Identifying "What Matters Most" to Men in Botswana to Promote Resistance to HIV-Related Stigma

Bibliographic Data

ID4660797
AuthorsMisra (0000-0003-0389-1227, San Francisco State University, San Francisco, California, USA, corresponding author), Haitisha Mehta (Columbia University), Haitisha T Mehta (Columbia University, New York, New York, USA), Evan L Eschliman (0000-0001-6478-4615, Johns Hopkins University, Baltimore, Maryland, USA), Shathani Rampa (0000-0001-7067-0059, University of Botswana, Gaborone, Botswana), Ohemaa B Poku (Johns Hopkins University, Baltimore, Maryland, USA), Ohemaa Poku (0000-0001-7658-2981, Johns Hopkins University), Wei-Qian Wang (0000-0001-6027-3084, University of Pennsylvania, Philadelphia, Pennsylvania, USA), Ari R Ho-Foster (0000-0001-9817-8090, University of Botswana, Gaborone, Botswana), Mosepele, Mosepele Mosepele (0000-0002-6051-0999, University of Botswana, Gaborone, Botswana), Timothy D Becker (0000-0002-8400-1312, NYU School of Global Public Health, New York City, New York, USA), Patlo Entaile (University of Botswana, Gaborone, Botswana), Tonya Arscott-Mills (University of Pennsylvania, Philadelphia, Pennsylvania, USA), Tonya Arscott‐Mills (0000-0002-7873-9871, University of Pennsylvania), Phillip R Opondo (University of Botswana, Gaborone, Botswana), Michael B Blank (0000-0002-6150-4777, University of Pennsylvania, Philadelphia, Pennsylvania, USA), Lawrence Hsin Yang (0000-0001-7779-7423, Columbia University, New York, New York, USA)
Year2021
Volume31
Issue9
Pages1680-1696
Publication date2021-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323211001361
PMID33764233
OpenAlexW3136662468
LanguageEN
Citations received9
References cited55

Despite a comprehensive national program of free HIV services, men living with HIV in Botswana participate at lower rates and have worse outcomes than women. Directed content analysis of five focus groups ( n = 38) and 50 in-depth interviews with men and women with known and unknown HIV status in Gaborone, Botswana in 2017 used the "what matters most" (WMM) and "structural vulnerability" frameworks to examine how the most valued cultural aspects of manhood interact with HIV-related stigma. WMM for manhood in Botswana included fulfilling male responsibilities by being a capable provider and maintaining social status. Being identified with HIV threatened WMM, which fear of employment discrimination could further exacerbate. Our findings indicate how cultural and structural forces interact to worsen or mitigate HIV-related stigma for urban men in Botswana. These threats to manhood deter HIV testing and treatment, but interventions could capitalize on cultural capabilities for manhood to promote stigma resistance

Biology · Family medicine · Psychiatry · Social stigma · Sociology · Adolescent Sexual and Reproductive Health · Gender Studies · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology

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