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The Fight for an AIDS-Free World: Confronting the Stigma, Reaching the Marginalized Cover

The Fight for an AIDS-Free World: Confronting the Stigma, Reaching the Marginalized

Open Access
|Jul 2024

Figures & Tables

Source: Earnshaw and Kalichman (2013).

DRIVERS OF STIGMATYPES OF STIGMASTIGMA PRACTICESSTIGMA EXPERIENCESOUTCOMES FOR AFFECTED POPULATIONS
Fear of contracting an infection, misinformation about how HIV is spread, and incorrect beliefs about its prognosis and treatmentStigmas related to social identity (such as racism and ageism) and health conditions (such as HIV/AIDS, mental illness, and substance use).Criminal justice and social issues:
  • Legal penalties for not disclosing HIV status

  • Mandatory disclosure of HIV status

  • Social isolation and avoidance

  • Negative representation in the media


Health system issues:
  • Taking excessive precautions when dealing with individuals with HIV

  • Treating only the HIV condition without considering the person as a whole

  • Restrictions on blood and organ donations from gay, bisexual, and other men who have sex with men

Enacted stigma: Experiencing unfair treatment
Internalized stigma: Feelings of shame and embarrassment among LGBTQ individuals, substance users, and those living with HIV, mental illness, or obesity
Anticipated stigma: Expecting to be stigmatized
Secondary stigma: Stigma experienced by family, friends, and caregivers
Impact on service use: Delayed or reduced utilization of health and social services and lower-quality of care received, hiding HIV status, self-isolation, limited job opportunities
Harmful coping mechanisms: Social withdrawal, substance use, denial, and not adhering to medications
Health outcomes: Higher risks of poorer physical health, quality of life, and mental health issues (such as depression, loneliness, and suicidal thoughts); lower self-perceived health
Table 1

Regional statistics on HIV prevalence among key populations compared with the general population.

REGIONSEX WORKERSGAY MEN AND OTHER MEN WHO HAVE SEX WITH MENTRANSGENDER PEOPLEPEOPLE WHO INJECT DRUGSPEOPLE IN PRISONSTHE GENERAL POPULATION
Asia and the Pacific1.1%4.70%3.9%4.2%0.9%0.2%
Caribbean2.6%11.8%39.4%3.6%1.2%
Eastern and southern Africa29.9%12.9%42.8%21.8%5.5%5.9%
Eastern Europe and central Asia2.0%4.3%1.7%7.2%1.1%1.2%
Latin America1.3%9.5%14.7%1.5%0.6%0.5%
Middle East and North Africa1.1%6.6%0.9%0.2%0.06%
Western and central Africa7.5%8.0%21.9%3.7%2.8%1.1%
Western and central Europe and North America0.8%5.5%7.6%5.0%1.0%0.2%

[i] Source: The Joint United Nations Programme on HIV/AIDS (UNAIDS), 2023.

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DOI: https://doi.org/10.5334/aogh.4414 | Journal eISSN: 2214-9996
Language: English
Submitted on: Feb 8, 2024
Accepted on: Jun 4, 2024
Published on: Jul 5, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Dorothy Serwaa Boakye, Emmanuel Kumah, Samuel Adjorlolo, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.