title: HIV coping self-efficacy: a key to understanding stigma and HIV test acceptance among incarcerated men in Jamaica.
abstract: Although prisons have been noted as important venues for HIV testing, few studies have explored the factors within this context that may influence HIV test acceptance. Moreover, there is a dearth of research related to HIV and incarcerated populations in middle and low-income countries, where both the burden of HIV and the number of people incarcerated is higher compared to high-income countries. This study explores the relationship between HIV coping self-efficacy, HIV-related stigma, and HIV test acceptance in the largest prisons in Jamaica. A random sample of inmates (n=298) recruited from an HIV testing demonstration project were asked to complete a cross-sectional quantitative survey. Participants who reported high HIV coping self-efficacy (adjusted odds ratio (AOR) 1.86: 95% confidence interval CI 1.24-2.78, p-value=0.003), some perceived risk of HIV (AOR 2.51: 95% (CI) 1.57-4.01, p-value=0.000), and low HIV testing stigma (AOR 1.71: 95% CI 1.05-2.79, p-value=0.032) were more likely to test for HIV. Correlates of HIV coping self-efficacy included external and internal HIV stigma (AOR 1.28: 95% CI 1.25-1.32, p-value=0.000 and AOR 1.76: 95% CI 1.34-2.30, p-value=0.000, respectively), social support (AOR 2.09: 95% CI 1.19-3.68, p-value=0.010), and HIV knowledge (AOR 2.33: 95% CI 1.04-5.22, p-value=0.040). Policy and programs should focus on the interrelationships of these constructs to increase participation in HIV testing in prison.
authors.affiliation: Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA. kandrino@tulane.edu
authors.forename: Katherine
authors.initials: K
authors.lastname: Andrinopoulos
authors.forename: Deanna
authors.initials: D
authors.lastname: Kerrigan
authors.forename: J Peter
authors.initials: JP
authors.lastname: Figueroa
authors.forename: Richard
authors.initials: R
authors.lastname: Reese
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Ellen
mesh_terms: D015492:AIDS Serodiagnosis / Q000523:psychology* / Q000706:statistics & numerical data; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D003376:Counseling; D003430:Cross-Sectional Studies; D006679:HIV Seropositivity / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology; D006801:Humans; D007563:Jamaica / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data*; D011329:Prisoners / Q000523:psychology*; D020377:Self Efficacy; D013240:Stereotyping; D055815:Young Adult
references.citation: Psychol Methods. 2002 Jun;7(2):147-77
references.pmid: 12090408
references.citation: WMJ. 1998 May;97(5):28-31
references.pmid: 9617305
references.citation: Soc Work Health Care. 2002;35(1-2):425-60
references.pmid: 12365753
references.citation: Ethiop Med J. 2007 Oct;45(4):335-42
references.pmid: 18326343
references.citation: Am J Public Health. 2001 Aug;91(8):1226-9
references.pmid: 11499108
references.citation: AIDS Patient Care STDS. 2007 Sep;21(9):667-80
references.pmid: 17919094
references.citation: Int J STD AIDS. 2010 Feb;21(2):114-9
references.pmid: 20089997
references.citation: J Urban Health. 2001 Jun;78(2):256-63
references.pmid: 11419579
references.citation: AIDS. 2004 Nov 5;18(16):2208-10
references.pmid: 15577658
references.citation: Lancet Infect Dis. 2007 Jan;7(1):32-41
references.pmid: 17182342
references.citation: West Indian Med J. 2008 Dec;57(6):562-76
references.pmid: 19580238
references.citation: AIDS Behav. 2004 Jun;8(2):141-50
references.pmid: 15187476
references.citation: J Behav Med. 2000 Apr;23(2):123-47
references.pmid: 10833676
references.citation: Soc Sci Med. 2005 Nov;61(10):2132-43
references.pmid: 16026913
references.citation: Am J Epidemiol. 1994 May 1;139(9):918-26
references.pmid: 8166142
references.citation: AIDS Behav. 2007 Sep;11(5):759-69
references.pmid: 17191141
references.citation: Sex Transm Infect. 2003 Dec;79(6):442-7
references.pmid: 14663117
references.citation: AIDS Educ Prev. 1999 Oct;11(5):400-13
references.pmid: 10555624
references.citation: AIDS Behav. 2005 Jun;9(2):135-43
references.pmid: 15933833
references.citation: AIDS Behav. 2009 Feb;13(1):10-22
references.pmid: 17978868
references.citation: Psychosom Med. 2003 Nov-Dec;65(6):1038-46
references.pmid: 14645783
references.citation: Soc Sci Med. 2007 May;64(9):1823-31
references.pmid: 17337318
references.citation: Curr Opin Psychiatry. 2005 Sep;18(5):530-5
references.pmid: 16639113
references.citation: J Acquir Immune Defic Syndr. 2003 Apr 15;32(5):534-41
references.pmid: 12679706
references.citation: AIDS Patient Care STDS. 2007 Jan;21(1):41-7
references.pmid: 17263656
references.citation: Am J Public Health. 2002 Mar;92(3):378-81
references.pmid: 11867314
references.citation: Am J Public Health. 1990 Sep;80(9):1129-31
references.pmid: 2382757
references.citation: AIDS Public Policy J. 2005 Spring-Summer;20(1-2):3-24
references.pmid: 17260566
references.citation: J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Feb 1;11(2):151-60
references.pmid: 8556397
references.citation: Am J Public Health. 2007 Jul;97(7):1209-15
references.pmid: 17538063
references.citation: Lancet. 2000 Jul 8;356(9224):103-12
references.pmid: 10963246
references.citation: J Health Hum Serv Adm. 1999 Fall;22(2):220-36
references.pmid: 10947535