The effects of HIV-related stigma on HIV counselling and testing in Nigeria: A mediation analysis

Adekunjo, Felix Oluyemi and Rasiah, Rajah and Dahlui, Maznah and Ng, Chiu Wan (2021) The effects of HIV-related stigma on HIV counselling and testing in Nigeria: A mediation analysis. Journal of Asian and African Studies, 56 (6). pp. 1196-1211. ISSN 0021-9096, DOI

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Human immunodeficiency viruses (HIV) counselling and testing (HCT) plays a major role in the continuum of HIV programmes in Nigeria. However, HIV-related stigma (STGM) poses a serious threat to its success. Consequently, a cross-sectional study was carried out to examine whether STGM mediates the relationships between the explanatory variables (HIV-related knowledge, HIV transmission misconception (MSHIV), and perceived seriousness of HIV/acquired immune deficiency syndrome (AIDS)), and the outcome variable (HCT service utilization). The mediation analysis was undertaken using data from 768 individuals collected through convenience sampling in the Local Government Areas of Alimosho, Ikorodu, and Surulere of Lagos state, and deploying partial least squares-structural equation modelling. The results show that STGM played a mediating role in the relationship between MSHIV, perceived seriousness of HIV/AIDS, and HCT utilization. These findings offer wide ramifications for the intensification and enforcement of Nigeria's HIV/AIDS Anti-Discrimination Act 2014 to eradicate stigma, which is important to enhance uptake of HCT to achieve the United Nations' 90-90-90 HIV targets by 2020.

Item Type: Article
Uncontrolled Keywords: Human immunodeficiency viruses (HIV)-related stigma; HIV counselling and testing; HIV; Acquired Immune Deficiency; partial least squares-structural equation modelling; Lagos state; Nigeria
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine
Deputy Vice Chancellor (Academic & International) Office > Asia-Europe Institute
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Apr 2022 07:56
Last Modified: 13 Apr 2022 07:56

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