from Nigerian Demographic and Health Survey 2013 (Individual recode) was analysed to explore ethnic differentials and homogeneity in the determinants of HIV/AIDS stigma and discrimination among women in multi-ethnic Nigeria. RESULTS: Result shows that determinants of HIV stigma and discrimination varies by ethnicity in Nigeria. Significant ethnic differentials in HIV/AIDS stigma and discrimination by Secondary school education exist among Hausa and Igbo respectively (OR = 0.79; CI: 1.49-2.28 and OR=1.62; CI: 1.18-2.23, p<0.05). Wealth status significantly influenced HIIV/AIDS stigma and discrimination among Hausa, Igbo and Yoruba ethnic groups (p<0.05). Knowledge of HIV/AIDS was significantly associated with lower odds of discriminating attitudes among the Hausa and Fulani ethnic groups (OR = 0.45; CI: 0.30-0.67 and OR=0.36; CI: 0.16-0.83, p<0.05). CONCLUSIONS: Identifying ethnic differential and homogeneity in predictors of HIV/AIDS stigma is key to reducing HIV/AIDS prevalence in Nigeria and countries with similar settings. BioMed Central 2018-06-19 /pmc/articles/PMC6006838/ /pubmed/29914438 http://dx.doi.org/10.1186/s12889-018-5668-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Odimegwu, Clifford O.
Alabi, Olatunji
De Wet, Nicole
Akinyemi, Joshua O.
Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women
title Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women
title_full Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women
title_fullStr Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women
title_full_unstemmed Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women
title_short Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women
title_sort ethnic heterogeneity in the determinants of hiv/aids stigma and discrimination among nigeria women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006838/
https://www.ncbi.nlm.nih.gov/pubmed/29914438
http://dx.doi.org/10.1186/s12889-018-5668-2
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