Trends and Determinants of Attitudes Towards People Living with HIV/AIDS Among Women of Reproductive Age in Tajikistan
Main Article Content
Abstract
Introduction: Despite having one of lowest rates of newly diagnosed HIV infections among former Soviet countries, Tajikistan has a substantial level of discriminatory attitudes towards people living with HIV/AIDS (PLWHA). While initial attempts were made to explore discriminatory attitudes of a wide range of professionals, women’s general attitudes towards PLWHA received less scholarly attention. Employing a nationally representative sample from the 2000 and 2005 Multiple Indicator Cluster Surveys (MICS), sociodemographic determinants of HIV-related discriminatory attitudes of women aged 15-49 in Tajikistan were identified and examined over time.
Methods: A representative sample included 5,453 women of reproductive age from the capital city and four regions of Tajikistan. Two dichotomized scenarios representing the agreement to let an HIV-infected teacher continue teaching in school and the willingness to buy food from an HIV-infected cashier were constructed. Univariate and multivariable analyses of HIV-related discriminatory attitudes were obtained using Stata 14.
Results: Insignificant but positive changes were observed in the women’s attitudes between 2000 and 2005. Logistic regression models showed that negative attitudes were associated with the lack of knowledge of HIV/AIDS prevention methods, endorsement of HIV/AIDS transmission misconceptions, and never having been tested for HIV (p?0.001). Women living in the rural areas, married, with lower education, and from low income households were less tolerant towards PLWHA.
Conclusions: The data from Tajikistan underscore the persistence of HIV-related discriminatory attitudes among low socioeconomic status women. The study findings can be potentially used to target the disadvantaged groups and guide the design and implementation of programs that promote voluntary HIV-testing, raise awareness about HIV/AIDS prevention methods, and help dispel transmission misconceptions.
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References
UNAIDS. World AIDS day report 2012. Geneva: UNAIDS; 2012.
SRC (Strategic Research Center under President of Tajikistan). National study on the stigmatization and forms of discrimination against people living with HIV, 2007. Dushanbe, Tajikistan: Strategic Research Center under President of Tajikistan; 2007.
Zainiddinov H, Habibov N. Trends and predictors of knowledge about HIV/AIDS and its prevention and transmission methods among women in Tajikistan. European Journal of Public Health 2016; 26(6):1075-9.
Zainiddinov H, Habibov N. A comparison of comprehensive HIV/AIDS knowledge among women across seven post-Soviet countries. Central Asian Journal of Global Health 2018; 7(1) doi: 10.5195/cajgh.2018.295|http://cajgh.pitt.edu.
Latypov A. Two decades of HIV/AIDS in Tajikistan: Reversing the tide or the coming of age paradigm? China and Eurasia Forum Quarterly 2008; 6(3):101-28.
Golobof A, Weine S, Bahromov M, Luo J. The roles of labor migrants’ wives in HIV/AIDS risk and prevention in Tajikistan. AIDS Care 2011; 23:91–7.
SSA (State Statistical Agency of the Republic of Tajikistan). Tajikistan multiple indicator cluster survey 2000. Dushanbe, Tajikistan: State Statistical Agency of the Republic of Tajikistan; 2000.
SCS (State Committee on Statistics of the Republic of Tajikistan). Tajikistan multiple indicator cluster survey 2005. Dushanbe, Tajikistan: State Committee on Statistics of the Republic of Tajikistan; 2007.
Herek GM, Capitanio JP, Widaman KF. HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991–1999. American Journal of Public Health 2002;92(3):371–7.
Genberg BL et al. A comparison of HIV/AIDS-related stigma in four countries: Negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS. Social Science & Medicine 2009; 68(12):2279–87.
Young SD et al. HIV-related stigma, social norms, and HIV testing in Soweto and Vulindlela, South Africa: National institutes of mental health project accept (HPTN 043). Journal of Acquired Immune Deficiency Syndrome 2010; 55(5):620-4.
Corno L, De Walque D. Socioeconomic determinants of stigmatization and HIV testing in Lesotho. AIDS Care 2013; 25(1):108-13.
Mutombo N, Maina B. Factors influencing attitudes towards people living with HIV/AIDS in Zambia: Does HIV testing matter? J Infect Dis Ther 2014; 3:197.
Terzic-Supic Z et al. Cross sectional study on attitudes of Serbian mothers with preschool children: Should a HIV-positive female teacher be allowed to continue teaching in school? BMC International Health and Human Rights 2015; 15:31.
Lau JFT, Tsui HY. Discriminatory attitudes towards people living with HIV/AIDS and associated factors: A population based study in Chinese general population. Sex Transm Infect 2005; 81:113–9.
Gurmu E, Etana D. HIV/AIDS knowledge and stigma among women of reproductive age in Ethiopia. African Journal of AIDS Research 2015; 14(3):191-9.
Adeneye AK et al. Willingness to seek HIV testing and counseling among pregnant women attending antenatal clinics in Ogun State, Nigeria. International Quarterly of Community Health Education 2006; 26(4):337–53.
Statistical Agency, Republic of Tajikistan, and ICF International. 2012 Tajikistan demographic and health survey: Key findings. Dushanbe, Tajikistan and Calverton, Maryland, USA: Statistical Agency (Tajikistan), and ICF International; 2013.
LaPiere RT. Attitudes vs. actions. Social Forces 1934; 13:230–7.
Eagly A, Chaiken S. The impact of attitudes on behavior. In: Eagly A, Chaiken S, Youngblood D, editors. The psychology of attitudes, New York: Harcourt; 1993, p. 155-281.
Holzemer WL et al. Exploring HIV stigma and quality of life for persons living with HIV infection. J Assoc Nurses AIDS Care 2009; 20(3):161–8.