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HIV/AIDS-related stigma in South African alcohol-serving venues and its potential impact on HIV disclosure, testing and treatment-seeking behaviours.
- Source :
- Global Public Health; Oct2015, Vol. 10 Issue 9, p1092-1106, 15p
- Publication Year :
- 2015
-
Abstract
- 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. [ABSTRACT FROM PUBLISHER]
- Subjects :
- AIDS prevention
DIAGNOSIS of HIV infections
HIV prevention
HIV infection risk factors
HIV infection transmission
HIV infections
THERAPEUTICS
AIDS
BLACK people
CONCEPTUAL structures
ALCOHOL drinking
HELP-seeking behavior
PSYCHOLOGY of HIV-positive persons
INTERVIEWING
RESEARCH methodology
QUESTIONNAIRES
RESEARCH funding
SOCIAL isolation
SOCIAL stigma
SURVEYS
WHITE people
PSYCHOLOGY of AIDS patients
QUALITATIVE research
DISCLOSURE
JUDGMENT sampling
HIGHLY active antiretroviral therapy
DATA analysis software
PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 10
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 109462659
- Full Text :
- https://doi.org/10.1080/17441692.2014.1001767