Considerations for culturally appropriate HIV/AIDS education strategies in Belize: exploring aspects of stigma and knowledge

Colin W McInnes, Treena R Orchard, Eric Druyts, Reon Baird, Wendy Zhang, Robert S Hogg, Pamela VanDeusen

Abstract


Background: The stigma associated with HIV/AIDS in Belize is a cause for concern given the magnitude of the epidemic in this region. This exploratory study examines factors associated with HIV-related stigma to determine if low HIV knowledge is a contributing factor.

Methods: A cross-sectional survey was administered to participants in San Ignacio and in the rural locale of Bullet Tree. Each survey contained 15 HIV-related knowledge questions and a 3 question stigma scale. Knowledge-based scores and socio-demographic characteristics were compared in a multivariate logistic model to determine factors associated with HIV-related stigma.

Results: A total of 92 surveys were completed. Poor knowledge was associated with individuals with low incomes (p=0.010) and those without a high school education (p=0.020). High stigma answers were found among participants living in rural communities (p=0.020) and those with low HIV-related knowledge (p

Conclusion: Strategies to reduce HIV stigma in Belize should include the expansion of HIV-related education programs.

 


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