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Stigma, HIV and health: a qualitative synthesis

Lori A. Chambers, Sergio Rueda, D. Nico Baker and 5 more

BMC Public Health · 2015 · Review

doi:10.1186/s12889-015-2197-0

Abstract

Background. HIV-related stigma continues to negatively impact the health and well-being of people living with HIV, with deleterious effects on their care, treatment and quality of life. A growing body of qualitative research has documented the relationship between HIV-related stigma and health. This review aims to synthesize qualitative evidence that explored the intersections of stigma and health for people with HIV.

Methods. A thematic summary was conducted that was guided by the qualitative metasummary technique developed by Sandelowski and Barraso. Literature searches yielded 8,622 references of which 55 qualitative studies were identified that illustrated HIV-related stigma in the context of health.

Results. The metasummary classified qualitative findings into three overarching categories: conceptualizing stigma which identified key dimensions of HIV-related stigma; experiencing stigma which highlighted experiences of stigma in the health context, and managing stigma which described ways in which stigma is avoided or addressed. To better illustrate these connections, the qualitative literature was summarized into the following themes: stigma within health care settings, the role of stigma in caring for one’s health, and strategies to address HIV-related stigma in the health context. A number of health care practices were identified – some rooted in institutional practices, others shaped by personal perceptions held by practitioners – that could be stigmatizing or discriminatory towards people with HIV. There existed interconnections between enacted stigma and felt stigma that influenced health care utilization, treatment adherence, and overall health and well-being of people with HIV. Intersectional stigma also emerged as instrumental in the stigma experiences of people living with HIV. A number of strategies to address stigma were identified including social support, education, self-efficacy, resilience activities, and advocacy.

Conclusion. This review of the qualitative evidence indicates that HIV-related stigma within health contexts is a broad social phenomenon that manifests within multiple social spheres, including health care environments. Findings from this review indicate that future stigma research should consider the social structures and societal practices – within and outside of health care environments – that perpetuate and reinforce stigma and discrimination towards people with HIV.

Electronic supplementary material. The online version of this article (doi:10.1186/s12889-015-2197-0) contains supplementary material, which is available to authorized users.

References 137

  1. 1.

    Mann JM. Statement at an Informal Briefing on AIDS to the 42nd Session of the United Nations General Assembly. Journal of the Royal Statistical Society Series A (Statistics in Society). 1988;151(1):131-136.

    Not in our library10.2307/2982189

  2. 2.

    Goffman E. Stigma: Notes on the Management of Spoiled Identity. 1963.

    Not in our library

  3. 3.

    Alonzo AA, Reynolds NR. Stigma, HIV and AIDS: An exploration and elaboration of a stigma trajectory. Soc Sci Med. 1995;41(3):303-315.

    Not in our library10.1016/0277-9536(94)00384-6

  4. 4.

    Parker R, Aggleton P. HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Soc Sci Med. 2003;57(1):13-24.

    Not in our library10.1016/s0277-9536(02)00304-0

  5. 5.

    Taylor B. HIV, stigma and health: Integration of theoretical concepts and the lived experiences of individuals. J Adv Nurs. 2001;35(5):792-798.

    Not in our library10.1046/j.1365-2648.2001.01912.x

  6. 6.

    Earnshaw V, Chaudoir S. From Conceptualizing to Measuring HIV Stigma: A Review of HIV Stigma Mechanism Measures. AIDS Behav. 2009;13(6):1160-1177.

    Not in our library10.1007/s10461-009-9593-3

  7. 7.

    Holzemer WL, Uys L, Makoae L, Stewart A, Phetlhu R, Dlamini PS, et al. A conceptual model of HIV/AIDS stigma from five African countries. J Adv Nurs. 2007;58(6):541-551.

    Not in our library10.1111/j.1365-2648.2007.04244.x

  8. 8.

    Herek GM, Capitanio JP. Symbolic prejudice or fear of infection? A functional analysis of AIDS-related stigma among heterosexual adults. Basic and Applied Social Psychology. 1998;20(3):230-241.

    Not in our library10.1207/s15324834basp2003_5

  9. 9.

    Herek GM. AIDS and stigma. Am Behav Sci. 1999;42(7):1106-1116.

    Not in our library10.1177/00027649921954787

  10. 10.

    Collins E, Cain R, Bereket T, Chen YY, Cleverly S, George C, et al. Living & Serving II: 10 Years Later - The Involvement of People Living with HIV/AIDS in the Community AIDS Movement in Ontario. 2007.

    Not in our library

  11. 11.
    Combating HIV stigma in health care settings: what works? · 2009
    No notice
  12. 12.

    Sears B, Cooper C, Younai FS, Donohoe T. HIV discrimination in dental care: Results of a testing study in Los Angeles county. Loyola Los Angel Law Rev. 2012;45(3):909.

    Not in our library

  13. 13.

    Elford J, Ibrahim F, Bukutu C, Anderson J. HIV-related discrimination reported by people living with HIV in London. UK. AIDS Behav. 2008;12(2):255-264.

    Not in our library10.1007/s10461-007-9344-2

  14. 14.

    Schuster MA, Collins R, Cunningham WE, Morton SC, Zierler S, Wong M, et al. Perceived discrimination in clinical care in a nationally representative sample of HIV‐infected adults receiving health care. J Gen Intern Med. 2005;20(9):807-813.

    Not in our library10.1111/j.1525-1497.2005.05049.x

  15. 15.

    Fife BL, Wright ER. The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer. J Health Soc Behav. 2000;50–67.

    Not in our library

  16. 16.

    Sandelowski M, Lambe C, Barroso J. Stigma in HIV-Positive Women. J Nurs Scholarsh. 2004;36(2):122-128.

    Not in our library10.1111/j.1547-5069.2004.04024.x

  17. 17.

    Gonzalez A, Solomon SE, Zvolensky MJ, Miller CT. The interaction of mindful-based attention and awareness and disengagement coping with HIV/AIDS-related stigma in regard to concurrent anxiety and depressive symptoms among adults with HIV/AIDS. J Health Psychol. 2009;14(3):403-413.

    Not in our library10.1177/1359105309102193

  18. 18.

    Ivanova E, Hart T, Wagner A, Aljassem K, Loutfy M. Correlates of Anxiety in Women Living with HIV of Reproductive Age. AIDS Behav. 2012:1–11. doi:10.1007/s10461-011-0133-6.

    Not in our library10.1007/s10461-011-0133-6

  19. 19.

    Wagner AC, Hart TA, Mohammed S, Ivanova E, Wong J, Loutfy MR. Correlates of HIV stigma in HIV-positive women. Arch Womens Ment Health. 2010;13(3):207-214.

    Not in our library10.1007/s00737-010-0158-2

  20. 20.

    Rueda S, Gibson K, Rourke S, Bekele T, Gardner S, Cairney J, et al. Mastery Moderates the Negative Effect of Stigma on Depressive Symptoms in People Living with HIV. AIDS Behav. 2012;16(3):690-699.

    Not in our library10.1007/s10461-010-9878-6

  21. 21.

    Lee SL, Kochman A, Sikkema KJ. Internalized stigma among people living with HIV-AIDS. AIDS Behav. 2002;6(4):309-319.

    Not in our library10.1023/a:1021144511957

  22. 22.

    Peltzer K, Ramlagan S. Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal. South Africa. AIDS Care. 2011;23(1):60-68.

    Not in our library10.1080/09540121.2010.498864

  23. 23.

    Capron DW, Gonzalez A, Parent J, Zvolensky MJ, Schmidt NB. Suicidality and Anxiety Sensitivity in Adults with HIV. AIDS Patient Care STDS. 2012;26(5):298-303.

    Not in our library10.1089/apc.2011.0429

  24. 24.

    Carrico AW. Elevated suicide rate among HIV-positive persons despite benefits of antiretroviral therapy: implications for a stress and coping model of suicide. Am J Psychiatry. 2010;167(2):117-119.

    Not in our library10.1176/appi.ajp.2009.09111565

  25. 25.

    Vance D. Self-rated emotional health in adults with and without HIV. Psychol Rep. 2006;98(1):106-108.

    Not in our library10.2466/pr0.98.1.106-108

  26. 26.

    Varni SE, Miller CT, McCuin T, Solomon S. Disengagement and engagement coping with HIV/AIDS stigma and psychological well-being of people with HIV/AIDS. J Soc Clin Psychol. 2012;31(2):123-150.

    Not in our library10.1521/jscp.2012.31.2.123

  27. 27.

    Greeff M, Uys LR, Wantland D, Makoae L, Chirwa M, Dlamini P, et al. Perceived HIV stigma and life satisfaction among persons living with HIV infection in five African countries: A longitudinal study. Int J Nurs Stud. 2010;47(4):475-486.

    Not in our library10.1016/j.ijnurstu.2009.09.008

  28. 28.

    Vyavaharkar M, Moneyham L, Murdaugh C, Tavakoli A. Factors associated with quality of life among rural women with HIV disease. AIDS Behav. 2012;16(2):295-303.

    Not in our library10.1007/s10461-011-9917-y

  29. 29.

    Holzemer WL, Human S, Arudo J, Rosa ME, Hamilton MJ, Corless I, et al. Exploring HIV stigma and quality of life for persons living with HIV infection. J Assoc Nurses AIDS Care. 2009;20(3):161-168.

    Not in our library10.1016/j.jana.2009.02.002

  30. 30.

    Dlamini PS, Wantland D, Makoae LN, Chirwa M, Kohi TW, Greeff M, et al. HIV stigma and missed medications in HIV-positive people in five African countries. AIDS Patient Care STDS. 2009;23(5):377-387.

    Not in our library10.1089/apc.2008.0164

  31. 31.

    Kinsler JJ, Wong MD, Sayles JN, Davis C, Cunningham WE. The effect of perceived stigma from a health care provider on access to care among a low-income HIV-positive population. AIDS Patient Care STDS. 2007;21(8):584-592.

    Not in our library10.1089/apc.2006.0202

  32. 32.

    Golin C, Isasi F, Bontempi JB, Eng E. Secret pills: HIV-positive patients' experiences taking antiretroviral therapy in North Carolina. AIDS Educ Prev. 2002;14(4):318-329.

    Not in our library10.1521/aeap.14.5.318.23870

  33. 33.

    Rao D, Feldman BJ, Fredericksen RJ, Crane PK, Simoni JM, Kitahata MM, et al. A structural equation model of HIV-related stigma, depressive symptoms, and medication adherence. AIDS Behavior. 2012;16(3):711-716.

    Not in our library10.1007/s10461-011-9915-0

  34. 34.

    Mann JM, Tarantola D, editors. AIDS in the world II. Oxford, UK: Oxford University Press; 1996.

    Not in our library

  35. 35.

    Brickley DB. AIDS stigma and women: Impact on prevention and treatment interventions in Vietnam in the era of antiretroviral therapy. 2007.

    Not in our library

  36. 36.

    Valdiserri RO. HIV/AIDS stigma: an impediment to public health. Am J Public Health. 2002;92(3):341-342.

    Not in our library10.2105/ajph.92.3.341

  37. 37.

    Kingori C, Reece M, Obeng S, Murray M, Shacham E, Dodge B, et al. Impact of internalized stigma on HIV prevention behaviors among HIV-infected individuals seeking HIV care in Kenya. AIDS Patient Care STDS. 2012;26(12):761-768.

    Not in our library10.1089/apc.2012.0258

  38. 38.

    Vanable PA, Carey MP, Blair DC, Littlewood RA. Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS Behav. 2006;10(5):473-482.

    Not in our library10.1007/s10461-006-9099-1

  39. 39.

    Brown L, Macintyre K, Trujillo L. Interventions to reduce HIV/AIDS stigma: what have we learned? AIDS Educ Prev. 2003;15(1):49-69.

    Not in our library10.1521/aeap.15.1.49.23844

  40. 40.

    Crawford AM. Stigma associated with AIDS: A meta-analysis. Journal of Applied Social Psychology. 1996;26(5):398-416.

    Not in our library10.1111/j.1559-1816.1996.tb01856.x

  41. 41.

    Mak WWS, Poon CYM, Pun LYK, Cheung SF. Meta-analysis of stigma and mental health. Soc Sci Med. 2007;65(2):245.

    Not in our library10.1016/j.socscimed.2007.03.015

  42. 42.

    Vidanapathirana J, Randeniya M, Operario D. Interventions for reduction of stigma in people with HIV/AIDS (Protocol). Cochrane Database Syst Rev. 2007;3:1-9.

    Not in our library

  43. 43.

    Torrence H. Qualitative research, science, and government: Evidence, criteria, policy, and politics. In: Denzin NK, Lincoln YS, editors. The SAGE handbook of qualitative research. 4th ed. Thousand Oaks, CA: Sage Publication; 2011.p. 569-80.

    Not in our library

  44. 44.

    Hannes K, Macaitis K. A move to more systematic and transparent approaches in qualitative evidence synthesis. Qual Res. 2010.

    Not in our library

  45. 45.

    Noyes J, Popay J, Pearson A, Hannes K, Booth A, The Cochrane Qualitative Research Methods Group. Qualitative research and Cochrane reviews. In: Higgins J, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions. 5.1.0 ed: The Cochrane Collaboration; 2011.

    Not in our library

  46. 46.

    Sandelowski M, Barroso J. Handbook for synthesizing qualitative research. 2007.

    Not in our library

  47. 47.

    Popay J. Incorporating qualitative information in systematic reviews. 14th Cochrane Colloquium; Dublin, Ireland2006.

    Not in our library

  48. 48.

    Campbell R, Pound P, Pope C, Britten N, Pill R, Morgan M, et al. Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care. Soc Sci Med. 2003;56(4):671-684.

    Not in our library10.1016/s0277-9536(02)00064-3

  49. 49.

    Barroso J, Powell-Cope GM. Metasynthesis of qualitative research on living with HIV infection. Qual Health Res. 2000;10(3):340-353.

    Not in our library10.1177/104973200129118480

  50. 50.

    Walsh D, Downe S. Meta-synthesis method for qualitative research: A literature review. J Adv Nurs. 2005;50(2):204-211.

    Not in our library10.1111/j.1365-2648.2005.03380.x

  51. 51.

    Emlet CA. An examination of the social networks and social isolation in older and younger adults living with HIV/AIDS. Health Soc Work. 2006;31(4):299-308.

    Not in our library10.1093/hsw/31.4.299

  52. 52.

    Logie C, Gadalla T. Meta-analysis of health and demographic correlates of stigma towards people living with HIV. AIDS Care. 2009;21(6):742-753.

    Not in our library10.1080/09540120802511877

  53. 53.

    Rueda S, Mitra S, Chen S, Gogolishvili D, Globerman J, Chambers LA et al. Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: a meta-analysis. AIDS Behav. 2014;under review.

    Not in our library10.1136/bmjopen-2016-011453

  54. 54.

    Link BG, Phelan JC. Conceptualizing stigma. Annu Rev Sociol. 2001;27(1):363-385.

    Not in our library10.1146/annurev.soc.27.1.363

  55. 55.

    Sandelowski M, Barroso J. Creating metasummaries of qualitative findings. Nurs Res. 2003;52(4):226-233.

    Not in our library10.1097/00006199-200307000-00004

  56. 56.

    McInnes RJ, Chambers JA. Supporting breastfeeding mothers: qualitative synthesis. J Adv Nurs. 2008;62(4):407-427.

    Not in our library10.1111/j.1365-2648.2008.04618.x

  57. 57.

    Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. 2006;3(2):77-101.

    Not in our library10.1191/1478088706qp063oa

  58. 58.

    Patton MQ. Qualitative evaluation and research methods. 1990.

    Not in our library

  59. 59.

    Agne RR, Thompson TL, Cusella LP. Stigma in the line of face: Self-disclosure of patients' HIV status to health care providers. Journal of Applied Communication Research. 2000;1319:261.

    Not in our library

  60. 60.

    Anderson M, Elam G, Gerver S, Solarin I, Fenton K, Easterbrook P. HIV/AIDS-related stigma and discrimination: accounts of HIV-positive Caribbean people in the United Kingdom. Soc Sci Med. 2008;67(5):790-798.

    Not in our library10.1016/j.socscimed.2008.05.003

  61. 61.

    Balabanova Y, Coker R, Atun RA, Drobniewski F. Stigma and HIV infection in Russia. AIDS Care. 2006;18(7):846-852.

    Not in our library10.1080/09540120600643641

  62. 62.

    Barnes DB, Alforque A, Carter K. "Like I Just Got a Death Sentence": Conditions Affecting Women's Reactions to Being Told Their HIV Antibody Test Results and the Impact on Access to Care. Res Sociol Health Care. 2000;18:3-33.

    Not in our library10.1016/s0275-4959(00)80020-4

  63. 63.

    Bikaako-Kajura W, Luyirika E, Purcell DW, Downing J, Kaharuza F, Mermin J, et al. Disclosure of HIV status and adherence to daily drug regimens among HIV-infected children in Uganda. AIDS Behav. 2006;10(Suppl 1):S85-S93.

    Not in our library10.1007/s10461-006-9141-3

  64. 64.

    Brion JM. Perspectives regarding adherence to prescribed treatment: a focus group study of HIV positive men: Ohio State University. 2007.

    Not in our library

  65. 65.

    Buseh AG, Stevens PE, McManus P, Addison J, Morgan S, Millon-Underwood S. Challenges and opportunities for HIV prevention and care: insights from focus groups of HIV-infected African American men. J Assoc Nurses AIDS Care. 2006;17(4):3-15.

    Not in our library10.1016/j.jana.2006.05.006

  66. 66.

    Cain RE. Quality of life issues among a small sample of persons living with HIV disease in a rural area. Int Electron J Health Educ. 2001;4:298-306.

    Not in our library

  67. 67.

    Cao X, Sullivan SG, Xu J, Wu Z. Understanding HIV-Related Stigma And Discrimination in a Blameless Population. AIDS Educ Prev. 2006;18(6):518-528.

    Not in our library10.1521/aeap.2006.18.6.518

  68. 68.

    Carr RL, Gramling LK. Stigma: A health barrier for women with HIV/AIDS. J Assoc Nurses AIDS Care. 2004;15(5):30-39.

    Not in our library10.1177/1055329003261981

  69. 69.

    Castro R, Orozco E, Eroza E, Manca MC, Hernandez JJ, Aggleton P. AIDS-related illness trajectories in Mexico: findings from a qualitative study in two marginalized communities. AIDS Care. 1998;10(5):583-598.

    Not in our library10.1080/09540129848442

  70. 70.

    Committee for Accessible AIDS Treatment. Transformation through collective action: Best practices in migration, HIV and mental health. Toronto, ON: CAAT2008.

    Not in our library

  71. 71.

    Dawson-Rose C, Shade SB, Lum PJ, Knight KR, Parsons JT, Purcell DW. Health care experiences of HIV positive injection drug users. J Multicult Nurs Health. 2005;11(1):23-30.

    Not in our library

  72. 72.

    Edwards LV. Perceived social support and HIV/AIDS medication adherence among African American women. Qual Health Res. 2006;16(5):679-691.

    Not in our library10.1177/1049732305281597

  73. 73.

    Elamon J. A situational analysis of HIV/AIDS-related discrimination in Kerala. India. AIDS Care. 2005;17(Suppl 2):S141-S151.

    Not in our library10.1080/09540120500120070

  74. 74.

    Emlet CA. Experiences of stigma in older adults living with HIV/AIDS: a mixed-methods analysis. AIDS Patient Care STDS. 2007;21(10):740-752.

    Not in our library10.1089/apc.2007.0010

  75. 75.

    Erwin J, Peters B. Treatment Issues for HIV+ Africans in London. Soc Sci Med. 1999;49:1519-1528.

    Not in our library10.1016/s0277-9536(99)00220-8

  76. 76.

    Gardezi F, Calzavara L, Husbands W, Tharao W, Lawson E, Myers T, et al. Experiences of and responses to HIV among African and Caribbean communities in Toronto. Canada. AIDS Care. 2008;20(6):718-725.

    Not in our library10.1080/09540120701693966

  77. 77.

    Gaudine A, Gien L, Thuan TT, Dung DV. Perspectives of the stigma of HIV from one community in Vietnam: A qualitative descriptive study. Int J Nurs Stud. 2007;47(1):38-48.

    Not in our library10.1016/j.ijnurstu.2009.06.004

  78. 78.

    Geurtsen B. Quality of life and living with HIV/AIDS in Cambodia. J Transcult Nurs. 2005;16(1):41-49.

    Not in our library10.1177/1043659604270979

  79. 79.
    The meaning and effect of HIV/AIDS stigma for people living with AIDS and nurses involved in their care in the North West Province, South Africa · 2007
    Not checked
  80. 80.

    Green G, Platt S. Fear and Loathing in Health Care Settings Reported by People with HIV. Sociol Health Illn. 1997;19(1):70-92.

    Not in our library

  81. 81.

    Herrera C, Campero L, Caballero M, Kendall T. Relationship between physicians and HIV patients: influence on adherence and quality of life. [Spanish]. Rev Saude Publica. 2008;42(2):249-255.

    Not in our library10.1590/s0034-89102008000200009

  82. 82.

    Ingram D, Hutchinson SA. HIV-positive mothers and stigma. Health Care Women Int. 1999;20(1):93-103.

    Not in our library10.1080/073993399245999

  83. 83.

    Konkle-Parker DJ, Erlen JA, Dubbert PM. Barriers and facilitators to medication adherence in a southern minority population with HIV disease. J Assoc Nurses AIDS Care. 2008;19(2):98-104.

    Not in our library10.1016/j.jana.2007.09.005

  84. 84.

    Kumarasamy N, Safren SA, Raminani SR, Pickard R, James R, Sri Krishnan AK, et al. Barriers and facilitators to antiretroviral medication adherence among patients with HIV in Chennai, India: a qualitative study. AIDS Patient Care STDS. 2005;19(8):526-537.

    Not in our library10.1089/apc.2005.19.526

  85. 85.

    Lindau ST, Jerome J, Miller K, Monk E, Garcia P, Cohen M. Mothers on the margins: implications for eradicating perinatal HIV. Soc Sci Med. 2006;62(1):59-69.

    Not in our library10.1016/j.socscimed.2005.05.012

  86. 86.

    Maher L, Coupland H, Musson R. Scaling up HIV treatment, care and support for injecting drug users in Vietnam. Int J Drug Policy. 2007;18(4):296-305.

    Not in our library10.1016/j.drugpo.2006.12.006

  87. 87.

    Mill JE. Shrouded in secrecy: breaking the news of HIV infection to Ghanaian women. J Transcult Nurs. 2003;14(1):6-16.

    Not in our library10.1177/1043659602238345

  88. 88.

    Mills EA. From the Physical Self to the Social Body: Expressions and Effects of HIV-Related Stigma in South Africa. J Community Appl Soc Psychol. 2006;16:498-503.

    Not in our library10.1002/casp.899

  89. 89.

    Murray LK, Semrau K, McCurley E, Thea DM, Scott N, Mwiya M, et al. Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women: A qualitative study. AIDS Care. 2009;21(1):78-86.

    Not in our library10.1080/09540120802032643

  90. 90.

    Muyinda H, Seeley J, Pickering H, Barton T. Social aspects of AIDS-related stigma in rural Uganda. Health Place. 1997;3(3):143-147.

    Not in our library10.1016/s1353-8292(97)00010-5

  91. 91.

    Napravnik S, Royce R, Walter E, Lim W. HIV-1 infected women and prenatal care utilization: Barriers and facilitators. AIDS Patient Care STDS. 2000;14(8):411-420.

    Not in our library10.1089/108729100416623

  92. 92.

    Nguyen TA, Oosterhoff P, Ngoc YP, Wright P, Hardon A. Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam. AIDS Res Ther. 2008;5(7):doi:10.1186/742-6405-5-7.

    Not in our library10.1186/1742-6405-5-7

  93. 93.

    Pugatch D, Bennett L, Patterson D. HIV medication adherence in adolescents: a qualitative study. J HIV/AIDS Prev Educ Adolesc Child. 2002;5(1/2):9-29.

    Not in our library10.1300/j129v05n01_02

  94. 94.

    Rajabiun S, Mallinson RK, McCoy K, Coleman S, Drainoni M, Rebholz C, et al. "Getting me back on track": the role of outreach interventions in engaging and retaining people living with HIV/AIDS in medical care. AIDS Patient Care STDS. 2007;21(Suppl 1):S20-S29.

    Not in our library10.1089/apc.2007.9990

  95. 95.

    Rao D, Kekwaletswe TC, Hosek S, Martinez J, Rodriguez F. Stigma and social barriers to medication adherence with urban youth living with HIV. AIDS Care. 2007;19(1):28-33.

    Not in our library10.1080/09540120600652303

  96. 96.

    Rintamaki LS, Scott AM, Kosenko KA, Jensen RE. Male patient perceptions of HIV stigma in health care contexts. AIDS Patient Care STDS. 2007;21(12):956-969.

    Not in our library10.1089/apc.2006.0154

  97. 97.

    Roberson DW. Factors influencing adherence with anti-retroviral therapy for HIV positive female inmates. J Assoc Nurses AIDS Care. 2009;20(1):50-61.

    Not in our library10.1016/j.jana.2008.05.008

  98. 98.

    Roberts KJ. Barriers to Antiretroviral Medication Adherence in Young HIV-Infected Children. Youth Soc. 2005;37(2):230-245.

    Not in our library10.1177/0044118x05278269

  99. 99.

    Rutledge SE, Abell N, Padmore J, McCann TJ. AIDS stigma in health services in the Eastern Caribbean. Sociol Health Illn. 2009;31(1):17-34.

    Not in our library10.1111/j.1467-9566.2008.01133.x

  100. 100.

    Sabin LL, DeSilva MB, Hamer DH, Keyi X, Yue Y, Wen F, et al. Barriers to adherence to antiretroviral medications among patients living with HIV in southern China: A qualitative study. AIDS Care. 2008;20(10):1242-1250.

    Not in our library10.1080/09540120801918651

  101. 101.

    Sanjobo N, Frich JC, Fretheim A. Barriers and facilitators to patients' adherence to antiretroviral treatment in Zambia: A qualitative study. SAHARA J. 2008;5(3):136-143.

    Not in our library10.1080/17290376.2008.9724912

  102. 102.

    Sayles JN, Ryan GW, Silver JS, Sarkisian CA, Cunningham WE. Experiences of social stigma and implications for healthcare among a diverse population of HIV positive adults. J Urban Health. 2007;84(6):814-828.

    Not in our library10.1007/s11524-007-9220-4

  103. 103.

    Schilder AJ, Kennedy C, Goldstone IL, Ogden RD, Hogg RS, O'Shaughnessy MV. "Being dealt with as a whole person." Care seeking and adherence: The benefits of culturally competent care. Soc Sci Med. 2001;52(11):1643-1659.

    Not in our library10.1016/s0277-9536(00)00274-4

  104. 104.

    Starks H, Simoni J, Zhao H, Huang B, Fredriksen-Goldsen K, Pearson C, et al. Conceptualizing antiretroviral adherence in Beijing. China. AIDS Care. 2008;20(6):607-614.

    Not in our library10.1080/09540120701660379

  105. 105.

    Steward WT, Herek GM, Ramakrishna J, Bharat S, Chandy S, Wrubel J, et al. HIV-related stigma: adapting a theoretical framework for use in India. Soc Sci Med. 2008;67(8):1225-1235.

    Not in our library10.1016/j.socscimed.2008.05.032

  106. 106.

    Surlis S, Hyde A. HIV-positive patients' experiences of stigma during hospitalization. J Assoc Nurses AIDS Care. 2001;12(6):68-77.

    Not in our library10.1016/s1055-3290(06)60185-4

  107. 107.

    Thi MDA, Brickley DB, Vinh DTN, Colby DJ, Sohn AH, Trung NQ et al. A qualitative study of stigma and discrimination against people living with HIV in Ho Chi Minh City, Vietnam. AIDS Behav. 2008;12(4): Supplement.

    Not in our library10.1007/s10461-008-9374-4

  108. 108.

    Tippett Barr BA. Pediatric antiretroviral adherence and child disclosure in Botswana. 2007.

    Not in our library

  109. 109.

    Wang Y, Zhang KN, Zhang KL. HIV/AIDS related discrimination in health care service: A cross-sectional study in Gejiu City. Yunnan Province. Biomed Environ Sci. 2008;21(2):124-128.

    Not in our library10.1016/s0895-3988(08)60017-3

  110. 110.

    Ware N, Wyatt M, Tugenberg T. Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS. AIDS Care. 2006;18(8):904-910.

    Not in our library10.1080/09540120500330554

  111. 111.

    Wrubel J, Moskowitz JT, Richards TA, Prakke H, Acree M, Folkman S. Pediatric adherence: Perspectives of mothers of children with HIV. Soc Sci Med. 2005;61(11):2423-2433.

    Not in our library10.1016/j.socscimed.2005.04.034

  112. 112.

    Zukoski AP, Thorburn S. Experiences of stigma and discrimination among adults living with HIV in a low HIV-prevalence context: A qualitative analysis. AIDS Patient Care STDS. 2009;23(4):267-276.

    Not in our library10.1089/apc.2008.0168

  113. 113.

    UNAIDS. Protocol for the identification of discrimination against people living with HIV. http://data.unaids.org/Publications/IRC-pub01/jc295-protocol_en.pdf. Geneva, SW2000.

    Not in our library

  114. 114.

    Li L, Liang LJ, Lin C, Wu Z, Wen Y. Individual attitudes and perceived social norms: Reports on HIV/AIDS-related stigma among service providers in China. Int J Psychol. 2009;44(6):443-450.

    Not in our library10.1080/00207590802644774

  115. 115.

    Crenshaw K. Mapping the margins: Intersectionality, identity politics, and violence against women of color. In: Grewal I, Kaplan C, editors. An Introduction to Women's Studies: Gender in a Transnational World. 2nd Edition ed. Boston: McGraw Hill; 2002. p. 207–13.

    Not in our library

  116. 116.

    Collins PH. Intersections of race, class, gender, and nation: Some implications for Black family studies. Journal of Comparative Family Studies. 1998;29(1):27-36.

    Not in our library

  117. 117.

    Howarth C. Race as stigma: Positioning the stigmatized as agents, not objects. J Community Appl Soc Psychol. 2006;16(6):442-451.

    Not in our library10.1002/casp.898

  118. 118.

    Rogers S, Tureski K, Cushnie A, Brown A, Bailey A, Palmer Q. Layered stigma among health-care and social service providers toward key affected populations in Jamaica and The Bahamas. AIDS Care. 2014;26(5):538-546.

    Not in our library10.1080/09540121.2013.844762

  119. 119.

    Rutledge SE, Whyte J, Abell N, Brown KM, Cesnales NI. Measuring stigma among health care and social service providers: The HIV/AIDS Provider Stigma Inventory. AIDS Patient Care STDS. 2011;25(11):673-682.

    Not in our library10.1089/apc.2011.0008

  120. 120.

    Allport GW. The nature of prejudice. 1979.

    Not in our library

  121. 121.

    Madru N. Stigma and HIV: does the social response affect the natural course of the epidemic? J Assoc Nurses AIDS Care. 2003;14(5):39-48.

    Not in our library10.1177/1055329003255112

  122. 122.

    Herek GM, Widaman KF, Capitanio JP. When sex equals AIDS: Symbolic stigma and heterosexual adults' inaccurate beliefs about sexual transmission of AIDS. Soc Probl. 2005;52(1):15-37.

    Not in our library10.1525/sp.2005.52.1.15

  123. 123.

    Williamson IR. Internalized homophobia and health issues affecting lesbians and gay men. Health Educ Res. 2000;15(1):97-107.

    Not in our library10.1093/her/15.1.97

  124. 124.

    Newcomb ME, Mustanski B. Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clin Psychol Rev. 2010;30(8):1019-1029.

    Not in our library10.1016/j.cpr.2010.07.003

  125. 125.

    Shavers VL, Shavers BS. Racism and health inequity among Americans. J Natl Med Assoc. 2006;98(3):386-396.

    Not in our library

  126. 126.

    Brondolo E, Gallo L, Myers H. Race, racism and health: disparities, mechanisms, and interventions. J Behav Med. 2009;32(1):1-8.

    Not in our library10.1007/s10865-008-9190-3

  127. 127.

    Paradies Y. A systematic review of empirical research on self-reported racism and health. Int J Epidemiol. 2006;35(4):888-901.

    Not in our library10.1093/ije/dyl056

  128. 128.

    Klonoff EA, Landrine H. The schedule of sexist events. Psychology of Women Quarterly. 1995;19(4):439-470.

    Not in our library10.1111/j.1471-6402.1995.tb00086.x

  129. 129.

    Krieger N, Rowley DL, Herman AA, Avery B, Phillips MT. Racism, sexism, and social class: implications for studies of health, disease, and well-being. Am J Prev Med. 1993;9(6 Suppl):82-122.

    Not in our library

  130. 130.

    Loutfy M, Tharao W, Logie C, Aden MA, Chambers LA, Wu W, et al. Systematic review of stigma reducing interventions for African/Black diasporic women. J Int AIDS Soc. 2015;18(1):19835.

    Not in our library10.7448/ias.18.1.19835

  131. 131.

    Logie C, James L, Tharao W, Loutfy M. Associations between HIV-related stigma, racial discrimination, gender discrimination, and depression among HIV-positive African, Caribbean, and Black women in Ontario, Canada. AIDS Patient Care STDS. 2013;27(2):114-122.

    Not in our library10.1089/apc.2012.0296

  132. 132.

    Doyal L. Challenges in researching life with HIV/AIDS: an intersectional analysis of black African migrants in London. Cult Health Sex. 2009;11(2):173-188.

    Not in our library10.1080/13691050802560336

  133. 133.

    UNAIDS. Reducing HIV stigma and discrimination: A critical part of national AIDS programmes. 2007.

    Not in our library

  134. 134.

    Herek GM, Capitanio JP, Widaman KF. HIV-related stigma and knowledge in the United States: prevalence and trends, 1991–1999. Am J Public Health. 2002;92(3):371-377.

    Not in our library10.2105/ajph.92.3.371

  135. 135.

    Ogden J, Nyblade L. Common at its core: HIV-related stigma across contexts. 2005.

    Not in our library

  136. 136.

    UNAIDS. Report presented at the 26th Meeting of the UNAIDS programme coordinating board: Non-discrimination in HIV responses. 2010.

    Not in our library

  137. 137.

    Li LP, Wu ZP, Liang L-JP, Lin CP, Guan JMD, Jia MMD, et al. Reducing HIV-Related Stigma in Health Care Settings: A Randomized Controlled Trial in China. Am J Public Health. 2013;103(2):286-292.

    Not in our library10.2105/ajph.2012.300854

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