Antiretroviral therapy and changing patterns of HIV stigmatisation in Entebbe, Uganda

Dados Bibliográficos

ID2249051
AutoresSteve Russell (School of International Development University of East Anglia Norwich Norfolk), Flavia Zalwango (0000-0003-0819-5255, Medical Research Council Uganda Virus Research Institute Uganda Research Unit on AIDS Uganda), Stella Namukwaya (0009-0003-9217-3418, Medical Research Council Uganda Virus Research Institute Uganda Research Unit on AIDS Uganda), Joseph Katongole (0009-0009-0734-8804, Medical Research Council Uganda Virus Research Institute Uganda Research Unit on AIDS Uganda), Richard Muhumuza (0000-0002-9931-7600, Medical Research Council Uganda Virus Research Institute Uganda Research Unit on AIDS Uganda), Ruth Nalugya (0000-0002-9659-5031, Medical Research Council Uganda Virus Research Institute Uganda Research Unit on AIDS Uganda), Janet Seeley (0000-0002-0583-5272, Medical Research Council Uganda Virus Research Institute Uganda Research Unit on AIDS Uganda)
Ano2016
Volume38
Fascículo1
Páginas58-72
Data de publicação2016-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12341
PMID26382288
OpenAlexW1903969950
IdiomaEN
Citações recebidas11
Referências citadas39

Antiretroviral therapy (ART) has the potential to change processes of HIV stigmatisation. In this article, changing processes of stigmatisation among a group of people living with HIV (PLWH) on ART in Wakiso District, Uganda, are analysed using qualitative data from a study of PLWH's self-management of HIV on ART. There were 38 respondents (20 women, 18 men) who had been taking ART for at least 1 year. They were purposefully selected from government and non-government ART providers. Two in-depth interviews were held with each participant. Processes of reduced self-stigmatisation were clearly evident, caused by the recovery of their physical appearance and support from health workers. However most participants continued to conceal their status because they anticipated stigma; for example, they feared gossip, rejection and their status being used against them. Anticipated stigma was gendered: women expressed greater fear of enacted forms of stigma such as rejection by their partner; in contrast men's fears focused on gossip, loss of dignity and self-stigmatisation. The evidence indicates that ART has not reduced underlying structural drivers of stigmatisation, notably gender identities and inequalities, and that interventions are still required to mitigate and tackle stigmatisation, such as counselling, peer-led education and support groups that can help PLWH reconstruct alternative and more positive identities.A video abstract of this article can be found at: https://youtu.be/WtIaZJQ3Y_8

Antiretroviral therapy · Dignity · Family medicine · Government (linguistics · Human immunodeficiency virus (HIV · Political science · Psychiatry · Psychological intervention · Qualitative research · Social science · Social stigma · Sociology · Stigma (botany · Viral load · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology