HIV/AIDS-related stigma in South African alcohol-serving venues and its potential impact on HIV disclosure, testing and treatment-seeking behaviours

Autor:	Karmel W. Choi, Jennifer Velloza, Donald Skinner, Desiree Pieterse, Seth C. Kalichman, Kathleen J. Sikkema, Melissa H. Watt, Laurie Abler
Rok vydání:	2015
Předmět:	Adult Male medicine.medical_specialty Adolescent Alcohol Drinking Social stigma Social Stigma Stigma (botany) HIV Infections Disclosure Interpersonal communication Social Environment Social issues Article Interviews as Topic South Africa Young Adult Risk-Taking Acquired immunodeficiency syndrome (AIDS) medicine Humans Young adult Psychiatry Qualitative Research business.industry Public Health Environmental and Occupational Health AIDS Serodiagnosis virus diseases Social environment Middle Aged Patient Acceptance of Health Care medicine.disease Female business Attitude to Health Clinical psychology Qualitative research
Zdroj:	Global Public Health. 10:1092-1106
ISSN:	1744-1706 1744-1692
DOI:	10.1080/17441692.2014.1001767
Popis:	Alcohol-serving venues in South Africa are sites for high-risk behaviours that may lead to HIV transmission. Prevention and treatment interventions are sorely needed in these settings, but HIV-related stigma may limit their effectiveness. This study explored expressions of stigma among alcohol-serving venue patrons in Cape Town and examined the potential impact of stigma on HIV disclosure, testing, and treatment-seeking behaviours. A total of 92 in-depth interviews with male and female, Black and Coloured patrons were conducted. Transcripts were analysed via memo-writing and diagramming techniques. Many participants mentioned knowing other patrons living with HIV/AIDS (PLWH), and this visibility of HIV impacted expressions of HIV-related stigma. Participants discussed four forms of HIV-related stigma in the venues: fearing PLWH, fearing HIV acquisition, blaming others for spreading HIV, and isolating PLWH. HIV visibility and expressions of HIV-related stigma, particularly fear of isolation, influenced participants’ willingness to disclose their status. HIV-related stigma in the venues also appeared to indirectly influence testing and treatment-seeking behaviour outside the venue. Results suggest that efforts to change norms and reduce expressions of HIV-related stigma in alcohol-serving venues are necessary to successfully deliver tailored HIV prevention interventions and increase uptake of HIV testing and care in this important social setting.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c2792d3599820df30434e5ad57e736f https://doi.org/10.1080/17441692.2014.1001767 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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