Predictors of Discrimination Towards People Living With HIV/ AIDS Among People Aged 15–49 Years in Ethiopia: A Multilevel Analysis

DOI: https://doi.org/10.21203/rs.3.rs-130795/v1

Abstract

Background

There is limited national representative evidence on determinants of discrimination towards people living with HIV/AIDS especially, community level factors are not investigated in Ethiopia. Thus, this study aimed to assess individual and community level factors associated with discrimination towards people living with HIV/AIDS among 15 to 49 age people in Ethiopia.

Method

A secondary data analysis was done on the 2016 Ethiopian Demographic and Health Survey dataset which were collected cross-sectional. A total of 25,927 15 to 49 age people were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05.

Result

from individual variables, female [AOR=1.47, 95% CI= (1.18, 1.83)], rural dwellers [AOR=1.65, 95% CI= ( 1.23,  2.21)], not attend education[AOR=5.88,95% CI= (4.50, 7.67)], attending primary education [AOR=3.03, 95% CI= (2.40, 3.81)] and attending secondary education  [AOR=1.48, 95% CI= ( 1.19, 1.82)]  have discrimination attitude towards people living with HIV/AIDS.

From community level factors, live in low proportion of educated communities [AOR=1.33, 95% CI= (1.01, 1.65)], live in low proportion of HIV tested communities [AOR=1.61, 95% CI= (1.33, 1.93)] were significantly associated with people living with HIV/AIDS.

Conclusion

sex of the respondent, religion, educational status, house hold wealth index, marital status, media exposure, internet use, HIV test status, region, residence, community level of education and community level of HIV test status have significant association with HIV related stigma in Ethiopia. Improving educational coverage, improving community level HIV/AIDS test coverage are important interventions to reduce discrimination towards people living with HIV/AIDS in the country.

Full Text

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