Evidence map›Paper›PMID 34552725›Full record

ArticleJournal of global health2021

Normative vs personal attitudes toward persons with HIV, and the mediating role of perceived HIV stigma in rural Uganda.

Alexander C Tsai, Bernard Kakuhikire, Jessica M Perkins, Jordan M Downey, Charles Baguma, Emily N Satinsky, Patrick Gumisiriza, Justus Kananura, David R Bangsberg

Open access · goldAbstract read
In one paragraph

Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Alexander C TsaiCenter for Global Health, Massachusetts General Hospital, Boston, Massachusetts, USA.
Bernard KakuhikireMbarara University of Science and Technology, Mbarara, Uganda.
Jessica M PerkinsPeabody College, Vanderbilt University, Nashville, Tennessee, USA.
Jordan M DowneyLast Mile Health, New York, New York, USA.
Charles BagumaMbarara University of Science and Technology, Mbarara, Uganda.
Emily N SatinskyCenter for Global Health, Massachusetts General Hospital, Boston, Massachusetts, USA.
Patrick GumisirizaMbarara University of Science and Technology, Mbarara, Uganda.
Justus KananuraMbarara University of Science and Technology, Mbarara, Uganda.
David R BangsbergMbarara University of Science and Technology, Mbarara, Uganda.
Mbarara University of Science and Technology · UGCenter for Global Health · USMassachusetts General Hospital · USPortland State University · USVanderbilt University · US

Funding

Social Networks, HIV Stigma, and the HIV Care Cascade in Rural UgandaR01MH113494 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TSAI, ALEXANDER C · 2017 to 2021
$3.2M
Perceptions of Social Norms and Personal Propensity to Engage in HIV Testing: A Mixed Methods Study and Intervention in Rural UgandaK01MH115811 · NIMH · VANDERBILT UNIVERSITY · PI PERKINS, JESSICA M · 2018 to 2022
$857k
NIMH NIH HHS K01 MH115811NIMH NIH HHS R01 MH113494
6 · The paper itself

Abstract

backgroundHIV stigma has well-documented negative impacts on HIV testing, transmission risk behavior, initiation of and adherence to antiretroviral therapy, and retention in care. We sought to assess the extent to which anticipated HIV stigma is based on misperceptions of normative attitudes toward persons with HIV, and to determine whether persons with HIV have stronger misperceptions compared with HIV-negative persons or persons of unknown serostatus. We also sought to estimate the association between normative attitudes about persons with HIV and personal attitudes about persons with HIV, and to determine the extent to which anticipated stigma mediates this association.

methodsWe conducted a whole-population survey of 1776 persons living in 8 rural villages in southwestern Uganda. Negative attitudes toward persons with HIV, and anticipated stigma, were measured using a newly validated 15-item scale measuring multiple dimensions of HIV stigma, including social distance, blaming attitudes, and concerns about reciprocity. We used multivariable regression to estimate the association between normative attitudes about persons with HIV and personal attitudes toward persons with HIV, and to determine the extent to which perceptions of normative attitudes (anticipated stigma) mediated this association.

resultsStudy participants believed that negative attitudes toward persons with HIV were more pervasive than they actually are. Perceptions of the extent to which these negative attitudes are normative mediated more than one-third of the association between normative attitudes and their personal attitudes. In contrast to what we originally hypothesized, persons with HIV were less likely to misperceive these norms and perceived normative attitudes to be less stigmatizing than did others in the general population.

conclusionsInterventions designed to accurately describe normative attitudes toward persons with HIV may reduce HIV stigma without directly focusing on the educational components that are typically embedded in anti-stigma interventions.

Indexed as

HIV InfectionsSocial StigmaHealth Knowledge, Attitudes, PracticeHumansRural PopulationUganda

Identifiers

PMID34552725
PMCPMC8442577
OpenAlexW3198656741

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.