• Prem Misir


The study focused on the relationship between high school students’ HIV/AIDS knowledge and their stigma-related attitudes/perceptions of the PLHIV; to identify their stigma-related attitudes toward PLHIV and HIV/AIDS; and to recognize differences in knowledge and attitudes by gender, age, ethnicity, religious groups, and SES. This multi-country cross-sectional research utilized 43 schools, with a convenience sample of 1,508 high school students from Guyana, Fiji, Vanuatu, and Antigua and Barbuda. The study utilized an online questionnaire focusing on HIV/AIDS knowledge and HIV/AIDS-related stigma as well as on socio-demographics (gender, age, ethnicity, religion, and SES). Statements in the questionnaire on HIV/AIDS knowledge were referenced from Carey and Schroeder’s International Standardized Questionnaire on HIV and AIDS Knowledge. The nine statements in the questionnaire on HIV/AIDS-related stigma were referenced from Kalichman, Simbayi, et al.’s International Standardized Questionnaire on Stigma: AIDS-Related Stigma Scale. Stata, Version 13, facilitated the processing and analysis of the questionnaire data. The study applied these statistical protocols: Descriptive statistics; Histogram; QQ plot; T-test; Chi-square; the Bonferroni Post hoc test; Pearson product-moment correlation; Linear regression; and Logistic regression. The tests used a significance level of p<0.05.


  1. Adler, N. E., and J. M. Ostrove. (1999). “Socioeconomic status and health: What we know and what we don’t.” Annals of the New York Academy of Sciences 896(1): 3–15.CrossRefGoogle Scholar
  2. B.O.S. (2017). “Guyana at a Glance.” Retrieved May 29, 2017, from
  3. Birman, D., et al. (2005). “A tale of two cities: Replication of a study on the acculturation and adaptation of immigrant adolescents from the former Soviet Union in a different community context.” American Journal of Community Psychology 35(1–2): 83–101.CrossRefGoogle Scholar
  4. Carey, M. P., and K. E. Schroder. (2002). “Development and psychometric evaluation of the brief HIV Knowledge Questionnaire.” AIDS Education and Prevention 14(2): 172–182.CrossRefGoogle Scholar
  5. CIA. (2017). “The world factbook: Fiji.” Retrieved May 29, 2017, from
  6. CIA. (2018). “The world factbook.” Retrieved February 10, 2018, from
  7. Dé Ishtar, Z. (2005). “Striving for a common language: A white feminist parallel to indigenous ways of knowing and researching.” Women’s Studies International Forum 28(5): 357–368.CrossRefGoogle Scholar
  8. Goffman, E. (2009). Stigma: Notes on the management of spoiled identity. Simon and Schuster.Google Scholar
  9. Hall, B. L., and J. C. Kulig. (2004). “Kanadier Mennonites: A case study examining research challenges among religious groups.” Qualitative Health Research 14(3): 359–368.CrossRefGoogle Scholar
  10. Kalichman, S. C., et al. (2005). “Development of a brief scale to measure AIDS-related stigma in South Africa.” AIDS and Behavior 9(2): 135–143.CrossRefGoogle Scholar
  11. Kawachi, I., et al. (2002). “A glossary for health inequalities.” Journal of Epidemiology & Community Health 56(9): 647–652.CrossRefGoogle Scholar
  12. Liamputtong, P. (2008). Doing research in a cross-cultural context: Methodological and ethical challenges. Doing cross-cultural research, Springer: 3–20.Google Scholar
  13. Misir, P. (2013). HIV & AIDS: Knowledge and stigma in Guyana. University of the West Indies Press.Google Scholar
  14. Nubed, C. K., and J.-F. T. K. Akoachere. (2016). “Knowledge, attitudes and practices regarding HIV/AIDS among senior secondary school students in Fako Division, South West Region, Cameroon.” BMC Public Health 16(1): 847.Google Scholar
  15. Papadopoulos, I., and S. Lees. (2002). “Developing culturally competent researchers.” Journal of Advanced Nursing 37(3): 258–264.CrossRefGoogle Scholar
  16. Peltzer, K., and S. Pengpid. (2013). “Socioeconomic factors in adherence to HIV therapy in low-and middle-income countries.” Journal of Health, Population, and Nutrition 31(2): 150.Google Scholar
  17. Weinfurt, K. P., and F. M. Moghaddam. (2001). “Culture and social distance: A case study of methodological cautions.” The Journal of Social Psychology 141(1): 101–110.CrossRefGoogle Scholar

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© The Author(s) 2019

Authors and Affiliations

  • Prem Misir
    • 1
  1. 1.The University of the South Pacific (USP), Solomon Islands CampusHoniaraSolomon Islands

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