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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
nursing
A conceptual model of HIV/AIDS stigma from five African countries
Journal of Advanced Nursing, Volume 58, No. 6, Year 2007
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Description
Aim. This paper is a report on the development of a conceptual model delineating contexts and processes of HIV/AIDS stigma as reported by persons living with HIV/AIDS and nurses from African countries. It is part of a larger study to increase understanding of HIV/AIDS stigma. Background. Researchers have defined stigma, explored determinants and outcomes of stigma and attempted to measure its multiple dimensions. This literature is difficult to synthesize, and often does not distinguish adequately between experiences of stigma and its causes and outcomes. Method. Forty-three focus groups were held with persons living with HIV/AIDS and nurses in five African countries in 2004. Focus group recordings were transcribed and coded. The data were organized into a conceptual model of HIV/AIDS stigma. Findings. Two components were identified in the data: contextual factors - environment, healthcare system, agents - that influence and affect stigma and the stigma process itself. The stigma process included four dimensions: triggers of stigma, stigmatizing behaviours, types of stigma and the outcomes of stigma. Conclusion. A conceptual model is presented that delineates the dynamic nature of stigma as reported by study participants. The model may be used to identify areas appropriate for the design and testing of stigma reduction interventions that have a goal of reducing the burden of HIV/AIDS stigma. © 2007 Blackwell Publishing Ltd.
Authors & Co-Authors
Holzemer, William L.
United States, San Francisco
University of California, San Francisco
Uys, Leana Ria
South Africa, Durban
University of Kwazulu-natal
Makoae, Lucy Nthabiseng
Lesotho, Roma
National University of Lesotho
Stewart, Anita L.
United States, San Francisco
University of California, San Francisco
Phetlhu, René Deliwe
South Africa, Potchefstroom
North-west University
Dlamini, Priscilla S.
Swaziland, Mbabane
University of Eswatini
Greeff, Minrie
Swaziland, Mbabane
University of Eswatini
Kohi, Thecla W.
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Chirwa, Maureen Leah
Malawi, Zomba
University of Malawi
Cuca, Yvette P.
United States, San Francisco
University of California, San Francisco
Naidoo, Joanne Rachel
South Africa, Durban
University of Kwazulu-natal
Statistics
Citations: 225
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1111/j.1365-2648.2007.04244.x
ISSN:
03092402
e-ISSN:
13652648
Research Areas
Health System And Policy
Infectious Diseases
Study Approach
Qualitative