Stigma, HIV and health: a qualitative synthesis. Chambers, L. A, Rueda, S., Baker, D N., Wilson, M. G, Deutsch, R., Raeifar, E., Rourke, S. B, & Stigma Review Team BMC Public Health, 15:848, September, 2015. ![Stigma, HIV and health: a qualitative synthesis [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex BACKGROUND: HIV-related stigma continues to negatively impact the health and well-being of people living with HIV, with deleterious effects on their care, treatment and quality of life. A growing body of qualitative research has documented the relationship between HIV-related stigma and health. This review aims to synthesize qualitative evidence that explored the intersections of stigma and health for people with HIV. METHODS: A thematic summary was conducted that was guided by the qualitative metasummary technique developed by Sandelowski and Barraso. Literature searches yielded 8,622 references of which 55 qualitative studies were identified that illustrated HIV-related stigma in the context of health. RESULTS: The metasummary classified qualitative findings into three overarching categories: conceptualizing stigma which identified key dimensions of HIV-related stigma; experiencing stigma which highlighted experiences of stigma in the health context, and managing stigma which described ways in which stigma is avoided or addressed. To better illustrate these connections, the qualitative literature was summarized into the following themes: stigma within health care settings, the role of stigma in caring for one's health, and strategies to address HIV-related stigma in the health context. A number of health care practices were identified--some rooted in institutional practices, others shaped by personal perceptions held by practitioners--that could be stigmatizing or discriminatory towards people with HIV. There existed interconnections between enacted stigma and felt stigma that influenced health care utilization, treatment adherence, and overall health and well-being of people with HIV. Intersectional stigma also emerged as instrumental in the stigma experiences of people living with HIV. A number of strategies to address stigma were identified including social support, education, self-efficacy, resilience activities, and advocacy. CONCLUSION: This review of the qualitative evidence indicates that HIV-related stigma within health contexts is a broad social phenomenon that manifests within multiple social spheres, including health care environments. Findings from this review indicate that future stigma research should consider the social structures and societal practices--within and outside of health care environments--that perpetuate and reinforce stigma and discrimination towards people with HIV.
@article{chambers_stigma_2015,
title = {Stigma, {HIV} and health: a qualitative synthesis},
volume = {15},
issn = {1471-2458},
url = {http://dx.doi.org/10.1186/s12889-015-2197-0},
doi = {10.1186/s12889-015-2197-0},
abstract = {BACKGROUND: HIV-related stigma continues to negatively impact the health
and well-being of people living with HIV, with deleterious effects on
their care, treatment and quality of life. A growing body of qualitative
research has documented the relationship between HIV-related stigma and
health. This review aims to synthesize qualitative evidence that explored
the intersections of stigma and health for people with HIV. METHODS: A
thematic summary was conducted that was guided by the qualitative
metasummary technique developed by Sandelowski and Barraso. Literature
searches yielded 8,622 references of which 55 qualitative studies were
identified that illustrated HIV-related stigma in the context of health.
RESULTS: The metasummary classified qualitative findings into three
overarching categories: conceptualizing stigma which identified key
dimensions of HIV-related stigma; experiencing stigma which highlighted
experiences of stigma in the health context, and managing stigma which
described ways in which stigma is avoided or addressed. To better
illustrate these connections, the qualitative literature was summarized
into the following themes: stigma within health care settings, the role of
stigma in caring for one's health, and strategies to address HIV-related
stigma in the health context. A number of health care practices were
identified--some rooted in institutional practices, others shaped by
personal perceptions held by practitioners--that could be stigmatizing or
discriminatory towards people with HIV. There existed interconnections
between enacted stigma and felt stigma that influenced health care
utilization, treatment adherence, and overall health and well-being of
people with HIV. Intersectional stigma also emerged as instrumental in the
stigma experiences of people living with HIV. A number of strategies to
address stigma were identified including social support, education,
self-efficacy, resilience activities, and advocacy. CONCLUSION: This
review of the qualitative evidence indicates that HIV-related stigma
within health contexts is a broad social phenomenon that manifests within
multiple social spheres, including health care environments. Findings from
this review indicate that future stigma research should consider the
social structures and societal practices--within and outside of health
care environments--that perpetuate and reinforce stigma and discrimination
towards people with HIV.},
journal = {BMC Public Health},
author = {Chambers, Lori A and Rueda, Sergio and Baker, D Nico and Wilson, Michael G and Deutsch, Rachel and Raeifar, Elmira and Rourke, Sean B and {Stigma Review Team}},
month = sep,
year = {2015},
keywords = {Mental Health Diversity, Sep 20 import, duplicate},
pages = {848}
}
Downloads: 0
{"_id":"yqg3qRePZjRt6gYcD","bibbaseid":"chambers-rueda-baker-wilson-deutsch-raeifar-rourke-stigmareviewteam-stigmahivandhealthaqualitativesynthesis-2015","downloads":0,"creationDate":"2018-04-27T04:04:45.218Z","title":"Stigma, HIV and health: a qualitative synthesis","author_short":["Chambers, L. A","Rueda, S.","Baker, D N.","Wilson, M. G","Deutsch, R.","Raeifar, E.","Rourke, S. B","Stigma Review Team"],"year":2015,"bibtype":"article","biburl":"https://bibbase.org/zotero/davidlloyd33","bibdata":{"bibtype":"article","type":"article","title":"Stigma, HIV and health: a qualitative synthesis","volume":"15","issn":"1471-2458","url":"http://dx.doi.org/10.1186/s12889-015-2197-0","doi":"10.1186/s12889-015-2197-0","abstract":"BACKGROUND: HIV-related stigma continues to negatively impact the health and well-being of people living with HIV, with deleterious effects on their care, treatment and quality of life. A growing body of qualitative research has documented the relationship between HIV-related stigma and health. This review aims to synthesize qualitative evidence that explored the intersections of stigma and health for people with HIV. METHODS: A thematic summary was conducted that was guided by the qualitative metasummary technique developed by Sandelowski and Barraso. Literature searches yielded 8,622 references of which 55 qualitative studies were identified that illustrated HIV-related stigma in the context of health. RESULTS: The metasummary classified qualitative findings into three overarching categories: conceptualizing stigma which identified key dimensions of HIV-related stigma; experiencing stigma which highlighted experiences of stigma in the health context, and managing stigma which described ways in which stigma is avoided or addressed. To better illustrate these connections, the qualitative literature was summarized into the following themes: stigma within health care settings, the role of stigma in caring for one's health, and strategies to address HIV-related stigma in the health context. A number of health care practices were identified--some rooted in institutional practices, others shaped by personal perceptions held by practitioners--that could be stigmatizing or discriminatory towards people with HIV. There existed interconnections between enacted stigma and felt stigma that influenced health care utilization, treatment adherence, and overall health and well-being of people with HIV. Intersectional stigma also emerged as instrumental in the stigma experiences of people living with HIV. A number of strategies to address stigma were identified including social support, education, self-efficacy, resilience activities, and advocacy. CONCLUSION: This review of the qualitative evidence indicates that HIV-related stigma within health contexts is a broad social phenomenon that manifests within multiple social spheres, including health care environments. Findings from this review indicate that future stigma research should consider the social structures and societal practices--within and outside of health care environments--that perpetuate and reinforce stigma and discrimination towards people with HIV.","journal":"BMC Public Health","author":[{"propositions":[],"lastnames":["Chambers"],"firstnames":["Lori","A"],"suffixes":[]},{"propositions":[],"lastnames":["Rueda"],"firstnames":["Sergio"],"suffixes":[]},{"propositions":[],"lastnames":["Baker"],"firstnames":["D","Nico"],"suffixes":[]},{"propositions":[],"lastnames":["Wilson"],"firstnames":["Michael","G"],"suffixes":[]},{"propositions":[],"lastnames":["Deutsch"],"firstnames":["Rachel"],"suffixes":[]},{"propositions":[],"lastnames":["Raeifar"],"firstnames":["Elmira"],"suffixes":[]},{"propositions":[],"lastnames":["Rourke"],"firstnames":["Sean","B"],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Stigma Review Team"],"suffixes":[]}],"month":"September","year":"2015","keywords":"Mental Health Diversity, Sep 20 import, duplicate","pages":"848","bibtex":"@article{chambers_stigma_2015,\n\ttitle = {Stigma, {HIV} and health: a qualitative synthesis},\n\tvolume = {15},\n\tissn = {1471-2458},\n\turl = {http://dx.doi.org/10.1186/s12889-015-2197-0},\n\tdoi = {10.1186/s12889-015-2197-0},\n\tabstract = {BACKGROUND: HIV-related stigma continues to negatively impact the health\nand well-being of people living with HIV, with deleterious effects on\ntheir care, treatment and quality of life. A growing body of qualitative\nresearch has documented the relationship between HIV-related stigma and\nhealth. This review aims to synthesize qualitative evidence that explored\nthe intersections of stigma and health for people with HIV. METHODS: A\nthematic summary was conducted that was guided by the qualitative\nmetasummary technique developed by Sandelowski and Barraso. Literature\nsearches yielded 8,622 references of which 55 qualitative studies were\nidentified that illustrated HIV-related stigma in the context of health.\nRESULTS: The metasummary classified qualitative findings into three\noverarching categories: conceptualizing stigma which identified key\ndimensions of HIV-related stigma; experiencing stigma which highlighted\nexperiences of stigma in the health context, and managing stigma which\ndescribed ways in which stigma is avoided or addressed. To better\nillustrate these connections, the qualitative literature was summarized\ninto the following themes: stigma within health care settings, the role of\nstigma in caring for one's health, and strategies to address HIV-related\nstigma in the health context. A number of health care practices were\nidentified--some rooted in institutional practices, others shaped by\npersonal perceptions held by practitioners--that could be stigmatizing or\ndiscriminatory towards people with HIV. There existed interconnections\nbetween enacted stigma and felt stigma that influenced health care\nutilization, treatment adherence, and overall health and well-being of\npeople with HIV. Intersectional stigma also emerged as instrumental in the\nstigma experiences of people living with HIV. A number of strategies to\naddress stigma were identified including social support, education,\nself-efficacy, resilience activities, and advocacy. CONCLUSION: This\nreview of the qualitative evidence indicates that HIV-related stigma\nwithin health contexts is a broad social phenomenon that manifests within\nmultiple social spheres, including health care environments. Findings from\nthis review indicate that future stigma research should consider the\nsocial structures and societal practices--within and outside of health\ncare environments--that perpetuate and reinforce stigma and discrimination\ntowards people with HIV.},\n\tjournal = {BMC Public Health},\n\tauthor = {Chambers, Lori A and Rueda, Sergio and Baker, D Nico and Wilson, Michael G and Deutsch, Rachel and Raeifar, Elmira and Rourke, Sean B and {Stigma Review Team}},\n\tmonth = sep,\n\tyear = {2015},\n\tkeywords = {Mental Health Diversity, Sep 20 import, duplicate},\n\tpages = {848}\n}\n\n","author_short":["Chambers, L. A","Rueda, S.","Baker, D N.","Wilson, M. G","Deutsch, R.","Raeifar, E.","Rourke, S. B","Stigma Review Team"],"key":"chambers_stigma_2015","id":"chambers_stigma_2015","bibbaseid":"chambers-rueda-baker-wilson-deutsch-raeifar-rourke-stigmareviewteam-stigmahivandhealthaqualitativesynthesis-2015","role":"author","urls":{"Paper":"http://dx.doi.org/10.1186/s12889-015-2197-0"},"keyword":["Mental Health Diversity","Sep 20 import","duplicate"],"downloads":0},"search_terms":["stigma","hiv","health","qualitative","synthesis","chambers","rueda","baker","wilson","deutsch","raeifar","rourke","stigma review team"],"keywords":["mental health diversity","sep 20 import","duplicate"],"authorIDs":[],"dataSources":["pWG6kkFjeQheTxKbs"]}