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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
arts and humanities
A comparison of HIV stigma and discrimination in five international sites: The influence of care and treatment resources in high prevalence settings
Social Science and Medicine, Volume 68, No. 12, Year 2009
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Description
What accounts for differences in HIV stigma across different high prevalence settings? This study was designed to examine HIV stigma and discrimination in five high prevalence settings. Qualitative data were collected as part of the U.S. National Institute of Mental Health (NIMH) Project Accept, a multi-site community randomized trial of community-based HIV voluntary counseling and testing. In-depth interviews were conducted with 655 participants in five sites, four in Sub-Saharan Africa and one in Southeast Asia. Interviews were conducted in the local languages by trained research staff. Data were audiotaped, transcribed, translated, coded and computerized for thematic data analysis. Participants described the stigmatizing attitudes and behaviors perpetuated against people living with HIV/AIDS (PLWHA). The factors that contribute to HIV stigma and discrimination include fear of transmission, fear of suffering and death, and the burden of caring for PLWHA. The family, access to antiretrovirals and other resources, and self-protective behaviors of PLWHA protected against HIV stigma and discrimination. Variation in the availability of health and socioeconomic resources designed to mitigate the impact of HIV/AIDS helps explain differences in HIV stigma and discrimination across the settings. Increasing access to treatment and care resources may function to lower HIV stigma, however, providing services is not enough. We need effective strategies to reduce HIV stigma as treatment and care resources are scaled up in the settings that are most heavily impacted by the HIV epidemic. © 2009 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Maman, Suzanne
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Abler, Laurie A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Parker, Lisa
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Lane, Tim
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Chirowodza, Admire C.
South Africa, Durban
Health Sciences Research Council
Ntogwisangu, Jacob
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Srirak, Namtip
Thailand, Chaing Mai
Chiang Mai University
Modiba, Precious
South Africa, Johannesburg
Perinatal Hiv Research Unit
Murima, Oliver
Zimbabwe, Harare
University of Zimbabwe
Fritz, Katherine E.
United States, Washington, D.c.
International Center for Research on Women
Statistics
Citations: 176
Authors: 10
Affiliations: 8
Identifiers
Doi:
10.1016/j.socscimed.2009.04.002
ISSN:
02779536
Research Areas
Health System And Policy
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Study Approach
Qualitative