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Factors Associated With HIV-Related Stigma Toward Colleagues in the Health Care Workforce in South Africa

Sommerland, Nina MSc*; Wouters, Edwin PhD; Masquillier, Caroline PhD; Rau, Asta PhD; Engelbrecht, Michelle PhD; Kigozi, Gladys PhD

Journal of the Association of Nurses in AIDS Care: July-August 2019 - Volume 30 - Issue 4 - p 451–461
doi: 10.1097/JNC.0000000000000010
Research Article
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South Africa has the highest number of people living with HIV in the world, and health care workers (HCWs) are as likely to be infected as the general population. Stigma in health care settings has severe implications for HCWs and health facilities when HCWs with HIV delay or avoid seeking care, causing increased morbidity and mortality. We explored factors associated with HIV stigma toward colleagues. A representative sample of 882 HCWs from 8 hospitals was surveyed in the Free State, South Africa. We applied multigroup structural equation modeling to compare effects between 3 professional categories. In all 3 groups, there was a significant negative relationship between stigmatizing attitudes against other co-workers and knowing a colleague living with HIV, having a colleague who worked to reduce stigma in the workplace, and having basic HIV knowledge. Our results have implications for understanding and crafting interventions to reduce HIV stigma among HCWs.

Nina Sommerland, MSc, is a PhD Candidate, Centre for Longitudinal and Life Course Studies, Department of Sociology, University of Antwerp, Antwerp, Belgium. Edwin Wouters, PhD, is a Professor, Centre for Longitudinal and Life Course Studies, Department of Sociology, University of Antwerp, Antwerp, Belgium. Caroline Masquillier, PhD, is Senior Researcher, Centre for Longitudinal and Life Course Studies, Department of Sociology, University of Antwerp, Antwerp, Belgium. Asta Rau, PhD, is Director and Senior Researcher, Centre for Health Systems Research and Development, University of the Free State, Bloemfontein, South Africa. Michelle Engelbrecht, PhD, is Deputy Director and Senior Researcher, Centre for Health Systems Research and Development, University of the Free State, Bloemfontein, South Africa. Gladys Kigozi, PhD, is Senior Researcher, Centre for Health Systems Research and Development, University of the Free State, Bloemfontein, South Africa.

Corresponding author: Nina Sommerland, e-mail: nina.sommerland@uantwerpen.be

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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