Predictors of HIV/AIDS Related Stigma and Discrimination Among Anglophone Caribbean Women

Wednesday, 24 July 2013

Kimberly A. Hires, PhD, RN
College of Nursing, Florida State University, Tallahassee, FL

Learning Objective 1: The learner will be able to describe and discuss differences in knowledge of HIV transmission and HIV/AIDS related stigma among Anglophone Caribbean women.

Learning Objective 2: The learner will be able to identify predictors of HIV/AIDS related stigma and discrimination among Anglophone Caribbean women.

Purpose: The purpose of this study was (1) to conduct a cross national comparision of knowledge of HIV prevention, history of HIV testing, and HIV/AIDS related stigma and discrimination and (b) to explore predictors of HIV/AIDS related stigma and discrimination towards people living with HIV/AIDS among Anglophone Caribbean women who reside in Guyana, Trinidad and Tobago and Jamaica. 

Methods: A secondary data analysis was conducted with data obtained from the United Nations Children's Fund (UNICEF) Multiple Indicators Cluster Survey-3.  Data was analyzed using SPSS 20.0.

Results: The total size of the sample used for this secondary data analysis study was 13,287 records of women between the ages of 15 to 49 years. Women in Guyana had lower knowledge of HIV transmission and higher HASD than women in Trinidad and Tobago and Jamaica.  Younger women were found to have higher levels of knowledge of HIV transmission and lower HASD than older women.  Personal characteristics (age, level of education, and country of residence) and knowledge of HIV transmission were found to account for variance in HASD among the sample population.  Domestic partnership and HIV test were not found to be significant contributors to the model designed in this study. 

Conclusion: The development of interventions that not only factor in cultural differences but also gender, education, and socioeconomic differences may be significantly more effective in managing and reducing the HIV epidemic in the Caribbean region.