prevalence and predictors of hiv-related stigma among institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countries患病率和预测相关的机构和社区护理人员的污名孤儿和体弱儿童生活在行间五国.pdfVIP

Messer et al. BMC Public Health 2010, 10:504 /1471-2458/10/504 RESEARCH ARTICLE Open Access Prevalence and predictors of HIV-related stigma among institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countries 1* 2 2 2 3 3 Lynne C Messer , Brian W Pence , Kathryn Whetten , Rachel Whetten , Nathan Thielman , Karen O’Donnell , Jan Ostermann2 Abstract 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 w