'You are always hiding. It’s the worst way to live.' Exploring stigma in African immigrants living with HIV in a large northwest U.S. metropolitan area
Autor: | Roxanne P. Kerani, Sarah Frey, Deepa Rao, Lisa Niemann, Lauren Lipira, Paul E. Nevin, Meheret Endeshaw |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Gerontology
Biopsychosocial model Adult Male Coping (psychology) medicine.medical_specialty media_common.quotation_subject Immigration Population Social Stigma Black People Emigrants and Immigrants HIV Infections Article Interviews as Topic 03 medical and health sciences Social support Young Adult 0302 clinical medicine Health care Adaptation Psychological medicine Humans 030212 general & internal medicine Social determinants of health education Qualitative Research media_common Advanced and Specialized Nursing Gynecology education.field_of_study 030505 public health business.industry Social Support Middle Aged Mental health United States Mental Health Social Isolation Quality of Life Female Rejection Psychology 0305 other medical science business Psychology |
Popis: | African immigrants living in the United States are disproportionately and uniquely affected by HIV. Evidence shows that stigma may contribute to this inequity. Applying a biopsychosocial model of health, our qualitative study explored HIV-related stigma and its impact on African immigrants living with HIV in a large northwest U.S. metropolitan area. We conducted in-depth, semi-structured interviews with 20 African immigrants living with HIV. In the biological health realm, HIV-related stigma contributed to adverse health care environments, disruptions in care, and poor physical health. In the psychological health realm, it was associated with emotional vulnerability, depressive symptoms, and negative coping. In the social health realm, stigma lead to disclosure challenges, isolation, and poor social support. HIV-related stigma was an extensive and pervasive burden for this population. The biopsychosocial model was a helpful lens through which to explore HIV-related stigma and identify opportunities for future research and intervention. |
Databáze: | OpenAIRE |
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