HIV misconceptions among married women in Malawi: the role of household decision-making autonomy

Antabe, Roger; Sano, Yujiro; Luginaah, Isaac

doi:10.1007/s10389-020-01315-x

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…Where this cultural and ethnic interpretation largely deviates from the clinical explanation for the spread of HIV, members of the group tend to hold stigmatizing attitudes, especially if the symptoms of HIV/AIDS have some similarities with existing diseases for which there is an entrenched cultural belief about its spread [ 51 ]. In Malawi, a similar finding has been made by Antabe et al [ 52 ], who stated that the description of all sexually transmitted infections in the Chewa language predisposed members of this ethnic group who are the majority in the Central region of the country to the endorsement of HIV misconception and discrimination. While investigation the drivers of myths and HIV misconceptions in Ghana, Tenkorang [ 53 ] noted that, compared to respondents from other ethnic groups, the Akans were more likely to endorse myths about HIV, and such misconceptions have been widely associated with HIV stigma endorsement [ 19 , 35 ].…”

Section: Discussionsupporting

confidence: 75%

Endorsement of HIV-related stigma among men in Ghana: What are the determinants?

Saaka,

Antabe

2024

PLoS ONE

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Introduction Stigma and discrimination against people living with HIV (PLHIV) remain a major barrier to effective HIV prevention. Despite the understanding that the creation of a socially inclusive environment for PLHIV is crucial for the promotion of testing, status disclosure, and treatment uptake, HIV stigma persists. Additionally, evidence suggests the endorsement of HIV stigma may be gender specific. Nonetheless, very little is known about the factors influencing men’s discrimination against PLHIV in the Ghanaian context. Guided by the theory of planned behavior, our study fills this void by exploring the factors associated with the endorsement of HIV stigma in Ghana. Methods Utilizing a nationally representative data from the 2022 Ghana Demographic and Health Survey (DHS) (N = 7044 men with ages ranging from 15–49 years), and applying logistic regression models, this study examined the factors associated with the endorsement of HIV-related stigma in Ghana. Results The notion that HIV can be transmitted through the sharing of food with PLHIV was significantly associated with increased odds of stigma endorsement against children with HIV (OR = 3.381; P<0.001) and vendors with HIV (OR = 3.00; P<0.001). On the contrary, knowing that a healthy-looking person can have HIV was significantly associated with decreased odds of endorsement of stigma against children living with HIV (OR = 0.505; P<0.001), and vendors living with HIV (OR = 0.573; P<0.001). Likewise, having knowledge of drugs that help PLHIV to live longer, was significantly associated with decreased odds of stigma endorsement against children living with HIV (OR = 0.768; P<0.001), and vendors living with HIV (OR = 0.719; P<0.001). Moreover, participants with higher educational attainment reported lower odds of stigma endorsement against children living with HIV (OR = 0.255; P<0.01), and vendors living with HIV (OR = 0.327; P<0.01). Furthermore, age was significant and inversely associated with the endorsement of HIV stigma against children living with HIV (OR = 0.951; P<0.05), and vendors living with HIV (OR = 0.961; P<0.05). Also, wealth, ethnicity, and the region of residence significantly predicted endorsement of HIV stigma. Conclusion For Ghana to achieve UNAIDS target 95-95-95 by 2030, targeted educational campaigns are necessary to dispel misconceptions about HIV and to promote social inclusion for reducing HIV-related stigma and discrimination in the country.

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Section: Discussionsupporting

confidence: 75%

Endorsement of HIV-related stigma among men in Ghana: What are the determinants?

Saaka,

Antabe

2024

PLoS ONE

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“…Regarding married women's autonomy, Zegeye et al (2023:1) reported that 'the odds of health insurance enrolment was higher among women who had household decision-making autonomy' than those with lower or no autonomy across 29 SSA countries. Similarly, married women in Malawi who reported higher levels of autonomy were more likely to reject the endorsement of HIV misconceptions, thus potentially reducing their exposure to the virus (Antabe et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Socio-economically, household wealth, education, and employment status have been linked to women's autonomy. For instance, women who are employed, highly educated, and from wealthy/rich households tend to report higher levels of autonomy compared to those from poor homes with little or no formal education and no employment (Antabe et al, 2020;Sano et al, 2018;Sano et al, 2017). Furthermore, demographic factors, including age, urban residency, and region of residence, have been associated with higher levels of women's autonomy (see, e.g., Grady, 2016, 2018;Thankian, 2020).…”

Section: Introductionmentioning

confidence: 99%

Exploring the link between household structure and women’s household decision-making autonomy in Mauritania

Anfaara,

Amoak,

Kye

et al. 2024

J. Biosoc. Sci.

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Governments in sub-Saharan African countries aim to increase married women’s household decision-making autonomy as it remains a critical determinant of desirable health behaviours such as healthcare utilisation, antenatal care visits, and safer sex negotiation. However, very few studies explore how household structure (i.e., monogamous or polygamous) is associated with married women’s household decision-making autonomy. Our paper seeks to address this gap. Using the 2019–20 Mauritania Demographic and Health Survey, a nationally representative dataset, and applying logistic regression analysis, we explore how married women’s household structure is associated with their household decision-making autonomy. We find that 9% of married women are in polygamous marriages, while 63% and 65% are involved in decision-making about their health and large household purchases, respectively. Additionally, 76% and 56% are involved in decision-making about visiting family or relatives and household expenditures. After accounting for socio-economic and demographic factors, we find that compared to women from monogamous households, those from polygamous households are less likely to participate in decision-making about their health (OR=0.65, p < 0.001), making large household purchases (OR=0.65, p < 0.001), visiting family or relatives (OR=0.72, p < 0.001), and household expenditure (OR=0.58, p < 0.001). Based on our findings, we recommend the urgent need to review and re-evaluate policies and approaches seeking to promote gender equality and women’s autonomy in Mauritania. Specifically, it may be critical for intervention programmes to work around reducing power imbalances in polygamous household structures that continue to impact married women’s household decision-making autonomy adversely. Such interventions should centre married women’s socio-economic status as a central component of their empowerment strategies in Mauritania.

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Determinants of HIV-related stigma and discrimination in Malawi: evidence from the demographic and health survey

Antabe

Sano

Atuoye

et al. 2022

African Geographical Review

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HIV misconceptions among married women in Malawi: the role of household decision-making autonomy

Cited by 4 publications

References 33 publications

Endorsement of HIV-related stigma among men in Ghana: What are the determinants?

Endorsement of HIV-related stigma among men in Ghana: What are the determinants?

Exploring the link between household structure and women’s household decision-making autonomy in Mauritania

Determinants of HIV-related stigma and discrimination in Malawi: evidence from the demographic and health survey

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