AIDS-related stigma, HIV testing, and transmission risk among patrons of informal drinking places in Cape Town, South Africa.

Journal Article (Journal Article)


AIDS-related stigma as a barrier to HIV testing has not been examined within the context of high at risk environments such as drinking venues. Of particular importance is whether AIDS-related stigma is associated with HIV transmission risks among people who have never been tested for HIV.


We examined: (1) AIDS-related stigma as a barrier to testing, controlling for other potential barriers, and (2) whether stigma is associated with HIV risks among HIV-untested individuals.


We surveyed 2,572 individuals attending informal drinking establishments in Cape Town, South Africa to assess HIV testing status, AIDS-related stigma endorsement, and HIV transmission sexual risk behavior.


Endorsement of AIDS-related stigma was negatively associated with HIV lifetime testing. In addition, stigma endorsement was associated with higher HIV transmission risks.


AIDS-related stigma must be addressed in HIV prevention campaigns across South Africa. Antistigma messages should be integrated with risk reduction counseling and testing.

Full Text

Duke Authors

Cited Authors

  • Pitpitan, EV; Kalichman, SC; Eaton, LA; Cain, D; Sikkema, KJ; Skinner, D; Watt, MH; Pieterse, D

Published Date

  • June 2012

Published In

Volume / Issue

  • 43 / 3

Start / End Page

  • 362 - 371

PubMed ID

  • 22367752

Pubmed Central ID

  • 22367752

Electronic International Standard Serial Number (EISSN)

  • 1532-4796

International Standard Serial Number (ISSN)

  • 0883-6612

Digital Object Identifier (DOI)

  • 10.1007/s12160-012-9346-9


  • eng