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Multi-ethnic perspective of uptake of HIV testing and HIV-related stigma: A cross-sectional population-based study

The objective of this study was to identify demographic characteristics and correlates of the uptake of HIV testing, willingness to be tested and perceived HIV-related stigma of Malaysian lay public. A cross-sectional computer-assisted telephone interview survey of a representative sample of multira... Full description

Journal Title: AIDS care 2013-11-01, Vol.25 (11), p.1356-1369
Main Author: Wong, Li Ping
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Quelle: Alma/SFX Local Collection
Publisher: Abingdon: Routledge
ID: ISSN: 0954-0121
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title: Multi-ethnic perspective of uptake of HIV testing and HIV-related stigma: A cross-sectional population-based study
format: Article
creator:
  • Wong, Li Ping
subjects:
  • Adolescent
  • Adult
  • AIDS/HIV
  • Asian people
  • Attitudes
  • Biological and medical sciences
  • China
  • Correlation analysis
  • Cross-sectional analysis
  • Cross-Sectional Studies
  • Demographic aspects
  • Demographic change
  • Demographics
  • disclosures
  • Disease transmission
  • Female
  • Health Knowledge, Attitudes, Practice
  • HIV
  • HIV Infections - ethnology
  • HIV Infections - prevention & control
  • HIV Infections - psychology
  • HIV testing
  • HIV-related self-stigma
  • Human immunodeficiency virus
  • Human viral diseases
  • Humans
  • Immunodeficiencies
  • Immunodeficiencies. Immunoglobulinopathies
  • Immunopathology
  • Infectious diseases
  • Interviews
  • Locality
  • Malaysia
  • Malaysia - epidemiology
  • Male
  • Marital Status
  • Mass Screening - psychology
  • Mass Screening - utilization
  • Medical sciences
  • Middle Aged
  • Multiracial people
  • Patient Acceptance of Health Care - psychology
  • Patient Education as Topic
  • Prejudice - psychology
  • Religious beliefs
  • Risk
  • Rural Population
  • Self Concept
  • Selfesteem
  • Social Stigma
  • Socioeconomic Factors
  • Stereotyping
  • Stigmatization
  • Surveys and Questionnaires
  • Testing
  • Urban Population
  • Viral diseases
  • Viral diseases of the lymphoid tissue and the blood. Aids
  • Young Adult
ispartof: AIDS care, 2013-11-01, Vol.25 (11), p.1356-1369
description: The objective of this study was to identify demographic characteristics and correlates of the uptake of HIV testing, willingness to be tested and perceived HIV-related stigma of Malaysian lay public. A cross-sectional computer-assisted telephone interview survey of a representative sample of multiracial Malaysians aged 18 years and above was conducted between December and July 2011. The survey collected information on demographics, knowledge about HIV transmission and religious beliefs on attitudes to HIV/AIDS. A total of 2271 households were successfully interviewed. The response rate was 48.65%. The HIV transmission knowledge score ranged from 0 to 15 (mean =10.56; SD±2.42). Three of the most common misconceptions about HIV transmission were mosquito bite (42.8%), eating in a restaurant where the cook is HIV positive (20.4%) and using a public toilet (20.1%). Only 20.6% reported ever having been tested for HIV, 49.1% reported a willingness to be tested for HIV and 30.3% had no intention of getting an HIV test. Low-risk perception (63.7%) constitutes a major barrier to HIV testing. Being Malay and Chinese (relative to Indian) were the strongest predictors of low-risk perception. Other significant predictors of low-risk perception were being male, being married and living in an urban locality. Perceived self-stigma if tested positive for HIV was prevalent (78.8%). Multivariate findings showed that being female, Malay, low income, living in rural localities and public stigma were significant correlates of self-stigma. These findings warrant interventions to reduce the disproportionate HIV transmission misconception, barriers to HIV testing and stigma and discriminative attitudes to involve considerations of sociocultural economic and demographic characteristics.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0954-0121
fulltext: fulltext
issn:
  • 0954-0121
  • 1360-0451
url: Link


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descriptionThe objective of this study was to identify demographic characteristics and correlates of the uptake of HIV testing, willingness to be tested and perceived HIV-related stigma of Malaysian lay public. A cross-sectional computer-assisted telephone interview survey of a representative sample of multiracial Malaysians aged 18 years and above was conducted between December and July 2011. The survey collected information on demographics, knowledge about HIV transmission and religious beliefs on attitudes to HIV/AIDS. A total of 2271 households were successfully interviewed. The response rate was 48.65%. The HIV transmission knowledge score ranged from 0 to 15 (mean =10.56; SD±2.42). Three of the most common misconceptions about HIV transmission were mosquito bite (42.8%), eating in a restaurant where the cook is HIV positive (20.4%) and using a public toilet (20.1%). Only 20.6% reported ever having been tested for HIV, 49.1% reported a willingness to be tested for HIV and 30.3% had no intention of getting an HIV test. Low-risk perception (63.7%) constitutes a major barrier to HIV testing. Being Malay and Chinese (relative to Indian) were the strongest predictors of low-risk perception. Other significant predictors of low-risk perception were being male, being married and living in an urban locality. Perceived self-stigma if tested positive for HIV was prevalent (78.8%). Multivariate findings showed that being female, Malay, low income, living in rural localities and public stigma were significant correlates of self-stigma. These findings warrant interventions to reduce the disproportionate HIV transmission misconception, barriers to HIV testing and stigma and discriminative attitudes to involve considerations of sociocultural economic and demographic characteristics.
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subjectAdolescent ; Adult ; AIDS/HIV ; Asian people ; Attitudes ; Biological and medical sciences ; China ; Correlation analysis ; Cross-sectional analysis ; Cross-Sectional Studies ; Demographic aspects ; Demographic change ; Demographics ; disclosures ; Disease transmission ; Female ; Health Knowledge, Attitudes, Practice ; HIV ; HIV Infections - ethnology ; HIV Infections - prevention & control ; HIV Infections - psychology ; HIV testing ; HIV-related self-stigma ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious diseases ; Interviews ; Locality ; Malaysia ; Malaysia - epidemiology ; Male ; Marital Status ; Mass Screening - psychology ; Mass Screening - utilization ; Medical sciences ; Middle Aged ; Multiracial people ; Patient Acceptance of Health Care - psychology ; Patient Education as Topic ; Prejudice - psychology ; Religious beliefs ; Risk ; Rural Population ; Self Concept ; Selfesteem ; Social Stigma ; Socioeconomic Factors ; Stereotyping ; Stigmatization ; Surveys and Questionnaires ; Testing ; Urban Population ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Young Adult
ispartofAIDS care, 2013-11-01, Vol.25 (11), p.1356-1369
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descriptionThe objective of this study was to identify demographic characteristics and correlates of the uptake of HIV testing, willingness to be tested and perceived HIV-related stigma of Malaysian lay public. A cross-sectional computer-assisted telephone interview survey of a representative sample of multiracial Malaysians aged 18 years and above was conducted between December and July 2011. The survey collected information on demographics, knowledge about HIV transmission and religious beliefs on attitudes to HIV/AIDS. A total of 2271 households were successfully interviewed. The response rate was 48.65%. The HIV transmission knowledge score ranged from 0 to 15 (mean =10.56; SD±2.42). Three of the most common misconceptions about HIV transmission were mosquito bite (42.8%), eating in a restaurant where the cook is HIV positive (20.4%) and using a public toilet (20.1%). Only 20.6% reported ever having been tested for HIV, 49.1% reported a willingness to be tested for HIV and 30.3% had no intention of getting an HIV test. Low-risk perception (63.7%) constitutes a major barrier to HIV testing. Being Malay and Chinese (relative to Indian) were the strongest predictors of low-risk perception. Other significant predictors of low-risk perception were being male, being married and living in an urban locality. Perceived self-stigma if tested positive for HIV was prevalent (78.8%). Multivariate findings showed that being female, Malay, low income, living in rural localities and public stigma were significant correlates of self-stigma. These findings warrant interventions to reduce the disproportionate HIV transmission misconception, barriers to HIV testing and stigma and discriminative attitudes to involve considerations of sociocultural economic and demographic characteristics.
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10Demographic aspects
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23Human immunodeficiency virus
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40Multiracial people
41Patient Acceptance of Health Care - psychology
42Patient Education as Topic
43Prejudice - psychology
44Religious beliefs
45Risk
46Rural Population
47Self Concept
48Selfesteem
49Social Stigma
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54Testing
55Urban Population
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abstractThe objective of this study was to identify demographic characteristics and correlates of the uptake of HIV testing, willingness to be tested and perceived HIV-related stigma of Malaysian lay public. A cross-sectional computer-assisted telephone interview survey of a representative sample of multiracial Malaysians aged 18 years and above was conducted between December and July 2011. The survey collected information on demographics, knowledge about HIV transmission and religious beliefs on attitudes to HIV/AIDS. A total of 2271 households were successfully interviewed. The response rate was 48.65%. The HIV transmission knowledge score ranged from 0 to 15 (mean =10.56; SD±2.42). Three of the most common misconceptions about HIV transmission were mosquito bite (42.8%), eating in a restaurant where the cook is HIV positive (20.4%) and using a public toilet (20.1%). Only 20.6% reported ever having been tested for HIV, 49.1% reported a willingness to be tested for HIV and 30.3% had no intention of getting an HIV test. Low-risk perception (63.7%) constitutes a major barrier to HIV testing. Being Malay and Chinese (relative to Indian) were the strongest predictors of low-risk perception. Other significant predictors of low-risk perception were being male, being married and living in an urban locality. Perceived self-stigma if tested positive for HIV was prevalent (78.8%). Multivariate findings showed that being female, Malay, low income, living in rural localities and public stigma were significant correlates of self-stigma. These findings warrant interventions to reduce the disproportionate HIV transmission misconception, barriers to HIV testing and stigma and discriminative attitudes to involve considerations of sociocultural economic and demographic characteristics.
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