AIDS<i>-</i>related stigma and attitudes towards AIDS-infected people among adolescents

Dias, Sónia; Matos, Margarida Gaspar de; Gonçalves, Aldina

doi:10.1080/09540120500456177

Cited by 30 publications

(38 citation statements)

References 19 publications

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“…This finding indicates the direct negative effect that increases in instrumental stigma may have for PLWHA. Given the negative association between knowledge about HIV and HIV-related stigma, we know that HIV education is necessary to reduce stigma (Boer & Emons, 2004;Dias, Matos, & Goncalves, 2006;Herek & Capitanio, 1998;Maughan-Brown, 2006). There is also evidence that interacting with PLWHA is associated with increased fears of infection (Maughan-Brown, 2008).…”

Section: Discussionmentioning

confidence: 99%

Stigma rises despite antiretroviral roll-out: A longitudinal analysis in South Africa

Maughan-Brown

2010

Social Science & Medicine

108

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a b s t r a c tStigma is a recognised problem for effective prevention, treatment, and care of HIV/AIDS. However, few studies have measured changes in the magnitude and character of stigma over time. This paper provides the first quantitative evaluation in Africa of the changing nature of stigma and the potential determinants of these changes. More specifically, it evaluates the dynamic relationship between stigma and (1) increased personal contact with people living with HIV/AIDS and (2) knowing people who died of AIDS. Panel survey data collected in Cape town 2003 and 2006 for 1074 young adults aged 14-22 years were used to evaluate changes in three distinct dimensions of stigma: behavioural intentions towards people living with HIV/AIDS; instrumental stigma; and symbolic stigma. Individual fixed effects regression models are used to evaluate factors that influence stigma over time. Each dimension of stigma increased in the population as a whole, and for all racial and gender sub-groups. Symbolic stigma increased the most, followed by instrumental stigma, while negative behavioural intentions showed a modest increase. Knowing someone who died of AIDS was significantly associated with an increase in instrumental stigma and symbolic stigma, while increased personal contact with people living with HIV/AIDS was not significantly associated with any changes in stigma. Despite interventions, such as public-sector provision of antiretroviral treatment (which some hoped would have reduced stigma), stigma increased among a sample highly targeted with HIV-prevention messages. These findings emphasise that changes in stigma are difficult to predict and thus important to monitor. They also indicate the imperative for renewed efforts to reduce stigma, perhaps through interventions to weaken the association between HIV/AIDS and death, to reduce fear of HIV/AIDS, and to recast HIV as a chronic manageable disease.

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Section: Discussionmentioning

confidence: 99%

Stigma rises despite antiretroviral roll-out: A longitudinal analysis in South Africa

Maughan-Brown

2010

Social Science & Medicine

108

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“…Moreover, in the specific context of HIV infection, the impact of discrimination behavior needs to be described and understood. HIV-related stigmatization remains a potent stressor for PLWHA (Dias, Matos, & Goncalves, 2006;Greene & Banerjee, 2005;PerettiWatel, Spire, Pierret, Lert, & Obadia, 2006;Vanable, Carey, Blair, & Littlewood, 2006) that can have an impact on suicidal ideation.…”

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confidence: 99%

Suicide attempts among people living with HIV in France

et al. 2008

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“…Ces comportements sont décrits dans la littérature [28,29] comme associés à différents indicateurs de santé mentale ou encore aux comportements d'observance [8,30,31], mais pas clairement aux tentatives de suicide. Force est de constater que, en dépit des progrès considérables réalisés dans la prise en charge de l'infection par le VIH et la survie des patients, le regard social porté sur cette pathologie demeure problématique, en raison des sentiments et des comportements de stigmatisation qu'elle génère [32,33].…”

Section: Discussionunclassified

“…Force est de constater que, en dépit des progrès considérables réalisés dans la prise en charge de l'infection par le VIH et la survie des patients, le regard social porté sur cette pathologie demeure problématique, en raison des sentiments et des comportements de stigmatisation qu'elle génère [32,33]. De nombreuses enquêtes en population soulignent le tabou et les comportements de discrimination associés au statut de séropositif [28][29][30][34][35][36]. I l demeure toujours extrêmement délicat d'annoncer sa séropositivité.…”

Section: Discussionunclassified

La santé mentale des femmes séropositives en France à l'ère des thérapies antirétrovirales : quelles différences avec les hommes ? Quels enjeux ?

et al. 2008

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Résumé C e t r a v a i l a p o u r o b j e c t i f d e p r é s e n t e r d i f f é r e n t s i n d i c a t e u r s r e l a t i f s à l a s a n t é m e n t a l e d e s f e m m e s i n f e c t é e s p a r l e V I H s u i v i e s e n F r a n c e . D a n s u n p r e m i e r t e m p s , n o u s u t i l i s e r o n s l e s d o n n é e s d e l ' e n q u ê t e V e s p a , a f i n d e p r é s e n t e r u n e a n a l y s e d e s f a c t e u r s a s s o c i é s a u x t e n t a t i v e s d e s u ic i d e . D a n s u n s e c o n d t e m p s , n o u s p r é s e n t o n s d e s r é s u l t a t s o b t e n u s à p a r t i r d e s d o n n é e s d e l a c o h o r t e A p r o c o d e p a t i e n t s i n f e c t é s p a r l e V I H e t s o u s t h é r a p i e s a n t i r é t r o v i r a l e s . N o u s p r o p o s o n s u n e a n a l y s e d e s f a ct e u r s a s s o c i é s à u n e m e i l l e u r e q u a l i t é d e v i e p h y s i q u e e t m e n t a l e t r o i s a n n é e s a p r è s l a m i s e s o u s t r a i t e m e n t . L e s d i f f é r e n t s r é s u l t a t s m e t t e n t e n é v i d e n c e u n i m p a c t i m p o r t a n t d e s s y m p t ô m e s l i p o d y s t r o p h i q u e s , a i n s i q u e d e s c a r a c t é r i s t i q u e s s o c i od é m o g r a p h i q u e s e t p s y c h o s o c i a l e s t e l l e s q u e l e s c o m p o r t e m e n t s d e d i s -c r i m i n a t i o n q u a n t à l a s a n t é m e n t a l e d e s f e m m e s i n f e c t é e s p a r l e V I H . L ' e n s e m b l e d e c e s r é s u l t a t s e s t d i s c u t é a u r e g a r d d e l ' é v o l u t i o n d e l a p r i s e e n c h a r g e d e s f e m m e s i n f e c t é e s p a r l e V I H , d a n s u n e l o g i q u e d ' o p t i m i s a t i o n d e s p r a t i q u e s d e s d i v e r s a c t e u r s c o n c e r n é s p a r c e t t e p r i s e e n c h a r g e . Mots clés : q u a l i t é d e v i e , s u i c i d e , l i p o d y s t r o p h i e s , e f f e t s s e c o n d a i r e s , c o r p o r é i t é , s a n t é m e n t a l e , d i s c r i m i n a t i o n .Suite à l'avènement des thérapies antirétrovirales, les personnes infectées par le VIH sont, pour une grande majorité, contraintes de suivre un traitement continu sur le long, voire très long terme. 151Article disponible sur le site

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AIDS-related stigma and attitudes towards AIDS-infected people among adolescents

Abstract: These findings have significant implications to implement and design comprehensive interventions with impact in adolescents' attitudes towards people with HIV/AIDS.

Cited by 30 publications

References 19 publications

Stigma rises despite antiretroviral roll-out: A longitudinal analysis in South Africa

Stigma rises despite antiretroviral roll-out: A longitudinal analysis in South Africa

Suicide attempts among people living with HIV in France

La santé mentale des femmes séropositives en France à l'ère des thérapies antirétrovirales : quelles différences avec les hommes ? Quels enjeux ?

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