Evidence map›Paper›PMID 38040424›Full record

ArticleBMJ open2023

Socioeconomic inequality and contributors in accepting attitudes toward people living with HIV among adults in Ethiopia from 2005 to 2016: a population-based cross-sectional study.

Aklilu Endalamaw, Charles F Gilks, Fentie Ambaw, Yibeltal Assefa

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Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Aklilu EndalamawSchool of Public Health, the University of Queensland, Brisbane, Queensland, Australia yaklilu12@gmail.com.ORCID 0000-0002-9121-6549
Charles F GilksSchool of Public Health, the University of Queensland, Brisbane, Queensland, Australia.
Fentie AmbawCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Amhara, Ethiopia.
Yibeltal AssefaSchool of Public Health, the University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0002-8636-1282

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe public's accepting attitude toward people living with HIV is crucial in reducing HIV-related stigma and discrimination, increasing people's access to HIV service. This study examines the inequalities in accepting attitudes toward people living with HIV in Ethiopia from 2005 to 2016.

methodsThis cross-sectional study was based on the 2005, 2011 and 2016 Ethiopian Demographic Health Surveys. A total of 17 075, 28 478 and 25 542 adults were included in the 2005, 2011 and 2016 surveys, respectively. Socioeconomic inequality was investigated using the concentration curve and Erreygers' concentration index (ECI), which is scaled from -1 (pro-poor) to +1 (pro-rich). The ECI was decomposed to identify the contributors to socioeconomic inequality using generalised linear regression with the logit link function.

resultsAccepting attitude toward people living with HIV was 17.9% (95% CI: 16.6%, 19.3%) in 2005, which increased to 33.5% (95% CI: 31.8%, 35.3%) in 2011 and 39.6% (95% CI: 37.6%, 41.9%) in 2016. ECI was 0.342 (p<0.001), 0.436 (p<0.001) and 0.388 (p<0.001), respectively, for 2005, 2011 and 2016. The trend line illustrates socioeconomic inequality seems diverging over time, with an increasing ECI of 0.005 every year (r=0.53; p=0.642; slope=0.005).

conclusionsThe current study found that there was pro-rich inequality from 2005 to 2016. People with higher socioeconomic status had a better attitude toward people living with HIV. Comprehensive knowledge about HIV/AIDS, education status, residence, and access to electronic and paper-based media, as well as HIV testing, contribute to a better accepting attitude toward people living with HIV. It is of utmost importance for the country to enhance accepting attitude toward people living with HIV to reduce stigma and discrimination. This requires whole-system response according to the primary healthcare approach toward ending the epidemic of HIV/AIDS in the country.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsAdultCross-Sectional StudiesEthiopiaHumansSocial ClassSocioeconomic FactorsHealth EquityHIV & AIDSPUBLIC HEALTH

Identifiers

PMID38040424
PMCPMC10693865

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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.