Abstract
BackgroundStigma 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.MethodsNationally 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.ResultsResult 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).ConclusionsIdentifying ethnic differential and homogeneity in predictors of HIV/AIDS stigma is key to reducing HIV/AIDS prevalence in Nigeria and countries with similar settings.
Highlights
Stigma and discrimination remains a barrier to uptake of Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) counselling and treatment as well as effective HIV reduction programmes
Reduction in the prevalence and incidence of Human Immunodeficiency Virus (HIV) infection and Acquired Immune Deficiency Syndrome (AIDS) remains high priority among world countries. This became more evident in the resolution to end the AIDS epidemics by the year 2030 within the Sustainable Development Goals 3 (SDGs) target 3.3 [1]
This paper explores the similarities and differences in the determinants of HIV/AIDS stigma and discrimination across the ethnic groups in Nigeria
Summary
Stigma and discrimination remains a barrier to uptake of HIV/AIDS counselling and treatment as well as effective HIV reduction programmes. Reduction in the prevalence and incidence of Human Immunodeficiency Virus (HIV) infection and Acquired Immune Deficiency Syndrome (AIDS) remains high priority among world countries. This became more evident in the resolution to end the AIDS epidemics by the year 2030 within the Sustainable Development Goals 3 (SDGs) target 3.3 [1]. Achieving this goal is anchored on the assumption that, more people will be tested and uptake of HIV counselling and treatment (HCT) will increase through the use of fast-track approach.
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