Clinical implications of stigma in HIV/AIDS and other sexually transmitted infections

Neal, Tess M. S.; Lichtenstein, Bronwen; Brodsky, Stanley L.

doi:10.1258/ijsa.2008.008445

Cited by 17 publications

(16 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This theory may extend to other STIs, such as syphilis, but perhaps not to the same extent as it does with HIV due to the stigma differences that exist between HIV and other STIs. One study found that three in four respondents reported that having an HIV infection would be the most detrimental to one’s reputation when compared to other STIs [21]. Therefore, vengeance (in response to a perceived wrong by another impacting oneself) may have more on an impact on disclosure intention in considering HIV infection compared to being infected with other STIs.…”

Section: Discussionmentioning

confidence: 99%

Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV

et al. 2016

View full text Add to dashboard Cite

Vengeance has been shown to be a risk factor for HIV nondisclosure. Research examining the associations between vengeance, condomless sex, and HIV nondisclosure is lacking. The aim of the current study was to explore the association between vengeance, condomless sex and disclosure (behavior, attitude and intention) among men who have sex with men (MSM) living with HIV. Participants included 266 MSM who were a part of a disclosure intervention study. Men were recruited from local and state AIDS service organizations (ASOs), HIV-related venues and forums, and at local eating and drinking establishments in Tampa, Florida, and Columbus and Dayton, Ohio metropolitan statistical areas (MSAs). Advertisements were also placed in local daily newspapers. Vengeance was operationalized into three groups based on percentiles (least, more, and most vengeful) and as a continuous variable. Crude and multivariable logistic regression models were used to examine the association between vengeance and condomless sex in the past 30 days. Simple and multiple linear regression models were used to determine the association between vengeance and HIV disclosure. After adjusting for demographic and geographic characteristics, participants who were “most vengeful” had, on average, an approximate six-point decrease (β: −5.46; 95% CI −9.55, −1.36) in disclosure intention compared to MSM who were “least vengeful.” Prevention and intervention programs geared towards improving disclosure among MSM should address vengeance.

show abstract

Section: Discussionmentioning

confidence: 99%

Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV

et al. 2016

View full text Add to dashboard Cite

show abstract

“…This might link to our finding that the attribution of sexual agency to women is limited to sex workers in global AIDS policy papers, which strengthens the association between HIV in women and sexually immoral behaviour. Men’s sexual agency is generally not negated, while women’s sexual agency is [89,90]. Women’s autonomy and power in sexual relations is often perceived “unfeminine” and threatening to men [23,91,92].…”

Section: Discussionmentioning

confidence: 99%

Silencing women’s sexuality: global AIDS policies and the case of the female condom

Peters

Driel

Jansen

2013

Journal of the International AIDS Society

View full text Add to dashboard Cite

IntroductionThe female condom is the only evidence-based AIDS prevention technology that has been designed for the female body; yet, most women do not have access to it. This is remarkable since women constitute the majority of all HIV-positive people living in sub-Saharan Africa, and gender inequality is seen as a driving force of the AIDS epidemic. In this study, we analyze how major actors in the AIDS prevention field frame the AIDS problem, in particular the female condom in comparison to other prevention technologies, in their discourse and policy formulations. Our aim is to gain insight into the discursive power mechanisms that underlie the thinking about AIDS prevention and women’s sexual agency.MethodsWe analyze the AIDS policies of 16 agencies that constitute the most influential actors in the global response to AIDS. Our study unravels the discursive power of these global AIDS policy actors, when promoting and making choices between AIDS prevention technologies. We conducted both a quantitative and qualitative analysis of how the global AIDS epidemic is being addressed by them, in framing the AIDS problem, labelling of different categories of people for targeting AIDS prevention programmes and in gender marking of AIDS prevention technologies.ResultsWe found that global AIDS policy actors frame the AIDS problem predominantly in the context of gender and reproductive health, rather than that of sexuality and sexual rights. Men’s sexual agency is treated differently from women’s sexual agency. An example of such differentiation and of gender marking is shown by contrasting the framing and labelling of male circumcision as an intervention aimed at the prevention of HIV with that of the female condom.ConclusionsThe gender-stereotyped global AIDS policy discourse negates women’s agency in sexuality and their sexual rights. This could be an important factor in limiting the scale-up of female condom programmes and hampering universal access to female condoms.

show abstract

“…It has been demonstrated that STIs are stigmatizing conditions 17,19. It is also generally accepted (although not empirically proven) that GUM clinics are stigmatized through their association with STIs 20.…”

Section: Discussionmentioning

confidence: 99%

Do women requesting only contraception find attendance at an integrated sexual health clinic more stigmatizing than attendance at a family planning–only clinic?

Sauer¹,

Singh²,

Rubenstein³

et al. 2013

IJWH

View full text Add to dashboard Cite

PurposeBoth sexually transmitted infections and the genitourinary medicine clinics that patients attend for management of sexually transmitted infections are stigmatized by patients’ perceptions. The aim of this study was to assess whether women requesting contraception only find attendance at an integrated sexual health clinic (ISHC) more stigmatizing than attendance at a family planning (FP)–only clinic.Patients and methodsWomen requesting contraception only were asked to complete a stigma assessment questionnaire in the waiting room of the clinic they attended. Ease of understanding was assessed for each item of the questionnaire prior to commencement of the survey. The questionnaire was given to women attending either an ISHC or a FP-only clinic.ResultsOne hundred questionnaires that fulfilled the inclusion criteria were returned. The users of FP-only services were generally older than the users of ISHCs and were more likely than the users of ISHCs to classify themselves as UK white. Stigma perception was significantly higher for the ISHC than the FP-only clinic.ConclusionThe results of this research indicate that among women who request contraception only, perceived stigma is higher when they attend an ISHC than when they attend a FP-only clinic. As this survey only enrolled clinic users, the authors were unable to assess whether integration generates sufficient stigma to deter some women from accessing contraception from integrated services. Of all stigma-related issues, disclosure concerns are likely to be the most important to the service user. Stigma is not an issue of overriding concern for most service users.

show abstract

Clinical implications of stigma in HIV/AIDS and other sexually transmitted infections

Abstract: This study sought to identify stigma differences between

Cited by 17 publications

References 7 publications

Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV

Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV

Silencing women’s sexuality: global AIDS policies and the case of the female condom

Do women requesting only contraception find attendance at an integrated sexual health clinic more stigmatizing than attendance at a family planning–only clinic?

Contact Info

Product

Resources

About

Clinical implications of stigma in HIV/AIDS and other sexually transmitted infections

Abstract: This study sought to identify stigma differences between

Cited by 17 publications

References 7 publications

Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV

Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV

Silencing women’s sexuality: global AIDS policies and the case of the female condom

Do women requesting only contraception find attendance at an integrated sexual health clinic more stigmatizing than attendance at a family planning&ndash;only clinic?

Contact Info

Product

Resources

About

Do women requesting only contraception find attendance at an integrated sexual health clinic more stigmatizing than attendance at a family planning–only clinic?