Sexually Transmitted Infection Related Stigma and Shame Among African American Male Youth: Implications for Testing Practices, Partner Notification, and Treatment
- 1 September 2014
- journal article
- Published by Mary Ann Liebert Inc in AIDS Patient Care and STDs
- Vol. 28 (9), 499-506
- https://doi.org/10.1089/apc.2013.0316
Abstract
A self-administered, street intercept survey was conducted in order to examine the relation of stigma and shame associated with sexually transmitted infections (STI) to STI testing practices, partner notification, and partner-delivered treatment among young African American men (n=108) in a low-income, urban community in San Francisco with high STI burden. Multivariate logistic regression revealed that increasing STI-related stigma was significantly associated with a decreased odds of STI testing, such that every standard deviation increase in stigma score was associated with 0.62 decreased odds of having been tested (aOR: 0.62, 95% CI: 0.38-1.00), controlling for age. STI stigma was also significantly associated with a decreased willingness to notify non-main partners of an STI (aOR: 0.64 95% CI: 0.41-0.99). Participants with higher levels of stigma and shame were also significantly less likely to be willing to deliver STI medication to a partner (stigma aOR: 0.57, 95% CI: 0.37-0.88; shame aOR 0.53 95% CI: 0.34-0.83). Findings suggest that STI-related stigma and shame, common in this population, could undermine STI testing, treatment, and partner notification programs. The medical establishment, one of the institutional factors to have reinforced this culture of stigma, must aid efforts to reduce its effects through providing integrated services, reframing sexual health in campaigns, educating clients, and providing wider options to aid disclosure and partner notification practices.Keywords
This publication has 28 references indexed in Scilit:
- Unveiling the hidden epidemic: a review of stigma associated with sexually transmissible infectionsSexual Health, 2011
- Patient and Partner Perspectives on Patient-Delivered Partner Screening: Acceptability, Benefits, and BarriersAIDS Patient Care and STDs, 2010
- A Closer Look at Age: Deconstructing Aggregate Gonorrhea and Chlamydia Rates, California, 1998–2007Sexually Transmitted Diseases, 2010
- Does Patient-Delivered Partner Treatment Improve Disclosure for Treatable Sexually Transmitted Diseases?AIDS Patient Care and STDs, 2010
- HIV Testing Rates, Testing Locations, and Healthcare Utilization among Urban African-American MenJournal of Urban Health, 2008
- Relationship of STD-Related Shame and Stigma to Female Adolescents’ Condom-Protected IntercourseJournal of Adolescent Health, 2007
- Computerized HIV Preventive Intervention for Adolescents: Indications of EfficacyAmerican Journal of Public Health, 2007
- Ten Largest Racial and Ethnic Health Disparities in the United States based on Healthy People 2010 ObjectivesAmerican Journal of Epidemiology, 2007
- Improved effectiveness of partner notification for patients with sexually transmitted infections: systematic reviewBMJ, 2007
- Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternativesStructural Equation Modeling: A Multidisciplinary Journal, 1999