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dc.contributor.authorTsai, Alexander C
dc.contributor.authorKakuhikire, Bernard
dc.contributor.authorPerkins, Jessica M
dc.contributor.authorDowney, Jordan M
dc.contributor.authorBaguma, Charles
dc.contributor.authorSatinsky, Emily N
dc.contributor.authorGumisiriza, Patrick
dc.contributor.authorKananura, Justus
dc.contributor.authorBangsberg, David R
dc.date.accessioned2022-11-24T11:51:03Z
dc.date.available2022-11-24T11:51:03Z
dc.date.issued2021
dc.identifier.citationTsai, A. C., Kakuhikire, B., Perkins, J. M., Downey, J. M., Baguma, C., Satinsky, E. N., ... & Bangsberg, D. R. (2021). Normative vs personal attitudes toward persons with HIV, and the mediating role of perceived HIV stigma in rural Uganda. Journal of global health, 11.en_US
dc.identifier.urihttp://ir.must.ac.ug/xmlui/handle/123456789/2672
dc.description.abstractBackground HIV stigma has well-documented negative impacts on HIV testing, transmission risk behavior, initiation of and adherence to antiretroviral therapy, and retention in care. We sought to assess the extent to which anticipated HIV stigma is based on misperceptions of normative attitudes toward persons with HIV, and to determine whether persons with HIV have stronger misperceptions compared with HIV-negative persons or persons of unknown serostatus. We also sought to estimate the association between normative attitudes about persons with HIV and personal attitudes about persons with HIV, and to determine the extent to which anticipated stigma mediates this association. Methods We conducted a whole-population survey of 1776 persons living in 8 rural villages in southwestern Uganda. Negative attitudes toward persons with HIV, and anticipated stigma, were measured using a newly validated 15-item scale measuring multiple dimensions of HIV stigma, including social distance, blaming attitudes, and concerns about reciprocity. We used multivariable regression to estimate the association between normative attitudes about persons with HIV and personal attitudes toward persons with HIV, and to determine the extent to which perceptions of normative attitudes (anticipated stigma) mediated this association. Results Study participants believed that negative attitudes toward persons with HIV were more pervasive than they actually are. Perceptions of the extent to which these negative attitudes are normative mediated more than one-third of the association between normative attitudes and their personal attitudes. In con¬trast to what we originally hypothesized, persons with HIV were less likely to misperceive these norms and perceived normative attitudes to be less stigmatiz¬ing than did others in the general population. Conclusions Interventions designed to accurately describe normative attitudes toward persons with HIV may reduce HIV stigma without directly focusing on the educational components that are typically embedded in anti-stigma inter¬ventionsen_US
dc.description.sponsorshipUS National Institutes of Health (NIH) R01MH113494 and Friends of a Healthy Ugandaen_US
dc.language.isoenen_US
dc.publisherJournal of global healthen_US
dc.subjectNormativeen_US
dc.subjectpersonal attitudesen_US
dc.subjectHIVen_US
dc.titleNormative vs personal attitudes toward persons with HIV, and the mediating role of perceived HIV stigma in rural Ugandaen_US
dc.typeArticleen_US


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