Ethnic heterogeneity in the determinants of HIV/AIDS stigma and discrimination among Nigeria women

Abstract

BackgroundStigma and discrimination remains a barrier to uptake of HIV/AIDS counselling and treatment as well as effective HIV reduction programmes. Despite ethnic diversity of Nigeria, studies on determinants of HIV stigma incorporating the ethnic dimension are very few. This paper provides empirical explanation of the ethnic dimension of determinant of HIV stigma and discrimination in Nigeria.MethodsNationally representative data from Nigerian Demographic and Health Survey 2013 (Individual recode) was analysed to explore ethnic differentials and homogeneity in the determinants of HIV/AIDS stigma and discrimination among women in multi-ethnic Nigeria.ResultsResult shows that determinants of HIV stigma and discrimination varies by ethnicity in Nigeria. Significant ethnic differentials in HIV/AIDS stigma and discrimination by Secondary school education exist among Hausa and Igbo respectively (OR = 0.79; CI: 1.49-2.28 and OR=1.62; CI: 1.18-2.23, p<0.05). Wealth status significantly influenced HIIV/AIDS stigma and discrimination among Hausa, Igbo and Yoruba ethnic groups (p<0.05). Knowledge of HIV/AIDS was significantly associated with lower odds of discriminating attitudes among the Hausa and Fulani ethnic groups (OR = 0.45; CI: 0.30-0.67 and OR=0.36; CI: 0.16-0.83, p<0.05).ConclusionsIdentifying ethnic differential and homogeneity in predictors of HIV/AIDS stigma is key to reducing HIV/AIDS prevalence in Nigeria and countries with similar settings.

WITHDRAWN: Predictors of Discrimination Towards People Living With HIV/ AIDS Among People Aged 15–49 Years in Ethiopia: A Multilevel Analysis

“…People living with HIV are stigmatized leading to severe social consequences related to their rights, health care services, freedom, self-identity and social interactions. It also severely hampers the treatment and diagnosis of HIV contributing to further spread of the disease Such responses disrupt an individual's social interactions and thereby lead to a feeling of isolation (9)(10)(11)(12)(13)(14)(15)(16).…”

Predictors of Discrimination Towards People Living with HIV/AIDS Among People Aged 15–49 Years in Ethiopia: A Multilevel Analysis

“…Such responses disrupt an individual's social interactions and thereby lead to a feeling of isolation. [9][10][11][12][13][14][15][16] AIDS-related discriminations are the product of multiple social influences including attributions of responsibility for HIV infection and beliefs that individuals with HIV/ AIDS are contaminated and tainted. The discrimination also reproduces inequalities of class, race, and gender.…”

Ethnicity, religious affiliation and girl-child marriage: a cross-sectional study of nationally representative sample of female adolescents in Nigeria

“…Nigeria's ethnic groups include the three major ones -Hausa (30%) concentrated in the North, Yoruba (15.5%) in the South-West, Igbo (15.2%) in the South-East, and several ethnic minority groups -Fulani (6%), Tiv (2.4%), Kanuri/Beriberi (2.4%) in the North, and Ibibio (1.8%), Ijaw (1.8%) in the South-South, and many others accounting for 24.7% [26]. In Nigeria, ethnicity has remained a major underlying factor associated with many health-related and social behaviours, including risky sexual behaviour, poor contraceptive uptake or discontinuation of use, poor maternal healthcare utilization, female genital mutilation, intimate partner's violence and so many others [27][28][29][30][31][32]. Despite being an important sociological marker of cultural diversities, the role of ethnicity on child marriage has not been sufficiently ascertained in empirical studies in Nigeria.…”