Perceived discrimination and stigma toward children affected by HIV/AIDS and their HIV-positive caregivers in central Haiti
Identifieur interne : 001090 ( Pmc/Corpus ); précédent : 001089; suivant : 001091Perceived discrimination and stigma toward children affected by HIV/AIDS and their HIV-positive caregivers in central Haiti
Auteurs : Pamela J. Surkan ; Joia S. Mukherjee ; David R. Williams ; Eddy Eustache ; Ermaze Louis ; Thierry Jean-Paul ; Wesler Lambert ; Fiona C. Scanlan ; Catherine M. Oswald ; Mary C. Smith FawziSource :
- AIDS care [ 0954-0121 ] ; 2010.
Abstract
In many settings worldwide, HIV-positive individuals have experienced a significant level of stigma and discrimination. This discrimination may also impact other family members affected by the disease, including children. The aim of our study was to identify factors associated with stigma and/or discrimination among HIV-affected youth and their HIV-positive caregivers in central Haiti. Recruitment of HIV-positive patients with children aged 10–17 years was conducted in 2006–2007. Data on HIV-related stigma and/or discrimination were based on interviews with 451 youth and 292 caregivers. Thirty-two percent of caregivers reported that children were discriminated against because of HIV/AIDS. Commune of residence was associated with discrimination against children affected by HIV/AIDS and HIV-related stigma among HIV-positive caregivers, suggesting variability across communities. Multivariable regression models showed that lacking social support, being an orphan, and caregiver HIV-related stigma were associated with discrimination in HIV-affected children. Caregiver HIV-related stigma demonstrated a strong association with depressive symptoms. The results could inform strategies for potential interventions to reduce HIV-related stigma and discrimination. These may include increasing social and caregiver support of children affected by HIV, enhancing support of caregivers to reduce burden of depressive symptoms, and promoting reduction of HIV-related stigma and discrimination at the community-level.
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DOI: 10.1080/09540120903443392
PubMed: 20635244
PubMed Central: 3017757
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Mukherjee</name><affiliation><nlm:aff id="A2">Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author><author><name sortKey="Williams, David R" sort="Williams, David R" uniqKey="Williams D" first="David R." last="Williams">David R. 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Surkan</name><affiliation><nlm:aff id="A1">Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff></affiliation></author><author><name sortKey="Mukherjee, Joia S" sort="Mukherjee, Joia S" uniqKey="Mukherjee J" first="Joia S." last="Mukherjee">Joia S. Mukherjee</name><affiliation><nlm:aff id="A2">Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author><author><name sortKey="Williams, David R" sort="Williams, David R" uniqKey="Williams D" first="David R." last="Williams">David R. Williams</name><affiliation><nlm:aff id="A4">Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Eustache, Eddy" sort="Eustache, Eddy" uniqKey="Eustache E" first="Eddy" last="Eustache">Eddy Eustache</name><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author><author><name sortKey="Louis, Ermaze" sort="Louis, Ermaze" uniqKey="Louis E" first="Ermaze" last="Louis">Ermaze Louis</name><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author><author><name sortKey="Jean Paul, Thierry" sort="Jean Paul, Thierry" uniqKey="Jean Paul T" first="Thierry" last="Jean-Paul">Thierry Jean-Paul</name><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author><author><name sortKey="Lambert, Wesler" sort="Lambert, Wesler" uniqKey="Lambert W" first="Wesler" last="Lambert">Wesler Lambert</name><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author><author><name sortKey="Scanlan, Fiona C" sort="Scanlan, Fiona C" uniqKey="Scanlan F" first="Fiona C." last="Scanlan">Fiona C. Scanlan</name><affiliation><nlm:aff id="A2">Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Oswald, Catherine M" sort="Oswald, Catherine M" uniqKey="Oswald C" first="Catherine M." last="Oswald">Catherine M. Oswald</name><affiliation><nlm:aff id="A2">Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author><author><name sortKey="Fawzi, Mary C Smith" sort="Fawzi, Mary C Smith" uniqKey="Fawzi M" first="Mary C. Smith" last="Fawzi">Mary C. Smith Fawzi</name><affiliation><nlm:aff id="A2">Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Zanmi Lasante/Partners in Health, Hinche, Haiti</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">In many settings worldwide, HIV-positive individuals have experienced a significant level of stigma and discrimination. This discrimination may also impact other family members affected by the disease, including children. The aim of our study was to identify factors associated with stigma and/or discrimination among HIV-affected youth and their HIV-positive caregivers in central Haiti. Recruitment of HIV-positive patients with children aged 10–17 years was conducted in 2006–2007. Data on HIV-related stigma and/or discrimination were based on interviews with 451 youth and 292 caregivers. Thirty-two percent of caregivers reported that children were discriminated against because of HIV/AIDS. Commune of residence was associated with discrimination against children affected by HIV/AIDS and HIV-related stigma among HIV-positive caregivers, suggesting variability across communities. Multivariable regression models showed that lacking social support, being an orphan, and caregiver HIV-related stigma were associated with discrimination in HIV-affected children. Caregiver HIV-related stigma demonstrated a strong association with depressive symptoms. The results could inform strategies for potential interventions to reduce HIV-related stigma and discrimination. These may include increasing social and caregiver support of children affected by HIV, enhancing support of caregivers to reduce burden of depressive symptoms, and promoting reduction of HIV-related stigma and discrimination at the community-level.</p></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8915313</journal-id><journal-id journal-id-type="pubmed-jr-id">1056</journal-id><journal-id journal-id-type="nlm-ta">AIDS Care</journal-id><journal-title>AIDS care</journal-title><issn pub-type="ppub">0954-0121</issn><issn pub-type="epub">1360-0451</issn></journal-meta><article-meta><article-id pub-id-type="pmid">20635244</article-id><article-id pub-id-type="pmc">3017757</article-id><article-id pub-id-type="doi">10.1080/09540120903443392</article-id><article-id pub-id-type="manuscript">NIHMS260392</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Perceived discrimination and stigma toward children affected by HIV/AIDS and their HIV-positive caregivers in central Haiti</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Surkan</surname><given-names>Pamela J.</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>Mukherjee</surname><given-names>Joia S.</given-names></name><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Williams</surname><given-names>David R.</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib><contrib contrib-type="author"><name><surname>Eustache</surname><given-names>Eddy</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Louis</surname><given-names>Ermaze</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Jean-Paul</surname><given-names>Thierry</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Lambert</surname><given-names>Wesler</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Scanlan</surname><given-names>Fiona C.</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Oswald</surname><given-names>Catherine M.</given-names></name><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Fawzi</surname><given-names>Mary C. Smith</given-names></name><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A3">c</xref></contrib></contrib-group><aff id="A1"><label>a</label>Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</aff><aff id="A2"><label>b</label>Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA</aff><aff id="A3"><label>c</label>Zanmi Lasante/Partners in Health, Hinche, Haiti</aff><aff id="A4"><label>d</label>Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, USA</aff><author-notes><corresp id="cor1"><label>*</label>Corresponding author. <email>psurkan@jhsph.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>30</day><month>12</month><year>2010</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>7</month><year>2011</year></pub-date><volume>22</volume><issue>7</issue><fpage>803</fpage><lpage>815</lpage><permissions><copyright-statement>© 2010 Taylor & Francis</copyright-statement><copyright-year>2010</copyright-year></permissions><abstract><p id="P1">In many settings worldwide, HIV-positive individuals have experienced a significant level of stigma and discrimination. This discrimination may also impact other family members affected by the disease, including children. The aim of our study was to identify factors associated with stigma and/or discrimination among HIV-affected youth and their HIV-positive caregivers in central Haiti. Recruitment of HIV-positive patients with children aged 10–17 years was conducted in 2006–2007. Data on HIV-related stigma and/or discrimination were based on interviews with 451 youth and 292 caregivers. Thirty-two percent of caregivers reported that children were discriminated against because of HIV/AIDS. Commune of residence was associated with discrimination against children affected by HIV/AIDS and HIV-related stigma among HIV-positive caregivers, suggesting variability across communities. Multivariable regression models showed that lacking social support, being an orphan, and caregiver HIV-related stigma were associated with discrimination in HIV-affected children. Caregiver HIV-related stigma demonstrated a strong association with depressive symptoms. The results could inform strategies for potential interventions to reduce HIV-related stigma and discrimination. These may include increasing social and caregiver support of children affected by HIV, enhancing support of caregivers to reduce burden of depressive symptoms, and promoting reduction of HIV-related stigma and discrimination at the community-level.</p></abstract><kwd-group><kwd>discrimination</kwd><kwd>stigma</kwd><kwd>HIV</kwd><kwd>Haiti</kwd><kwd>youth</kwd><kwd>caregivers</kwd></kwd-group><contract-num rid="MH1">R21 MH076447-02
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