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HIV treatment scale-up and HIV-related stigma in sub-Saharan Africa: A longitudinal cross-country analysis

Author

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  • Chan, B.T.
  • Tsai, A.C.
  • Siedner, M.J.

Abstract

Objectives. We estimated the association between antiretroviral therapy (ART) uptake and HIV-related stigma at the population level in sub-Saharan Africa. Methods. We examined trends in HIV-related stigma and ART coverage in sub-Saharan Africa during 2003 to 2013 using longitudinal, population-based data on ART coverage from the Joint United Nations Program on HIV/AIDS and on HIV-related stigma from the Demographic and Health Surveys and AIDS Indicator Surveys. We fitted 2 linear regression models with country fixed effects, with the percentage of men or women reporting HIV-related stigma as the dependent variable and the percentage of people living with HIV on ART as the explanatory variable. Results. Eighteen countries in sub-Saharan Africa were included in our analysis. For each 1% increase in ART coverage, we observed a statistically significant decrease in the percentage of women (b = -0.226; P = .007; 95% confidence interval [CI] = -0.383, -0.070) and men (b = -0.281; P = .009; 95% CI = -0.480, -0.082) in the general population reporting HIV-related stigma. Conclusions. An important benefit of ART scale-up may be the diminution of HIV-related stigma in the general population. © 2015, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Chan, B.T. & Tsai, A.C. & Siedner, M.J., 2015. "HIV treatment scale-up and HIV-related stigma in sub-Saharan Africa: A longitudinal cross-country analysis," American Journal of Public Health, American Public Health Association, vol. 105(8), pages 1581-1587.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302716_0
    DOI: 10.2105/AJPH.2015.302716
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    Cited by:

    1. Tsai, Alexander C. & Venkataramani, Atheendar S., 2015. "The causal effect of education on HIV stigma in Uganda: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 142(C), pages 37-46.

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