Relationships of Stigma and Shame to Gonorrhea and HIV Screening

Fortenberry, J. Dennis; McFarlane, Mary; Bleakley, Amy; Bull, Sheana; Fishbein, Martin; Grimley, Diane M.; Malotte, C. Kevin; Stoner, Bradley P.

doi:10.2105/ajph.92.3.378

Cited by 380 publications

(320 citation statements)

References 11 publications

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“…Not wanting to be labelled as a drug-user which implies accepting a stigmatised identity was a barrier to engaging with treatment services. This finding echoes other sensitive research on gonorrhoea and HIV screening where stigma posed a barrier to help-seeking (Fortenberry et al, 2002).…”

Section: Discussionsupporting

confidence: 82%

Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services

Mantovani

Evans

2018

Drugs: Education, Prevention and Policy

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Aims:The main aim of our study was to produce an understanding of factors contributing to drugusing trajectories among men and women from a Bangladeshi background living in East London. Methods: Fifteen semi-structured, one-to-one interviews were conducted with male and female Bangladeshi drug users accessing treatment services. A macro-structural lens was adopted to interpret participants' accounts of their drug use and explored the intersecting factors that at a micro, meso, and macro level impacted on their drug-using trajectories. Findings: Problem drug use (heroin and crack cocaine) among participants was the result of interrelated factors such as their friendship networks and the embeddedness of drugs in drug-using networks, the structural disadvantages participants experienced, and the need for concealment of their drug use which impacted on participants' effective utilisation of drug treatment services. Problem drug use was a functional way of responding to and dealing with social, economic, and cultural disconnection from mainstream institutions as participants faced severe multiple disadvantages engendering stigma and shame. Conclusions: We propose a 'life-focused' intervention aimed at creating extra opportunities and making critically-needed resources available in the marginalised environment of the study's participants, which are key to restoring and maintaining agency and sustaining well-being. ARTICLE HISTORY

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Section: Discussionsupporting

confidence: 82%

Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services

Mantovani

Evans

2018

Drugs: Education, Prevention and Policy

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“…These barriers include fear; stigma; shame; denial; lack of social support; lack of confidential services; lack of health insurance options especially as they get older; and not knowing where to go for care. [141][142][143][144][145][146] Given the asymptomatic nature of many STIs, including HIV infection, strategies are needed to raise young men's awareness about sexual/reproductive health services, STI and HIV testing options, and related resources. Promoting sexual/reproductive health for young men can lead to sexual responsibility, healthy intimate relationships, and responsible fatherhood.…”

Section: Male Adolescents' Sexual/ Reproductive Health Care Usementioning

confidence: 99%

Male Adolescent Sexual and Reproductive Health Care

Marcell¹,

Wibbelsman²,

Seigel³

2011

Pediatrics

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Male adolescents' sexual and reproductive health needs often go unmet in the primary care setting. This report discusses specific issues related to male adolescents' sexual and reproductive health care in the context of primary care, including pubertal and sexual development, sexual behavior, consequences of sexual behavior, and methods of preventing sexually transmitted infections (including HIV) and pregnancy. Pediatricians are encouraged to address male adolescent sexual and reproductive health on a regular basis, including taking a sexual history, performing an appropriate examination, providing patient-centered and age-appropriate anticipatory guidance, and delivering appropriate vaccinations. Pediatricians should provide these services to male adolescent patients in a confidential and culturally appropriate manner, promote healthy sexual relationships and responsibility, and involve parents in age-appropriate discussions about sexual health with their sons. Pediatrics 2011;128:e1658-e1676

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“…We hypothesized that our measure of internalized stigma would be strongly and positively correlated (r=0.5-0.7) with feelings of shame. Shame is one psychological experience an individual may have as a result of internalized stigma, and several studies in the literature have demonstrated these constructs to be separate, but related (Cunningham et al, 2002;Duffy, 2005;Fortenberry et al, 2002). Studies of HIV-positive adults living in the US have also demonstrated that stigma is associated with poor social support and depressive symptoms (Bairan et al, 2007;Carr and Gramling, 2004;Sowell et al, 1997;Vanable et al, 2006).…”

Section: Content and Construct Validity Of Stigma Measurementioning

confidence: 99%

Development and Psychometric Assessment of a Multidimensional Measure of Internalized HIV Stigma in a Sample of HIV-positive Adults

Sayles¹,

Hays

Sarkisian³

et al. 2008

AIDS Behav

170

153

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There is a need for a psychometrically sound measure of the stigma experienced by diverse persons living with HIV/AIDS (PLHA). The goal of this study was to develop and evaluate a multidimentional measure of internalized HIV stigma that captures stigma related to treatment and other aspects of the disease among sociodemographically diverse PLHA. We developed a 28-item measure of internalized HIV stigma composed of four scales based on previous qualitative work. Internal consistency reliability estimates in a sample of 202 PLHA was 0.93 for the overall measure, and exceeded 0.85 for three of the four stigma scales. Items discriminated well across scales, and correlations of the scales with shame, social support, and mental health supported construct validity. This measure should prove useful to investigators examining in the role of stigma in HIV treatment and health outcomes, and evaluating interventions designed to mitigate the impacts of stigma on PLHA.

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Relationships of Stigma and Shame to Gonorrhea and HIV Screening

Abstract: Shame is part of the experience of seeking STD-related care, but stigma may be a more powerful barrier to obtaining such care.

Cited by 380 publications

References 11 publications

Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services

Drug use among British Bangladeshis in London: a macro-structural perspective focusing on disadvantages contributing to individuals’ drug use trajectories and engagement with treatment services

Male Adolescent Sexual and Reproductive Health Care

Development and Psychometric Assessment of a Multidimensional Measure of Internalized HIV Stigma in a Sample of HIV-positive Adults

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