A comparison of HIV stigma and discrimination in five international sites: The influence of care and treatment resources in high prevalence settings
Identifieur interne : 005B28 ( Main/Exploration ); précédent : 005B27; suivant : 005B29A comparison of HIV stigma and discrimination in five international sites: The influence of care and treatment resources in high prevalence settings
Auteurs : Suzanne Maman [États-Unis] ; Laurie Abler [États-Unis] ; Lisa Parker [États-Unis] ; Tim Lane [États-Unis] ; Admire Chirowodza [Afrique du Sud] ; Jacob Ntogwisangu [Tanzanie] ; Namtip Srirak [Thaïlande] ; Precious Modiba [Afrique du Sud] ; Oliver Murima [Zimbabwe] ; Katherine Fritz [États-Unis]Source :
- Social science & medicine : (1982) [ 0277-9536 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- traitement médicamenteux : Infections à VIH.
- épidémiologie : Infections à VIH.
- Pascal (Inist)
- Adolescent, Adulte, Afrique, Entretiens comme sujet, Femelle, Humains, Jeune adulte, Maladie chronique, Etude comparative, Mâle, Prejugé, Prestations des soins de santé, SIDA, Stéréotypage, Thaïlande, Virus immunodéficience humaine, Stigmate, Discrimination, International, Monde, Soin, Traitement, Ressource, Prévalence, Santé publique, Service santé, Afrique subsaharienne, Thaïlande, Tanzanie, Médecine sociale, Homme, Maladie stigmatisante.
- Wicri :
- geographic : Thaïlande, Tanzanie.
- topic : Maladie chronique, Santé publique, Médecine sociale, Homme.
English descriptors
- KwdEn :
- AIDS, Adolescent, Adult, Africa, Care, Chronic disease, Comparative study, Delivery of Health Care, Discrimination, Female, HIV Infections (drug therapy), HIV Infections (epidemiology), Health service, Human, Human immunodeficiency virus, Humans, International, Interviews as Topic, Male, Prejudice, Prevalence, Public health, Resource, Social medicine, Stereotyping, Stigma, Sub-Saharan Africa, Tanzania, Thailand, Treatment, World, Young Adult.
- MESH :
- geographic : Africa, Thailand.
- drug therapy : HIV Infections.
- epidemiology : HIV Infections.
- Adolescent, Adult, Delivery of Health Care, Female, Humans, Interviews as Topic, Male, Prejudice, Stereotyping, Young Adult.
Abstract
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.
Url:
Affiliations:
- Afrique du Sud, Tanzanie, Thaïlande, Zimbabwe, États-Unis
- Californie, Caroline du Nord, District de Columbia
- Chapel Hill (Caroline du Nord), Washington (district de Columbia)
- Université de Caroline du Nord à Chapel Hill
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Le document en format XML
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uniqKey="Abler L" first="Laurie" last="Abler">Laurie Abler</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>The University of North Carolina at Chapel Hill</s1><s2>Chapel Hill</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Chapel Hill (Caroline du Nord)</settlement><region type="state">Caroline du Nord</region></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Parker, Lisa" sort="Parker, Lisa" uniqKey="Parker L" first="Lisa" last="Parker">Lisa Parker</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>The University of North Carolina at Chapel Hill</s1><s2>Chapel Hill</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Chapel Hill (Caroline du Nord)</settlement><region type="state">Caroline du Nord</region></placeName><orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName></affiliation></author><author><name sortKey="Lane, Tim" sort="Lane, Tim" uniqKey="Lane T" first="Tim" last="Lane">Tim Lane</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Center for AIDS Prevention Studies, UCSF</s1><s2>San Francisco, CA</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Chirowodza, Admire" sort="Chirowodza, Admire" uniqKey="Chirowodza A" first="Admire" last="Chirowodza">Admire Chirowodza</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Health Sciences Research Council</s1><s2>Durban</s2><s3>ZAF</s3><sZ>5 aut.</sZ></inist:fA14><country>Afrique du Sud</country><wicri:noRegion>Health Sciences Research Council</wicri:noRegion></affiliation></author><author><name sortKey="Ntogwisangu, Jacob" sort="Ntogwisangu, Jacob" uniqKey="Ntogwisangu J" first="Jacob" last="Ntogwisangu">Jacob Ntogwisangu</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Muhimbili University College of Health Sciences</s1><s2>Dar es Salaam</s2><s3>TZA</s3><sZ>6 aut.</sZ></inist:fA14><country>Tanzanie</country><wicri:noRegion>Muhimbili University College of Health Sciences</wicri:noRegion></affiliation></author><author><name sortKey="Srirak, Namtip" sort="Srirak, Namtip" uniqKey="Srirak N" first="Namtip" last="Srirak">Namtip Srirak</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Chiang Mai University</s1><s2>Chiang Mai</s2><s3>THA</s3><sZ>7 aut.</sZ></inist:fA14><country>Thaïlande</country><wicri:noRegion>Chiang Mai University</wicri:noRegion></affiliation></author><author><name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Perinatal HIV Research Unit</s1><s2>Johannesburg</s2><s3>ZAF</s3><sZ>8 aut.</sZ></inist:fA14><country>Afrique du Sud</country><wicri:noRegion>Perinatal HIV Research Unit</wicri:noRegion></affiliation></author><author><name sortKey="Murima, Oliver" sort="Murima, Oliver" uniqKey="Murima O" first="Oliver" last="Murima">Oliver Murima</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>University of Zimbabwe</s1><s2>Harare</s2><s3>ZWE</s3><sZ>9 aut.</sZ></inist:fA14><country>Zimbabwe</country><wicri:noRegion>University of Zimbabwe</wicri:noRegion></affiliation></author><author><name sortKey="Fritz, Katherine" sort="Fritz, Katherine" uniqKey="Fritz K" first="Katherine" last="Fritz">Katherine Fritz</name><affiliation wicri:level="3"><inist:fA14 i1="09"><s1>International Center for Research on Women</s1><s2>Washington DC</s2><s3>USA</s3><sZ>10 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Washington (district de Columbia)</settlement><region type="state">District de Columbia</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Social science & medicine : (1982)</title><title level="j" type="abbreviated">Soc. sci. med. : (1982)</title><idno type="ISSN">0277-9536</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Adolescent</term><term>Adult</term><term>Africa</term><term>Care</term><term>Chronic disease</term><term>Comparative study</term><term>Delivery of Health Care</term><term>Discrimination</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (epidemiology)</term><term>Health service</term><term>Human</term><term>Human immunodeficiency virus</term><term>Humans</term><term>International</term><term>Interviews as Topic</term><term>Male</term><term>Prejudice</term><term>Prevalence</term><term>Public health</term><term>Resource</term><term>Social medicine</term><term>Stereotyping</term><term>Stigma</term><term>Sub-Saharan Africa</term><term>Tanzania</term><term>Thailand</term><term>Treatment</term><term>World</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Afrique</term><term>Entretiens comme sujet</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (traitement médicamenteux)</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Prejugé</term><term>Prestations des soins de santé</term><term>Stéréotypage</term><term>Thaïlande</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Africa</term><term>Thailand</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Delivery of Health Care</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Prejudice</term><term>Stereotyping</term><term>Young Adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Afrique</term><term>Entretiens comme sujet</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladie chronique</term><term>Etude comparative</term><term>Mâle</term><term>Prejugé</term><term>Prestations des soins de santé</term><term>SIDA</term><term>Stéréotypage</term><term>Thaïlande</term><term>Virus immunodéficience humaine</term><term>Stigmate</term><term>Discrimination</term><term>International</term><term>Monde</term><term>Soin</term><term>Traitement</term><term>Ressource</term><term>Prévalence</term><term>Santé publique</term><term>Service santé</term><term>Afrique subsaharienne</term><term>Thaïlande</term><term>Tanzanie</term><term>Médecine sociale</term><term>Homme</term><term>Maladie stigmatisante</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Thaïlande</term><term>Tanzanie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie chronique</term><term>Santé publique</term><term>Médecine sociale</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Tanzanie</li><li>Thaïlande</li><li>Zimbabwe</li><li>États-Unis</li></country><region><li>Californie</li><li>Caroline du Nord</li><li>District de Columbia</li></region><settlement><li>Chapel Hill (Caroline du Nord)</li><li>Washington (district de Columbia)</li></settlement><orgName><li>Université de Caroline du Nord à Chapel Hill</li></orgName></list><tree><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Maman, Suzanne" sort="Maman, Suzanne" uniqKey="Maman S" first="Suzanne" last="Maman">Suzanne Maman</name></region><name sortKey="Abler, Laurie" sort="Abler, Laurie" uniqKey="Abler L" first="Laurie" last="Abler">Laurie Abler</name><name sortKey="Fritz, Katherine" sort="Fritz, Katherine" uniqKey="Fritz K" first="Katherine" last="Fritz">Katherine Fritz</name><name sortKey="Lane, Tim" sort="Lane, Tim" uniqKey="Lane T" first="Tim" last="Lane">Tim Lane</name><name sortKey="Parker, Lisa" sort="Parker, Lisa" uniqKey="Parker L" first="Lisa" last="Parker">Lisa Parker</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Chirowodza, Admire" sort="Chirowodza, Admire" uniqKey="Chirowodza A" first="Admire" last="Chirowodza">Admire Chirowodza</name></noRegion><name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name></country><country name="Tanzanie"><noRegion><name sortKey="Ntogwisangu, Jacob" sort="Ntogwisangu, Jacob" uniqKey="Ntogwisangu J" first="Jacob" last="Ntogwisangu">Jacob Ntogwisangu</name></noRegion></country><country name="Thaïlande"><noRegion><name sortKey="Srirak, Namtip" sort="Srirak, Namtip" uniqKey="Srirak N" first="Namtip" last="Srirak">Namtip Srirak</name></noRegion></country><country name="Zimbabwe"><noRegion><name sortKey="Murima, Oliver" sort="Murima, Oliver" uniqKey="Murima O" first="Oliver" last="Murima">Oliver Murima</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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