Socioeconomic gradients in internalized stigma among persons with HIV in sub-Saharan Africa
Identifieur interne : 002007 ( Pmc/Corpus ); précédent : 002006; suivant : 002008Socioeconomic gradients in internalized stigma among persons with HIV in sub-Saharan Africa
Auteurs : Alexander C. TsaiSource :
- AIDS and behavior [ 1090-7165 ] ; 2015.
Abstract
The stigma attached to HIV is a major public health problem. HIV-associated morbidity, the specter of impending premature mortality, and reduced capacity to reciprocate within networks of mutual aid are key contributors to status loss and the social exclusion of persons with HIV in sub-Saharan Africa. The pooled dataset used in my analysis, which includes 4,314 persons with HIV surveyed in 12 different sub-Saharan African countries, represents the largest study to date of internalized stigma among persons with HIV. My findings indicate that nearly one-fifth of study participants provided survey responses consistent with internalization of stigmatizing beliefs. Furthermore, striking socioeconomic gradients in internalized stigma were observed. A clear implication of my findings is that the adverse health and psychosocial impacts of HIV stigma are likely concentrated among those with the fewest socioeconomic resources for managing and resisting it.
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DOI: 10.1007/s10461-014-0993-7
PubMed: 25572833
PubMed Central: 4344381
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id><journal-title-group><journal-title>AIDS and behavior</journal-title></journal-title-group><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25572833</article-id><article-id pub-id-type="pmc">4344381</article-id><article-id pub-id-type="doi">10.1007/s10461-014-0993-7</article-id><article-id pub-id-type="manuscript">NIHMS654133</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Socioeconomic gradients in internalized stigma among persons with HIV in sub-Saharan Africa</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tsai</surname><given-names>Alexander C.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A3">c</xref><xref rid="FN1" ref-type="author-notes">*</xref></contrib></contrib-group><aff id="A1"><label>a</label>Center for Global Health and Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, US</aff><aff id="A2"><label>b</label>Harvard Medical School, Boston, Massachusetts, US</aff><aff id="A3"><label>c</label>Mbarara University of Science and Technology, Mbarara, Uganda</aff><author-notes><corresp id="FN1"><label>*</label>Correspondence: Alexander Tsai, MGH Center for Global Health, 100 Cambridge Street, 15th floor, Boston, Massachusetts, 02114, United States (<email>actsai@partners.org</email>)</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>10</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>2</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>2</month><year>2016</year></pub-date><volume>19</volume><issue>2</issue><fpage>270</fpage><lpage>282</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s10461-014-0993-7</pmc-comment>
<abstract><p id="P1">The stigma attached to HIV is a major public health problem. HIV-associated morbidity, the specter of impending premature mortality, and reduced capacity to reciprocate within networks of mutual aid are key contributors to status loss and the social exclusion of persons with HIV in sub-Saharan Africa. The pooled dataset used in my analysis, which includes 4,314 persons with HIV surveyed in 12 different sub-Saharan African countries, represents the largest study to date of internalized stigma among persons with HIV. My findings indicate that nearly one-fifth of study participants provided survey responses consistent with internalization of stigmatizing beliefs. Furthermore, striking socioeconomic gradients in internalized stigma were observed. A clear implication of my findings is that the adverse health and psychosocial impacts of HIV stigma are likely concentrated among those with the fewest socioeconomic resources for managing and resisting it.</p></abstract><kwd-group><kwd>social stigma</kwd><kwd>social discrimination</kwd><kwd>HIV</kwd><kwd>Africa South of the Sahara</kwd><kwd>social class</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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