A generation at risk: a cross-sectional study on HIV/AIDS knowledge, exposure to mass media, and stigmatizing behaviors among young women aged 15–24 years in Ghana

Asamoah, Charity Konadu; Agardh, Anette

doi:10.1080/16549716.2017.1331538

Cited by 35 publications

(43 citation statements)

References 21 publications

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“…Others ostensibly mentioned that they had drawn lessons from witnessing the stigma • Needing social and/or financial support experiences of both PWHB and PLHIV,and that this was their reason for non-disclosure. This is likely the result of hepatitis B often being associated with HIV, which is highly stigmatised in Ghana [37]. In fact, in Ghana, hepatitis B is often misconstrued to be more dangerous than HIV [11], and, in light of the already extensive stigmatisation of PLHIV, it is likely that the associations made between hepatitis B and HIV strengthened our participants' commitment not to disclose their chronic hepatitis B status.…”

Section: Discussionmentioning

confidence: 88%

“To die is better than to tell”: reasons for and against disclosure of chronic hepatitis B status in Ghana

et al. 2020

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Background: People with a condition subject to stigmatisation, such as chronic hepatitis B, face the dilemma of whether or not to disclose their status. In Ghana, 12.3% of the adult population has the hepatitis B virus (HBV). One key strategy for breaking the cycle of hepatitis B transmission is the disclosure of hepatitis B status by people with chronic hepatitis B (PWHB). Disclosure can facilitate preventive actions to reduce hepatitis B transmission (e.g., not sharing personal items and avoiding contact with blood and body fluids). Disclosure can also motivate family members of PWHB to get tested, linked to care and clinically managed in order to reduce the progression of hepatitis B to liver cirrhosis and cancer. Given the importance of disclosure, we set out to explore reasons for and against disclosure of chronic hepatitis B status in the Greater Accra and Upper East region of Ghana. Methods: In this exploratory qualitative study, 18 participants (10 from the Greater Accra region and 8 from the Upper East region) were recruited for semi-structured interviews. Interviews were recorded and transcribed verbatim. Data were then processed using QSR Nvivo version 10.0 and analysed for themes. Results: Participants were selective disclosers, disclosing in some contexts and not in others. Reasons for nondisclosure of chronic hepatitis B status were: 1) fear of stigmatisation and 2) previous negative experiences with disclosure. Reasons for disclosure were: 1) wanting close contacts to get tested or vaccinated, 2) trusting the disclosure target(s), and 3) needing social and/or financial support. Conclusions: Our findings highlight various reasons for and against disclosure of chronic hepatitis B status in Ghana. Because anticipated, observed, and experienced stigma were important motivations for non-disclosure of chronic hepatitis B status, we recommend the development and implementation of theory and evidence-based stigma reduction interventions that are culturally appropriate, and that prioritize the participation of target populations. We also recommend the provision of counselling and support services that assist PWHB in their disclosure decision-making processes.

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Section: Discussionmentioning

confidence: 88%

“To die is better than to tell”: reasons for and against disclosure of chronic hepatitis B status in Ghana

et al. 2020

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“…In the eld of infectious disease, stigma has been recognized as a global issue [6]. In recent decades, many studies concerning stigma related to infectious diseases have been conducted, including but not limited to human immunode ciency virus (HIV) [7][8][9], tuberculosis (TB) [10][11][12] and severe acute respiratory syndrome (SARS) [13,14]. The relationship between knowledge and stigma is welldocumented for infectious diseases prevention measures that do not require social distancing.…”

Section: Introductionmentioning

confidence: 99%

COVID-19-related stigma and its' influencing factors: a rapid nationwide study in China

Jiang¹,

Zhou²,

Lin³

et al. 2020

Preprint

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Background：COVID-19 poses a signiﬁcant challenge to global public health. During the pandemic, COVID-19 patients and people in outbreak areas have suffered from stigma associated with the disease. This study aimed to evaluate the prevalence of COVID-19-related stigma toward COVID-19 patients and people from the city of Wuhan in China and assess the association of COVID-19-related stigma, health literacy, and sociodemographic characteristics.Methods：A cross-sectional survey covering 5,039 respondents was conducted in 31 provinces in China using a convenience sampling method. Binary logistic regressions were used to identify the factors associated with COVID-19-related stigma.Results：Among the participants, 122 (2.4%) reported themselves and 254 (5.0%) reported the communities they lived in held a stigmatizing attitude toward COVID-19 patients, respectively. Additionally, 114 (2.5%) and 475 (10.3%) reported that themselves and the communities they lived in, respectively, held a stigma against people from Wuhan, where was the most severely affected area in China. People aged over 40, lived in areas with severe epidemics (aOR=2.15, 95% CI [1.12-4.13]), and who felt it difficult to find and understand information about COVID-19 (aOR=1.91, 95% CI [1.08-3.27]; aOR=1.88, 95% CI [1.08-3.29]) were more likely to stigmatize COVID-19 patients. People who were male, aged 41 to 50, and had difficulty understanding information (aOR=2.08, 95% CI [1.17-3.69]) were more likely to stigmatize people from Wuhan.Conclusions：COVID-19 patients and Wuhan residents suffered stigma at both the individual and community levels, although proportion of those holding a stigma was not very high. Provinces close to Wuhan had relatively high stigma toward COVID-19 patients and people from Wuhan. There was a correlation between better health literacy and lower stigma during the COVID-19 outbreak. Tailored interventions were encouraged to improve health literacy and consequently to reduce stigma toward both COVID-19 patients and Wuhan people from individual and community levels, respectively.

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“…(Mimosa, female, state university) The role of mass media in addressing HIV-related stigma has been well-documented elsewhere. 34 , 35 Multifaceted media-based approaches help increased the spread of accurate information and demystify the disease. Likewise, previous finding indicates the need to complement multimedia approaches with education-based intervention to maximize the impact of the interventions in reducing stigma.…”

Section: Resultsmentioning

confidence: 99%

The Symbolic Meaning of HIV: Understanding Lecturers’ Ambivalence over Teaching HIV to Dietetic Students

Kusuma

Kidd

Muturi

et al. 2020

J Int Assoc Provid AIDS Care

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Responding to the increasing reports of health students and professionals demonstrating stigmatized attitudes toward people living with HIV (PLHIV), this article examined the learning process that takes place during their academic training. Using symbolic interactionism as a theoretical framework, we studied the way lecturers in dietetic schools in Indonesia make meaning of their understanding and experience of HIV in relation to their teaching conduct. We found that the current curriculum does not provide adequate opportunities for students to learn and interact with PLHIV. Participants described HIV discussion is mainly limited to the clinical aspects and essential treatment as they were uncomfortable discussing HIV with the students. The ostensible symbolic meaning of HIV among dietetic lecturers in Indonesia was compounded with limitations and restrictions affecting their teaching practices and attitudes to PLHIV. Future intervention is required to help lecturers recognize their degree of awareness and personal values about HIV.

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A generation at risk: a cross-sectional study on HIV/AIDS knowledge, exposure to mass media, and stigmatizing behaviors among young women aged 15–24 years in Ghana

Cited by 35 publications

References 21 publications

“To die is better than to tell”: reasons for and against disclosure of chronic hepatitis B status in Ghana

“To die is better than to tell”: reasons for and against disclosure of chronic hepatitis B status in Ghana

COVID-19-related stigma and its' influencing factors: a rapid nationwide study in China

The Symbolic Meaning of HIV: Understanding Lecturers’ Ambivalence over Teaching HIV to Dietetic Students

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