How Perceptions of HIV-Related Stigma Affect Decision-Making Regarding Childbirth in Rural Kenya
Publication Date
December 12, 2012
Journal
PLOS ONE
Authors
José S. Medema Wijnveen, Maricianah Onono, Elizabeth A. Bukusi, Suellen Miller, et al
Volume
7
Issue
12
Pages
e51492
DOI
https://dx.plos.org/10.1371/journal.pone.0051492
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0051492
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/23251555
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520801
Europe PMC
http://europepmc.org/abstract/MED/23251555
Web of Science
000313236200122
Scopus
84871219070
Mendeley
http://www.mendeley.com/research/perceptions-hivrelated-stigma-affect-decisionmaking-regarding-childbirth-rural-kenya
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Mendeley | Further Information

{"title"=>"How Perceptions of HIV-Related Stigma Affect Decision-Making Regarding Childbirth in Rural Kenya", "type"=>"journal", "authors"=>[{"first_name"=>"José S.", "last_name"=>"Medema-Wijnveen", "scopus_author_id"=>"55347163700"}, {"first_name"=>"Maricianah", "last_name"=>"Onono", "scopus_author_id"=>"50262881100"}, {"first_name"=>"Elizabeth A.", "last_name"=>"Bukusi", "scopus_author_id"=>"6507523123"}, {"first_name"=>"Suellen", "last_name"=>"Miller", "scopus_author_id"=>"35472575800"}, {"first_name"=>"Craig R.", "last_name"=>"Cohen", "scopus_author_id"=>"7401692631"}, {"first_name"=>"Janet M.", "last_name"=>"Turan", "scopus_author_id"=>"6701658656"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84871219070", "doi"=>"10.1371/journal.pone.0051492", "pui"=>"366284970", "pmid"=>"23251555", "scopus"=>"2-s2.0-84871219070", "issn"=>"19326203", "isbn"=>"1932-6203"}, "id"=>"6164659a-80be-3d77-a1e6-d6b52a8b0631", "abstract"=>"INTRODUCTION: HIV prevalence among pregnant women in Kenya is high. Furthermore, there is a high risk of maternal mortality, as many women do not give birth with a skilled healthcare provider. Previous research suggests that fears of HIV testing and unwanted disclosure of HIV status may be important barriers to utilizing maternity services. We explored relationships between women's perceptions of HIV-related stigma and their attitudes and intentions regarding facility-based childbirth., METHODS: 1,777 pregnant women were interviewed at their first antenatal care visit. We included socio-demographic characteristics, stigma scales, HIV knowledge measures, and an 11-item scale measuring health facility birth attitudes (HFBA). HFBA includes items on cost, transport, comfort, interpersonal relations, and services during delivery at a health facility versus at home. A higher mean HFBA score indicates a more positive attitude towards facility-based childbirth. The mean HFBA score was dichotomized at the median and analyses were conducted with this dichotomized HFBA score using mixed effects logit models., RESULTS: Women who anticipated HIV-related stigma from their male partner had lower adjusted odds of having positive attitudes about giving birth at the health facility (adjusted OR = .63, 95% CI 0.50-0.78) and less positive attitudes about health facility birth were strongly related to women's intention to give birth outside a health facility (adjusted OR = 5.56, 95% CI 2.69-11.51)., CONCLUSIONS: In this sample of pregnant women in rural Kenya, those who anticipated HIV-related stigma were less likely to have positive attitudes towards facility-based childbirth. Furthermore, negative attitudes about facility-based childbirth were associated with the intention to deliver outside a health facility. Thus, HIV-related stigma reduction efforts might result in more positive attitudes towards facility-based childbirth, and thereby lead to an increased level of skilled birth attendance, and reductions in maternal and infant mortality.", "link"=>"http://www.mendeley.com/research/perceptions-hivrelated-stigma-affect-decisionmaking-regarding-childbirth-rural-kenya", "reader_count"=>72, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>14, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>8, "Student > Master"=>16, "Other"=>1, "Student > Bachelor"=>6, "Lecturer"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>1, "Student > Doctoral Student"=>7, "Researcher"=>14, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>8, "Student > Master"=>16, "Other"=>1, "Student > Bachelor"=>6, "Lecturer"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Environmental Science"=>1, "Nursing and Health Professions"=>12, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>31, "Business, Management and Accounting"=>1, "Physics and Astronomy"=>1, "Psychology"=>5, "Social Sciences"=>16, "Immunology and Microbiology"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>31}, "Social Sciences"=>{"Social Sciences"=>16}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>5}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>12}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Environmental Science"=>{"Environmental Science"=>1}}, "reader_count_by_country"=>{"Canada"=>1, "United States"=>1, "Brazil"=>1, "Kenya"=>1}, "group_count"=>8}

Scopus | Further Information

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Figshare

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Relative Metric

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