Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">HIV/AIDS-related stigma in South African alcohol-serving venues and its potential impact on HIV disclosure, testing, and treatment-seeking behaviours</title>
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<name sortKey="Velloza, Jennifer" sort="Velloza, Jennifer" uniqKey="Velloza J" first="Jennifer" last="Velloza">Jennifer Velloza</name>
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<nlm:aff id="A1">Duke Global Health Institute, Duke University, Durham, NC, USA</nlm:aff>
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<name sortKey="Watt, Melissa H" sort="Watt, Melissa H" uniqKey="Watt M" first="Melissa H." last="Watt">Melissa H. Watt</name>
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<name sortKey="Choi, Karmel W" sort="Choi, Karmel W" uniqKey="Choi K" first="Karmel W." last="Choi">Karmel W. Choi</name>
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<nlm:aff id="A1">Duke Global Health Institute, Duke University, Durham, NC, USA</nlm:aff>
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<affiliation>
<nlm:aff id="A2">Department of Psychology and Neuroscience, Duke University, Durham, NC, USA</nlm:aff>
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<name sortKey="Abler, Laurie" sort="Abler, Laurie" uniqKey="Abler L" first="Laurie" last="Abler">Laurie Abler</name>
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<name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name>
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<name sortKey="Skinner, Donald" sort="Skinner, Donald" uniqKey="Skinner D" first="Donald" last="Skinner">Donald Skinner</name>
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<name sortKey="Pieterse, Desiree" sort="Pieterse, Desiree" uniqKey="Pieterse D" first="Desiree" last="Pieterse">Desiree Pieterse</name>
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<nlm:aff id="A4">Unit for Research on Health and Society, Stellenbosch University, Tygerberg, South Africa</nlm:aff>
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<title xml:lang="en" level="a" type="main">HIV/AIDS-related stigma in South African alcohol-serving venues and its potential impact on HIV disclosure, testing, and treatment-seeking behaviours</title>
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<name sortKey="Velloza, Jennifer" sort="Velloza, Jennifer" uniqKey="Velloza J" first="Jennifer" last="Velloza">Jennifer Velloza</name>
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</affiliation>
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<author>
<name sortKey="Watt, Melissa H" sort="Watt, Melissa H" uniqKey="Watt M" first="Melissa H." last="Watt">Melissa H. Watt</name>
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<nlm:aff id="A1">Duke Global Health Institute, Duke University, Durham, NC, USA</nlm:aff>
</affiliation>
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<author>
<name sortKey="Choi, Karmel W" sort="Choi, Karmel W" uniqKey="Choi K" first="Karmel W." last="Choi">Karmel W. Choi</name>
<affiliation>
<nlm:aff id="A1">Duke Global Health Institute, Duke University, Durham, NC, USA</nlm:aff>
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<affiliation>
<nlm:aff id="A2">Department of Psychology and Neuroscience, Duke University, Durham, NC, USA</nlm:aff>
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<name sortKey="Abler, Laurie" sort="Abler, Laurie" uniqKey="Abler L" first="Laurie" last="Abler">Laurie Abler</name>
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<nlm:aff id="A1">Duke Global Health Institute, Duke University, Durham, NC, USA</nlm:aff>
</affiliation>
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<name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name>
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<nlm:aff id="A3">Department of Psychology, University of Connecticut, Storrs, CT, USA</nlm:aff>
</affiliation>
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<name sortKey="Skinner, Donald" sort="Skinner, Donald" uniqKey="Skinner D" first="Donald" last="Skinner">Donald Skinner</name>
<affiliation>
<nlm:aff id="A4">Unit for Research on Health and Society, Stellenbosch University, Tygerberg, South Africa</nlm:aff>
</affiliation>
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<name sortKey="Pieterse, Desiree" sort="Pieterse, Desiree" uniqKey="Pieterse D" first="Desiree" last="Pieterse">Desiree Pieterse</name>
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<nlm:aff id="A4">Unit for Research on Health and Society, Stellenbosch University, Tygerberg, South Africa</nlm:aff>
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<name sortKey="Sikkema, Kathleen J" sort="Sikkema, Kathleen J" uniqKey="Sikkema K" first="Kathleen J." last="Sikkema">Kathleen J. Sikkema</name>
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<nlm:aff id="A1">Duke Global Health Institute, Duke University, Durham, NC, USA</nlm:aff>
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<nlm:aff id="A2">Department of Psychology and Neuroscience, Duke University, Durham, NC, USA</nlm:aff>
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<p id="P1">Alcohol-serving venues in South Africa are sites for high-risk behaviours that may lead to HIV transmission. Prevention and treatment interventions are sorely needed in these settings, but HIV-related stigma may limit their effectiveness. This study explored expressions of stigma among alcohol-serving venue patrons in Cape Town and examined the potential impact of stigma on HIV disclosure, testing, and treatment-seeking behaviours. A total of 92 in-depth interviews with male and female, Black and Coloured patrons were conducted. Transcripts were analysed via memo-writing and diagramming techniques. Many participants mentioned knowing other patrons living with HIV/AIDS (PLWH), and this visibility of HIV impacted expressions of HIV-related stigma. Participants discussed four forms of HIV-related stigma in the venues: fearing PLWH, fearing HIV acquisition, blaming others for spreading HIV, and isolating PLWH. HIV visibility and expressions of HIV-related stigma, particularly fear of isolation, influenced participants’ willingness to disclose their status. HIV-related stigma in the venues also appeared to indirectly influence testing and treatment-seeking behaviour outside the venue. Results suggest that efforts to change norms and reduce expressions of HIV-related stigma in alcohol-serving venues are necessary to successfully deliver tailored HIV prevention interventions and increase uptake of HIV testing and care in this important social setting.</p>
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<article-title>HIV/AIDS-related stigma in South African alcohol-serving venues and its potential impact on HIV disclosure, testing, and treatment-seeking behaviours</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Velloza</surname>
<given-names>Jennifer</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Watt</surname>
<given-names>Melissa H.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Choi</surname>
<given-names>Karmel W.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Abler</surname>
<given-names>Laurie</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kalichman</surname>
<given-names>Seth C.</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Skinner</surname>
<given-names>Donald</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pieterse</surname>
<given-names>Desiree</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sikkema</surname>
<given-names>Kathleen J.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>a</label>
Duke Global Health Institute, Duke University, Durham, NC, USA</aff>
<aff id="A2">
<label>b</label>
Department of Psychology and Neuroscience, Duke University, Durham, NC, USA</aff>
<aff id="A3">
<label>c</label>
Department of Psychology, University of Connecticut, Storrs, CT, USA</aff>
<aff id="A4">
<label>d</label>
Unit for Research on Health and Society, Stellenbosch University, Tygerberg, South Africa</aff>
<author-notes>
<corresp id="cor1">
<label>*</label>
Corresponding author.
<email>Jennifer.velloza@duke.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>7</day>
<month>1</month>
<year>2015</year>
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<pub-date pub-type="epub">
<day>29</day>
<month>1</month>
<year>2015</year>
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<pub-date pub-type="ppub">
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<issue>9</issue>
<fpage>1092</fpage>
<lpage>1106</lpage>
<pmc-comment>elocation-id from pubmed: 10.1080/17441692.2014.1001767</pmc-comment>
<abstract>
<p id="P1">Alcohol-serving venues in South Africa are sites for high-risk behaviours that may lead to HIV transmission. Prevention and treatment interventions are sorely needed in these settings, but HIV-related stigma may limit their effectiveness. This study explored expressions of stigma among alcohol-serving venue patrons in Cape Town and examined the potential impact of stigma on HIV disclosure, testing, and treatment-seeking behaviours. A total of 92 in-depth interviews with male and female, Black and Coloured patrons were conducted. Transcripts were analysed via memo-writing and diagramming techniques. Many participants mentioned knowing other patrons living with HIV/AIDS (PLWH), and this visibility of HIV impacted expressions of HIV-related stigma. Participants discussed four forms of HIV-related stigma in the venues: fearing PLWH, fearing HIV acquisition, blaming others for spreading HIV, and isolating PLWH. HIV visibility and expressions of HIV-related stigma, particularly fear of isolation, influenced participants’ willingness to disclose their status. HIV-related stigma in the venues also appeared to indirectly influence testing and treatment-seeking behaviour outside the venue. Results suggest that efforts to change norms and reduce expressions of HIV-related stigma in alcohol-serving venues are necessary to successfully deliver tailored HIV prevention interventions and increase uptake of HIV testing and care in this important social setting.</p>
</abstract>
<kwd-group>
<kwd>HIV-related stigma</kwd>
<kwd>alcohol-serving venue</kwd>
<kwd>South Africa</kwd>
<kwd>alcohol</kwd>
<kwd>qualitative</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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