2022
DOI: 10.1007/s10461-021-03567-4
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Relational Factors and HIV Testing Practices: Qualitative Insights from Urban Refugee Youth in Kampala, Uganda

Abstract: Despite the global phenomenon of refugee urbanization, little is known of relational contexts that shape HIV testing among urban refugee youth. We explored perspectives, experiences, and preferences for social support in HIV testing among refugee youth aged 16–24 in Kampala, Uganda. We conducted five focus groups with refugee youth (n = 44) and five in-depth key informant interviews. Participant narratives signaled relational contexts shaping HIV testing included informal sources (intimate partners and family … Show more

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Cited by 10 publications
(7 citation statements)
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“…Crenshaw, 1989; Logie, Earnshaw, et al, 2022). We noted strategies to navigate and resist stigma, including teen mothers challenging concepts of adolescents being “bad mothers” by engaging in breastfeeding at school—a symbol of “good motherhood.” Other stigma coping strategies included selective disclosure regarding stigmatized issues such as abortion, reflecting the Disclosure Process Model whereby approach goals to realize positive outcomes and avoidance goals to evade negative outcomes are considered in decision-making processes regarding if, when, and how to access support (Chaudoir et al, 2011; Chaudoir & Fisher, 2010; Logie, Okumu, et al, 2022). Future studies could also explore the Stigma Identity Framework developed by Bergman et al (2023) with people living with HIV to see how processes of identity management, including disclosure, might mitigate experiences of gender-based and intersectional stigma and subsequent pathways to health practices and health outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…Crenshaw, 1989; Logie, Earnshaw, et al, 2022). We noted strategies to navigate and resist stigma, including teen mothers challenging concepts of adolescents being “bad mothers” by engaging in breastfeeding at school—a symbol of “good motherhood.” Other stigma coping strategies included selective disclosure regarding stigmatized issues such as abortion, reflecting the Disclosure Process Model whereby approach goals to realize positive outcomes and avoidance goals to evade negative outcomes are considered in decision-making processes regarding if, when, and how to access support (Chaudoir et al, 2011; Chaudoir & Fisher, 2010; Logie, Okumu, et al, 2022). Future studies could also explore the Stigma Identity Framework developed by Bergman et al (2023) with people living with HIV to see how processes of identity management, including disclosure, might mitigate experiences of gender-based and intersectional stigma and subsequent pathways to health practices and health outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…Plausibly peer support available via SMS helped participants navigate concerns/experiences of stigma and isolation. Hence, peer support may be important alongside HIVST for reducing stigma among urban refugee youth who may experience disrupted social networks [ 67 ] and intersecting stigma [ 8 ]. Studies have similarly documented preferences for peer support with HIVST in Uganda, including among gay, bMSM [ 68 , 69 ] and sex workers [ 70 ].…”
Section: Discussionmentioning
confidence: 99%
“…The remaining 1511 studies underwent title and abstract screening, resulting in 282 studies assessed for eligibility through full-text review. After completing our full-text review, 20 publications were included for data extraction and synthesis [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55].…”
Section: Study Characteristicsmentioning
confidence: 99%
“…Facilitators to accessing HIV services were noted at the individual, relationship, and community levels, including higher education levels, social support, and targeted outreach efforts from community and religious organizations [44,49,50,52,53]. These findings can potentially be leveraged to mitigate equivalent barriers to accessing care (e.g., using peer support navigators to supplement the social support a young migrant may lack from their family or community due to stigma).…”
Section: Facilitatorsmentioning
confidence: 99%