Prevalence and predictors of HIV-related stigma among institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countries

Messer, Lynne C.; Pence, Brian W.; Whetten, Kathryn; Whetten, Rachel; Thielman, Nathan; O'Donnell, Karen; Ostermann, Jan
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p504
Academic Journal
Background: In the face of the HIV/AIDS epidemic that has contributed to the dramatic increase in orphans and abandoned children (OAC) worldwide, caregiver attitudes about HIV, and HIV-related stigma, are two attributes that may affect caregiving. Little research has considered the relationship between caregiver attributes and caregiver-reported HIV-related stigma. In light of the paucity of this literature, this paper will describe HIV-related stigma among caregivers of OAC in five less wealthy nations. Methods: Baseline data were collected between May 2006 through February 2008. The sample included 1,480 community-based and 192 institution-based caregivers. Characteristics of the community-based and institution-based caregivers are described using means and standard deviations for continuous variables or counts and percentages for categorical variables. We fit logistic regression models, both for the full sample and separately for community-based and institution-based caregivers, to explore predictors of acceptance of HIV. Results: Approximately 80% of both community-based and institution-based caregivers were female; and 84% of institution-based caregivers, compared to 66% of community-based caregivers, said that they would be willing to care for a relative with HIV. Similar proportions were reported when caregivers were asked if they were willing to let their child play with an HIV-infected child. In a multivariable model predicting willingness to care for an HIV-infected relative, adjusted for site fixed effects, being an institution-based caregiver was associated with greater willingness (less stigma) than community-based caregivers. Decreased willingness was reported by older respondents, while willingness increased with greater formal education. In the adjusted models predicting willingness to allow one's child to play with an HIV-infected child, female gender and older age was associated with less willingness. However, willingness was positively associated with years of formal education. Conclusions: The caregiver-child relationship is central to a child's development. OAC already face stigma as a result of their orphaned or abandoned status; the addition of HIV-related stigma represents a double burden for these children. Further research on the prevalence of HIV-related acceptance and stigma among caregivers and implications of such stigma for child development will be critical as the policy community responds to the global HIV/AIDS orphan crisis.


Related Articles

  • Children Orphaned by AIDS: A New Challenge.  // Population Reports;Fall2001, Vol. 29 Issue 3, p22 

    Reports that HIV/AIDS pandemic has dramatically increased the number of orphans.

  • New Jersey counties rank among highest in HIV/AIDS rates, according to study. Townes, Glenn // New York Amsterdam News;7/2/2009, Vol. 100 Issue 27, p37 

    The article reports on the study conducted regarding the growing rates of HIV/AIDS in New Jersey. The study released by the National Minority Quality Forum shows that New Jersey counties have the highest rates of HIV/AIDS around the world due to the growing population of the infected people. It...

  • Magnitudes and trends in orphanhood among younger persons in the era of HIV/AIDS in South Africa, 2001-2015. Udjo, Eric O. // African Population Studies;Dec2011, Vol. 25 Issue 2, p267 

    Information on the magnitude of orphanhood is important from various perspectives. Though not designed for that purpose, orphanhood questions have been used by some studies to infer the magnitude of orphans due to AIDS among younger persons. This study provides an historical overview of the...

  • The Lost Generation: How the Government and Non-Governmental Organizations Are Protecting the Rights of Orphans in Uganda. Caruso, Jeanne; Cope, Kevin // Human Rights Review;Jan-Mar2006, Vol. 7 Issue 2, p98 

    Millions of Ugandan children have become orphaned over the last two decades, the primary cause being the increasing HIV/AIDS epidemic. This phenomenon has prompted the government to institute numerous legal reforms. These internal reforms, implemented in a legal environment based on English...

  • AIDS in South Africa takes center stage. Stephenson, Joan; Stephenson, J // JAMA: Journal of the American Medical Association;7/12/2000, Vol. 284 Issue 2, p165 

    Focuses on the AIDS epidemic in South Africa. Prevention methods, which have yet to be embraced by South Africans; Denial of an epidemic which is exhibited by the South African president's appointment of HIV dissidents, who assert that HIV is not the cause of the AIDS epidemic, to an advisory...

  • International celebs, dignitaries urge end to AIDS stigma. Farrington, William // New York Amsterdam News;12/4/2003, Vol. 94 Issue 49, p28 

    Before an audience of several thousand, artists and speakers from as far as Africa and Belarus and as near as the cathedral's own men's shelter came together for a solemn evening of commemoration and celebration. Senegalese vocalist Baaba Maal called attention to the plight of children orphaned...

  • CRECIENDO CON VIH/SIDA: UN ESTUDIO CON ADOLESCENTES PORTADORAS DE VIH/ SIDA Y SUS CUIDADORAS FAMILIARES. Antunes Lima, Ana Amélia; Rubim Pedro, Eva Néri // Revista Latino-Americana de Enfermagem (RLAE);may/jun2008, Vol. 16 Issue 3, preceding p1 

    This is an exploratory study with a qualitative approach, which looks at the adolescent process with HIV/AIDS. The purpose is to identify how the adolescent process occurs, from the perspective of these teenagers and their family caregivers. The investigation was performed in Porto Alegre, RS...

  • Editorial Commentary: Complex Interactions of HIV Infection, Malaria, and Iron Deficiency. John, Chandy C. // Clinical Infectious Diseases;Dec2013, Vol. 57 Issue 11, p1635 

    In this article, the author offers information related to a study to a study on childhood mortality and the loss of developmental potential in children in low and middle-income countries. He mentions that several factors that are responsible for death of children include Human immunodeficiency...

  • Canadian health research: a perspective from afar. Macleod, Stuart // Wellness Options;2007, Issue 30, p16 

    This article reports on the universal issues of health goals and health research. A discussion is presented about the health objectives in Uganda and other poor nations in Africa, such as safe pregnancy and childbirth, protection of newborns and infants, childhood immunizations, nutrition, and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics