Universal HIV testing and treatment and HIV stigma reduction

A comparative thematic analysis of qualitative data from the HPTN 071 (PopART) trial in South Africa and Zambia

Datos Bibliográficos

ID2249825
AutoresLario Viljoen (0000-0003-4039-6639, Department of Paediatrics and Child Health Faculty of Medicine and Health Sciences Desmond Tutu TB Centre Stellenbosch University Stellenbosch South Africa, autor de correspondencia), Virginia Bond (0000-0002-6815-4239, Zambart School of Public Health Ridgeway Campus University of Zambia Lusaka Zambia, autor de correspondencia), Lyn Reynolds (0000-0003-4980-6876, Stellenbosch University, autor de correspondencia), Lindsey J Reynolds (Department of Sociology and Social Anthropology Stellenbosch University Stellenbosch South Africa), Constance Mubekapi‐musadaidzwa (0000-0003-4430-7461, Department of Paediatrics and Child Health Faculty of Medicine and Health Sciences Desmond Tutu TB Centre Stellenbosch University Stellenbosch South Africa, autor de correspondencia), Dzunisani Patience Baloyi (0000-0003-3315-0411, Department of Paediatrics and Child Health Faculty of Medicine and Health Sciences Desmond Tutu TB Centre Stellenbosch University Stellenbosch South Africa, autor de correspondencia), Rhoda Ndubani (Zambart School of Public Health Ridgeway Campus University of Zambia Lusaka Zambia, autor de correspondencia), Anne Stangl (0000-0001-9325-5077, International Center for Research on Women Washington DC USA, autor de correspondencia), Janet Seeley (0000-0002-0583-5272, Global Health and Development Department Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine London UK, autor de correspondencia), Triantafyllos Pliakas (0000-0002-7242-6479, Department of Public Health, Environments and Society Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine London UK, autor de correspondencia), Peter Bock (0000-0003-3211-6078, Department of Paediatrics and Child Health Faculty of Medicine and Health Sciences Desmond Tutu TB Centre Stellenbosch University Stellenbosch South Africa, autor de correspondencia), Sarah Fidler (0000-0003-1676-7583, Imperial College NIHR BRC Imperial College London London UK, autor de correspondencia), Renée Hayes (0000-0002-1729-9892, Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Public Health London School of Hygiene and Tropical Medicine London UK, autor de correspondencia), Helen Ayles (0000-0003-4108-2842, Zambart School of Public Health Ridgeway Campus University of Zambia Lusaka Zambia, autor de correspondencia), Julian Hargreaves (0000-0002-3509-3572, Department of Public Health, Environments and Society Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine London UK, autor de correspondencia), Graeme Hoddinott (0000-0001-5915-8126, Department of Paediatrics and Child Health Faculty of Medicine and Health Sciences Desmond Tutu TB Centre Stellenbosch University Stellenbosch South Africa, autor de correspondencia)
Año2021
Volumen43
Número1
Páginas167-185
Fecha de publicación2021-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13208
PMID33085116
OpenAlexW3093867342
IdiomaEN
Citas recibidas8
Referencias citadas66

Despite continued development of effective HIV treatment, expanded access to care and advances in prevention modalities, HIV-related stigma persists. We examine how, in the context of a universal HIV-testing and treatment trial in South Africa and Zambia, increased availability of HIV services influenced conceptualisations of HIV. Using qualitative data, we explore people's stigma-related experiences of living in 'intervention' and 'control' study communities. We conducted exploratory data analysis from a qualitative cohort of 150 households in 13 study communities, collected between 2016 and 2018. We found that increased availability of HIV-testing services influenced conceptualisations of HIV as normative (non-exceptional) and the visibility of people living with HIV (PLHIV) in household and community spaces impacted opportunities for stigma. There was a shift in community narratives towards individual responsibility to take up (assumingly) widely available service - for PLHIV to take care of their own health and to prevent onward transmission. Based on empirical data, we show that, despite a growing acceptance of HIV-related testing services, anticipated stigma persists through the mechanism of shifting responsibilisation. To mitigate the responsibilisation of PLHIV, heath implementers need to adapt anti-stigma messaging and especially focus on anticipated stigma

Business · Context (archaeology · Family medicine · Focus group · Geography · Human immunodeficiency virus (HIV · Psychiatry · Qualitative property · Qualitative research · Sociology · Stigma (botany · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology