Intersectionality of stigmas and health-related quality of life in people ageing with HIV in China, Europe, and Latin America

Hsieh, Evelyn; Polo, Rosa; Qian, Han-Zhu; Fuster‐RuizdeApodaca, María José; Amo, Julia del

doi:10.1016/s2666-7568(22)00003-4

Cited by 23 publications

(13 citation statements)

References 91 publications

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“…The same systematic review by Ferguson et al [56] found that there was a dearth of measures capturing stigma and discrimination within healthcare settings, as well as in laws and policies, and call for greater attention to the measurement of stigma beyond the individual level. In addition to the lack of measures around structural forms of stigma, there is also a lack of measures around intersectional stigma and discrimination [59]. More work around the measure and analysis of intersectional stigma can be done through the development of specific scales that capture intersectional forms of stigma, or analytic methods that address the intersecting nature of varying forms of stigma.…”

Section: Conclusion: Implications For Future Directions On Hiv Servic...mentioning

confidence: 99%

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

Tan

Tang

Tucker

2022

Current Opinion in HIV and AIDS

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Purpose of reviewUnderstanding stigma is important for improving HIV care services and gaps in HIV service delivery have been attributed to stigma. This review article synthesizes recent evidence on stigma and its implications for HIV service design and delivery. Given the intersectional nature of stigma, we will focus on HIV stigma as well as related forms of stigma based on one's race, sexual identity, gender identity and other identities.Recent findingsStigma remains a barrier to achieving equity in HIV services. Individualistic measures of stigma remain influential and are associated with barriers to accessing HIV health services. Recent work also highlights stigma measured at a structural level and its impact on HIV services contexts. Individuals situated at intersections of marginalized identities continue to face greatest injustices, and although intersectional approaches have been adapted to design services at a micro level, few focus on structural change. Recent evidence for mitigating stigma indicates some success for psychosocial interventions that target internalized stigma. Furthermore, community-led approaches show promise in addressing stigma that manifests in HIV health services settings.SummaryInterventions that address individual-level stigma and structural stigma are needed. Theoretical and applied antistigma research is needed to make HIV services more equitable.

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Section: Conclusion: Implications For Future Directions On Hiv Servic...mentioning

confidence: 99%

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

Tan

Tang

Tucker

2022

Current Opinion in HIV and AIDS

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“…Health needs in the elderly are different from that of other age groups, posing clinicians to the additional challenges associated with aging. Patient-generated health data, albeit presenting limitations, is a useful tool to gain insight and improve the care provided by physicians in the aging population worldwide, and thus increase the efficiency of the healthcare system [ 27 ]. Here, we assessed the needs of the PLWH aged 50 years or over using a questionnaire collected from patients from different countries.…”

Section: Discussionmentioning

confidence: 99%

“…The aging process among PLWH is particular. Together with HIV infection, social circumstances, relationship issues, comorbidities and stigma may have an impact on their HRQOL [23,28,29]. For example, according to the Healthy Aging Score criteria developed by the Rotterdam group (an aging score accounting for mental health, cognitive function, physical, social support, and quality of life in general population) [30], a study carried out in OPWH at a tertiary HIV care clinic in Toronto found that only 39% of participants matched the healthy aging range scoring [21].…”

Section: Discussionmentioning

confidence: 99%

Identifying the needs of older people living with HIV (≥ 50 years old) from multiple centres over the world: a descriptive analysis

et al. 2023

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Background Older People Living with HIV (OPWH) combine both aging and HIV-infection features, resulting in ageism, stigma, social isolation, and low quality of life. This context brings up new challenges for healthcare professionals, who now must aid patients with a significant comorbidity burden and polypharmacy treatments. OPWH opinion on their health management is hardly ever considered as a variable to study, though it would help to understand their needs on dissimilar settings. Methods We performed a cross-sectional, comparative study including patients living with HIV aged ≥50 years old from multiple centers worldwide and gave them a survey addressing their perception on overall health issues, psychological problems, social activities, geriatric conditions, and opinions on healthcare. Data was analyzed through Chisquared tests sorting by geographical regions, age groups, or both. Results We organized 680 participants data by location (Center and South America [CSA], Western Europe [WE], Africa, Eastern Europe and Israel [EEI]) and by age groups (50- 55, 56-65, 66-75, >75). In EEI, HIV serostatus socializing and reaching undetectable viral load were the main problems. CSA participants are the least satisfied regarding their healthcare, and a great part of them are not retired. Africans show the best health perception, have financial problems, and fancy their HIV doctors. WE is the most developed region studied and their participants report the best scores. Moreover, older age groups tend to live alone, have a lower perception of psychological problems, and reduced social life. Conclusions Patients’ opinions outline region- and age-specific unmet needs. In EEI, socializing HIV and reaching undetectable viral load were the main concerns. CSA low satisfaction outcomes might reflect high expectations or profound inequities in the region. African participants results mirror a system where general health is hard to achieve, but HIV clinics are much more appealing to them. WE is the most satisfied region about their healthcare. In this context, age-specific information, education and counseling programs (i.e. Patient Reported Outcomes, Patient Centered Care, multidisciplinary teams) are needed to promote physical and mental health among older adults living with HIV/AIDS. This is crucial for improving health-related quality of life and patient’s satisfaction.

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“…Seeking to understand the complexity of older adults’ lived experience is reflected in the growing use of an intersectionality lens in a range of research topics, including agism in the COVID-19 pandemic (Rueda 2021) and health-related quality of life in people aging with HIV in China, Europe, and Latin America (Hsieh et al 2022).…”

Section: Intersectionality Frameworkmentioning

confidence: 99%

Rethinking Oral Health in Aging: Ecosocial Theory and Intersectionality

Slack‐Smith

Macdonald

et al. 2023

J Dent Res

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Poor oral health affects the health and well-being of older adults in many ways. Despite years of international research investigating poor oral health among older adults, it has remained a largely unresolved problem. The aim of this article is to explore the combination of 2 key frameworks, ecosocial theory and intersectionality, to guide our exploration and understanding of oral health and aging and help inform research, education, policy, and services. Proposed by Krieger, ecosocial theory is concerned with the symbiotic relationship among embodied biological processes and social, historical, and political contexts. Building on the work of Crenshaw, intersectionality explores how social identities such as race, gender, socioeconomic status, and age interconnect in ways that can enhance privilege or compound discrimination and social disadvantage. Intersectionality offers a layered understanding of how power relations reflected in systems of privilege or oppression influence an individual’s multiple intersecting social identities. Understanding this complexity and the symbiotic relationships offers an opportunity to reconsider how inequities in oral health for older adults can be addressed in research, education, and practice and increase the focus on equity, prevention, interdisciplinary care, and use of innovative technology.

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Intersectionality of stigmas and health-related quality of life in people ageing with HIV in China, Europe, and Latin America

Cited by 23 publications

References 91 publications

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery

Identifying the needs of older people living with HIV (≥ 50 years old) from multiple centres over the world: a descriptive analysis

Rethinking Oral Health in Aging: Ecosocial Theory and Intersectionality

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