HIV coping self-efficacy: a key to understanding stigma and HIV test acceptance among incarcerated men in Jamaica.
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.
Andrinopoulos
Katherine
K
Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA. kandrino@tulane.edu
Kerrigan
Deanna
D
Figueroa
J Peter
JP
Reese
Richard
R
Ellen
Jonathan M
JM
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
Psychol Methods. 2002 Jun;7(2):147-77
12090408
WMJ. 1998 May;97(5):28-31
9617305
Soc Work Health Care. 2002;35(1-2):425-60
12365753
Ethiop Med J. 2007 Oct;45(4):335-42
18326343
Am J Public Health. 2001 Aug;91(8):1226-9
11499108
AIDS Patient Care STDS. 2007 Sep;21(9):667-80
17919094
Int J STD AIDS. 2010 Feb;21(2):114-9
20089997
J Urban Health. 2001 Jun;78(2):256-63
11419579
AIDS. 2004 Nov 5;18(16):2208-10
15577658
Lancet Infect Dis. 2007 Jan;7(1):32-41
17182342
West Indian Med J. 2008 Dec;57(6):562-76
19580238
AIDS Behav. 2004 Jun;8(2):141-50
15187476
J Behav Med. 2000 Apr;23(2):123-47
10833676
Soc Sci Med. 2005 Nov;61(10):2132-43
16026913
Am J Epidemiol. 1994 May 1;139(9):918-26
8166142
AIDS Behav. 2007 Sep;11(5):759-69
17191141
Sex Transm Infect. 2003 Dec;79(6):442-7
14663117
AIDS Educ Prev. 1999 Oct;11(5):400-13
10555624
AIDS Behav. 2005 Jun;9(2):135-43
15933833
AIDS Behav. 2009 Feb;13(1):10-22
17978868
Psychosom Med. 2003 Nov-Dec;65(6):1038-46
14645783
Soc Sci Med. 2007 May;64(9):1823-31
17337318
Curr Opin Psychiatry. 2005 Sep;18(5):530-5
16639113
J Acquir Immune Defic Syndr. 2003 Apr 15;32(5):534-41
12679706
AIDS Patient Care STDS. 2007 Jan;21(1):41-7
17263656
Am J Public Health. 2002 Mar;92(3):378-81
11867314
Am J Public Health. 1990 Sep;80(9):1129-31
2382757
AIDS Public Policy J. 2005 Spring-Summer;20(1-2):3-24
17260566
J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Feb 1;11(2):151-60
8556397
Am J Public Health. 2007 Jul;97(7):1209-15
17538063
Lancet. 2000 Jul 8;356(9224):103-12
10963246
J Health Hum Serv Adm. 1999 Fall;22(2):220-36
10947535