The Relationship between Health Worker Stigma and Uptake of HIV Counseling and Testing and Utilization of Non-HIV Health Services: The Experience of Male and Female Sex Workers in Kenya

Nyblade, L., Reddy, A., Mbote, D., et al. AIDS Care (March 2017), 29 (11);1364-1372, doi: 10.1080/09540121.2017.1307922.

This study examined sex work-associated stigma from health care workers (HCWs) directed toward male and female sex workers (MSWs and FSWs) and the impact of stigma on uptake of HIV counseling and testing (HCT) services and non-HIV-health-related services. A total of 497 FSWs and 232 MSWs were interviewed in four counties across Kenya. Half of the participants reported expecting to be stigmatized by an HCW in the past 12 months. Around half of FSWs and MSWs reported experiencing verbal stigma from HCWs; 72 percent of FSWs and 54 percent of MSWs reported experiencing any form of stigma. MSWs and FSWs who experienced stigma were more likely to avoid HCT and men were also more likely to delay HCT. FSWs and MSWs who experienced stigma were more likely to delay non-HIV-health-related services, and FSWs who anticipated stigma were more likely to avoid non-HIV-health-related services. The authors concluded that addressing HCWs' stigma toward key populations is critical to achieving the goal of having 90 percent of all people know their HIV status.

Search the Prevention Update Archive