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dc.contributor.authorSuzanne Mamanen_US
dc.contributor.authorLaurie Ableren_US
dc.contributor.authorLisa Parkeren_US
dc.contributor.authorTim Laneen_US
dc.contributor.authorAdmire Chirowodzaen_US
dc.contributor.authorJacob Ntogwisanguen_US
dc.contributor.authorNamtip Sriraken_US
dc.contributor.authorPrecious Modibaen_US
dc.contributor.authorOliver Murimaen_US
dc.contributor.authorKatherine Fritzen_US
dc.description.abstractWhat accounts for differences in HIV stigma across different high prevalence settings? This study was designed to examine HIV stigma and discrimination in five high prevalence settings. Qualitative data were collected as part of the U.S. National Institute of Mental Health (NIMH) Project Accept, a multi-site community randomized trial of community-based HIV voluntary counseling and testing. In-depth interviews were conducted with 655 participants in five sites, four in Sub-Saharan Africa and one in Southeast Asia. Interviews were conducted in the local languages by trained research staff. Data were audiotaped, transcribed, translated, coded and computerized for thematic data analysis. Participants described the stigmatizing attitudes and behaviors perpetuated against people living with HIV/AIDS (PLWHA). The factors that contribute to HIV stigma and discrimination include fear of transmission, fear of suffering and death, and the burden of caring for PLWHA. The family, access to antiretrovirals and other resources, and self-protective behaviors of PLWHA protected against HIV stigma and discrimination. Variation in the availability of health and socioeconomic resources designed to mitigate the impact of HIV/AIDS helps explain differences in HIV stigma and discrimination across the settings. Increasing access to treatment and care resources may function to lower HIV stigma, however, providing services is not enough. We need effective strategies to reduce HIV stigma as treatment and care resources are scaled up in the settings that are most heavily impacted by the HIV epidemic. © 2009 Elsevier Ltd. All rights reserved.en_US
dc.subjectArts and Humanitiesen_US
dc.subjectSocial Sciencesen_US
dc.titleA comparison of HIV stigma and discrimination in five international sites: The influence of care and treatment resources in high prevalence settingsen_US
article.title.sourcetitleSocial Science and Medicineen_US
article.volume68en_US University of North Carolina at Chapel Hillen_US for AIDS Prevention Studiesen_US Sciences Research Councilen_US University of Health and Allied Sciencesen_US Mai Universityen_US HIV Research Uniten_US of Zimbabween_US Center for Research on Womenen_US
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