IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2003.028563_6.html
   My bibliography  Save this article

Understanding and addressing AIDS-related stigma: From anthropological theory to clinical practice in Haiti

Author

Listed:
  • Castro, A.
  • Farmer, P.

Abstract

For the past several years, diverse and often confused concepts of stigma have been invoked in discussions on AIDS. Many have argued compellingly that AIDS-related stigma acts as a barrier to voluntary counseling and testing. Less compelling are observations regarding the source of stigma or its role in decreasing interest in HIV care. We reviewed these claims as well as literature from anthropology, sociology, and public health. Preliminary data from research in rural Haiti suggest that the introduction of quality HIV care can lead to a rapid reduction in stigma, with resulting increased uptake of testing. Rather than stigma, logistic and economic barriers determine who will access such services. Implications for scale-up of integrated AIDS prevention and care are explored.

Suggested Citation

  • Castro, A. & Farmer, P., 2005. "Understanding and addressing AIDS-related stigma: From anthropological theory to clinical practice in Haiti," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 53-59.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.028563_6
    DOI: 10.2105/AJPH.2003.028563
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2003.028563
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2003.028563?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lori Hunter & John Reid-Hresko & Thomas Dickinson, 2011. "Environmental Change, Risky Sexual Behavior, and the HIV/AIDS Pandemic: Linkages Through Livelihoods in Rural Haiti," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 30(5), pages 729-750, October.
    2. Yaqub, Ohid & Coburn, Josie & Moore, Duncan A.Q., 2023. "Knowledge spillovers from HIV research-funding," SocArXiv gcuhn, Center for Open Science.
    3. Debajyoti Biswas & Sanjukta Chatterjee & Parvin Sultana, 2021. "Stigma and fear during COVID-19: essentializing religion in an Indian context," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-10, December.
    4. Wang, Bo & Li, Xiaoming & Barnett, Douglas & Zhao, Guoxiang & Zhao, Junfeng & Stanton, Bonita, 2012. "Risk and protective factors for depression symptoms among children affected by HIV/AIDS in rural China: A structural equation modeling analysis," Social Science & Medicine, Elsevier, vol. 74(9), pages 1435-1443.
    5. Li, Li & Lin, Chunqing & Wu, Zunyou & Scott Comulada, W. & Ding, Yingying, 2012. "Regional differences in HIV prevalence and individual attitudes among service providers in China," Social Science & Medicine, Elsevier, vol. 75(2), pages 283-287.
    6. Whittle, Henry J. & Palar, Kartika & Ranadive, Nikhil A. & Turan, Janet M. & Kushel, Margot & Weiser, Sheri D., 2017. "“The land of the sick and the land of the healthy”: Disability, bureaucracy, and stigma among people living with poverty and chronic illness in the United States," Social Science & Medicine, Elsevier, vol. 190(C), pages 181-189.
    7. Abadía-Barrero, César Ernesto & Castro, Arachu, 2006. "Experiences of stigma and access to HAART in children and adolescents living with HIV/AIDS in Brazil," Social Science & Medicine, Elsevier, vol. 62(5), pages 1219-1228, March.
    8. Yang, Lawrence H. & Chen, Fang-pei & Sia, Kathleen Janel & Lam, Jonathan & Lam, Katherine & Ngo, Hong & Lee, Sing & Kleinman, Arthur & Good, Byron, 2014. "“What matters most:” A cultural mechanism moderating structural vulnerability and moral experience of mental illness stigma," Social Science & Medicine, Elsevier, vol. 103(C), pages 84-93.
    9. Anderson, Moji & Elam, Gillian & Gerver, Sarah & Solarin, Ijeoma & Fenton, Kevin & Easterbrook, Philippa, 2008. "HIV/AIDS-related stigma and discrimination: Accounts of HIV-positive Caribbean people in the United Kingdom," Social Science & Medicine, Elsevier, vol. 67(5), pages 790-798, September.
    10. Djellouli, Nehla & Quevedo-Gómez, María Cristina, 2015. "Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia," Social Science & Medicine, Elsevier, vol. 133(C), pages 36-44.
    11. Jürgensen, Marte & Sandøy, Ingvild Fossgard & Michelo, Charles & Fylkesnes, Knut, 2013. "Effects of home-based Voluntary Counselling and Testing on HIV-related stigma: Findings from a cluster-randomized trial in Zambia," Social Science & Medicine, Elsevier, vol. 81(C), pages 18-25.
    12. Kaler, Amy & Angotti, Nicole & Ramaiya, Astha, 2016. "“They are looking just the same”: Antiretroviral treatment as social danger in rural Malawi," Social Science & Medicine, Elsevier, vol. 167(C), pages 71-78.
    13. Freeman, Emily, 2016. "Understanding HIV-related stigma in older age in rural Malawi," Social Science & Medicine, Elsevier, vol. 164(C), pages 35-43.
    14. Adebowale Will Akande, 2010. "A possible role of stigma and fears in HIV infection," Journal of International Development, John Wiley & Sons, Ltd., vol. 22(5), pages 556-572.
    15. Emmy Kageha Igonya & Lorraine Nencel & Ida Sabelis & Grace Kimemia, 2022. "Using Economic Diaries in an Ethnographic Study: What They Can Tell About the Financial and Daily Lives of Male and Female Sex Workers in Mombasa," Progress in Development Studies, , vol. 23(1), pages 28-43, July.
    16. Hejoaka, Fabienne, 2009. "Care and secrecy: Being a mother of children living with HIV in Burkina Faso," Social Science & Medicine, Elsevier, vol. 69(6), pages 869-876, September.
    17. Maman, Suzanne & Abler, Laurie & Parker, Lisa & Lane, Tim & Chirowodza, Admire & Ntogwisangu, Jacob & Srirak, Namtip & Modiba, Precious & Murima, Oliver & Fritz, Katherine, 2009. "A comparison of HIV stigma and discrimination in five international sites: The influence of care and treatment resources in high prevalence settings," Social Science & Medicine, Elsevier, vol. 68(12), pages 2271-2278, June.
    18. Peretti-Watel, P. & Spire, B. & Schiltz, M.A. & Bouhnik, A.D. & Heard, I. & Lert, F. & Obadia, Y., 2006. "Vulnerability, unsafe sex and non-adherence to HAART: Evidence from a large sample of French HIV/AIDS outpatients," Social Science & Medicine, Elsevier, vol. 62(10), pages 2420-2433, May.
    19. Genberg, Becky L. & Hlavka, Zdenek & Konda, Kelika A. & Maman, Suzanne & Chariyalertsak, Suwat & Chingono, Alfred & Mbwambo, Jessie & Modiba, Precious & Van Rooyen, Heidi & Celentano, David D., 2009. "A comparison of HIV/AIDS-related stigma in four countries: Negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS," Social Science & Medicine, Elsevier, vol. 68(12), pages 2279-2287, June.
    20. Labbé, Fabienne & Pelletier, Catherine & Bettinger, Julie A. & Curran, Janet & Graham, Janice E. & Greyson, Devon & MacDonald, Noni E. & Meyer, Samantha B. & Steenbeek, Audrey & Xu, Weiai & Dubé, Ève, 2022. "Stigma and blame related to COVID-19 pandemic: A case-study of editorial cartoons in Canada," Social Science & Medicine, Elsevier, vol. 296(C).
    21. David Canning, 2006. "The Economics of HIV/AIDS in Low-Income Countries: The Case for Prevention," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 121-142, Summer.
    22. Gausset, Quentin & Mogensen, Hanne Overgaard & Yameogo, Wambi Maurice Evariste & Berthé, Abdramane & Konaté, Blahima, 2012. "The ambivalence of stigma and the double-edged sword of HIV/AIDS intervention in Burkina Faso," Social Science & Medicine, Elsevier, vol. 74(7), pages 1037-1044.
    23. Pınar Öktem, 2015. "The Role of the Family in Attributing Meaning to Living With HIV and Its Stigma in Turkey," SAGE Open, , vol. 5(4), pages 21582440156, November.
    24. Keetie Roelen & Caroline Ackley & Paul Boyce & Nicolas Farina & Santiago Ripoll, 2020. "COVID-19 in LMICs: The Need to Place Stigma Front and Centre to Its Response," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 32(5), pages 1592-1612, December.
    25. Padilla, Mark & Castellanos, Daniel & Guilamo-Ramos, Vincent & Reyes, Armando Matiz & Sánchez Marte, Leonardo E. & Soriano, Martha Arredondo, 2008. "Stigma, social inequality, and HIV risk disclosure among Dominican male sex workers," Social Science & Medicine, Elsevier, vol. 67(3), pages 380-388, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.028563_6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.