Factors Associated With Feeling Ashamed of Disclosure of HIV-Positive Status Among Women Who Self-Reported to Health Facilities for HIV Testing in Kenya: Analysis of 2022 Kenya Demographic and Health Survey.

Autor: Isiko I; Department of Community Medicine, Axel Pries Institute of Public Health and Biomedical Sciences NIMS University Jaipur India., Taremwa K; School of Public Health, College of Health Sciences Makerere University Kampala Uganda., Nyegenye S; Department of planning and applied statistics, School of Statistics and Planning Makerere University Kampala Uganda., Mwesigwa A; Department of Pharmaceutical Sciences, Faculty of Health Sciences Marwadi University Rajkot India., Mutebi RM; Department of Microbiology, Faculty of Health Sciences Marwadi University Rajkot Gujarat state India., Okoro LN; Department of Community Medicine David Umahi Federal University Teaching Hospital Uburu Nigeria., Edet EN; Airport Clinic, Ministry of Health Nigeria., Koech CC; Department of Sociology and Anthropology Maseno University Kisumu Kenya., Gadzama Bulus N; Department of Community Medicine Abubakar Tafawa Balewa University Bauchi Nigeria., Asingwire JM; Department of Pharmaceutical Sciences, Faculty of Health Sciences Marwadi University Rajkot India.
Jazyk: angličtina
Zdroj: Health science reports [Health Sci Rep] 2024 Dec 04; Vol. 7 (12), pp. e70234. Date of Electronic Publication: 2024 Dec 04 (Print Publication: 2024).
DOI: 10.1002/hsr2.70234
Abstrakt: Background: This study aimed to determine the factors associated with feeling ashamed of disclosing HIV-positive status among females who self-reported to health facilities for HIV testing in Kenya.
Method: This study used the Kenya Demographic Health Survey data set for 2022. A total of 18,506 women aged 15-49 years were selected from the sample clusters; 13,815 had ever tested for HIV and 332 had positive results for HIV. The chi-squared test was applied to determine the association between the selected variables of interest and the outcome variable. Furthermore, to identify the explanatory variables that were associated with the outcome variable of interest, logistic binary regression was performed. A p  > 0.05 and all statistical analyses were conducted using Microsoft Excel (xlsx) and STATA15.
Results: The analysis included 332 women who had tested positive during the survey out of which 125(38%) women agreed to have felt ashamed to disclose their HIV+ status. Agreed to stigma (AOR = 1.92, 95% CI: 1.15, 3.22; p  < 0.05) and being intimidated by health workers (AOR = 2.49, 95% CI: 1.05, 5.93; p  < 0.05) were significantly associated with feeling ashamed of disclosing HIV+ status. The remaining variables, such as age category, residence, marital status, educational attainment, total number of children born, access to information, sex partners excluding spouses in the last 12 months, and number of lifetime sex partners, were not associated with feeling ashamed.
Conclusion: Health stigmatization and intimidation Stigmatization had an almost two-fold likelihood of causing shame in the disclosure of HIV status among females with HIV who were studied.
Competing Interests: The authors declare no conflicts of interest.
(© 2024 The Author(s). Health Science Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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