HIV and Stigma in South Africa

Deacon, Harriet; Uys, Leana R.; Mohlahlane, Rakgadi

doi:10.1007/978-1-4419-0306-8_8

Cited by 62 publications

(94 citation statements)

References 58 publications

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“…In the following decades, PLHAs have continued to experience stigmatization in the workplace (Fesko, 2001), in certain state laws and state-mandated healthcare surveillance (Gostin and Webber, 1998; Lehman et al, 2014), and in interpersonal and family life (Deacon and Stephney, 2007); yet, structural and public stigmas have declined since the 1980s in the United States. Negative public attitudes of blame and discomfort toward PLHAs have declined (Kaiser Family Foundation, 2011), while institutions and local governments have shifted from blaming PLHAs to recognizing and accommodating them, and to improving their quality of life (Burris and Gostin, 2002).…”

Section: Three Cases Of Destigmatizationmentioning

confidence: 99%

Destigmatization and health: Cultural constructions and the long-term reduction of stigma

Clair

Daniel

Lamont

2016

Social Science & Medicine

132

116

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Research on the societal-level causes and consequences of stigma has rarely considered the social conditions that account for destigmatization, the process by which a group’s worth and status improve. Destigmatization has important implications for the health of stigmatized groups. Building on a robust line of stigma reduction literature in psychology, we develop a sociological framework for understanding how new cultural constructions that draw equivalences and remove blame shape public and structural stigma over time. We examine historical transformations of cultural constructions surrounding three stigmatized groups in the United States: people living with HIV/AIDS, African Americans, and people labeled as obese. By tracing this process across cases, we find that the conditions that account for destigmatization include the credibility of new constructions, the status and visibility of actors carrying these constructions, the conclusiveness of expert knowledge about stigmatized groups, the interaction between new constructions and existing cultural ideologies, and the perceived linked fate of the stigmatized and dominant groups. We also find that the reduction of structural and public forms of stigma often depend on distinct processes and constructions. To conclude, we propose a framework for the comparative study of destigmatization as an essential component of promoting a culture of health.

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Section: Three Cases Of Destigmatizationmentioning

confidence: 99%

Destigmatization and health: Cultural constructions and the long-term reduction of stigma

Clair

Daniel

Lamont

2016

Social Science & Medicine

132

116

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“…. (One of the participants) HIV/AIDS is a multifaceted, highly complex disease that is further convoluted by physical deterioration, social stigma, fear, and moral implications of assumptions regarding lifestyle and sexual behavior (Deacon, Uys, & Mohlahlane, 2009). These complicating factors define the disease as psychosocial no less than medical-scientific (Korner, Petrohilos.…”

mentioning

confidence: 99%

Breaking Through the Silence: The Experience of Living With HIV-Positive Serostatus, and Its Implications on Disclosure

Feigin

Sapir

Patinkin

et al. 2013

Social Work in Health Care

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AIDS has reached pandemic proportions and despite advances in medical treatment both the medical and social consequences of HIV-positive serostatus continue to be of concern throughout the world. In countries with greater access to antiretroviral therapy (ARV), HIV/AIDS it is no longer defined as fatal, but rather a chronic disease, thereby this study seeks to understand the experience of individuals living with HIV-positive serostatus, a multifaceted disease, from the time the infection is diagnosed through the four post-diagnosis years, and in particular its implications on the issue of disclosure. A qualitative analysis was conducted, based on 13 in-depth interviews with participants who are HIV-positive and the data was analyzed by inductive content analysis. The results identify six themes, four central elements that compose the experience of living with HIV: the emotional experience, the stigma attached to HIV, the inner dialogue, and disclosure. A three-phase coping process and personality differences were found, all of which will be discussed. The issue of disclosure was found to be cardinal and problematic in its impact on the patient's wellbeing.

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“…Probability sampling was considered inappropriate given the sensitivity of the subject (see McGreevey et al ., 2003;Deacon et al ., 2009) and the purpose of the research, i.e. to identify and explore issues, rather than show the extent of the applicability of the issues through the generalization of the results.…”

Section: Methods Of Data Collectionmentioning

confidence: 94%

“…Regarding the public disclosure of status (n = 30), 21 survey respondents (70%) report that no such public disclosures have taken place; four claim not to know whether this happens or not; three estimate it to be not exceeding 5% of employees; while another two believe it is 10% or less. Given the personal nature of this issue, not to mention the stigma that often accompanies it, the low level of public disclosure is not surprising (see Connelly and Rosen, 2006;Deacon et al, 2009). Ten participants out of the 30 who answered this question state that confidential disclosure occurs within their firm.…”

Section: Employee Participation In Hiv/aids Treatment Programmesmentioning

confidence: 95%

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Perceptions of HIV/AIDS policies and treatment programmes by Western Cape construction firms

Bowen

Cattell

Edwards

et al. 2010

Construction Management and Economics

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The HIV/AIDS pandemic poses a substantial long-term threat to economic development in South Africa. A questionnaire survey explored the perceptions of a sample of construction firms in the Western Cape regarding HIV/AIDS policy and treatment programmes. The findings show that there is no universal view about the long-term threat of HIV/AIDS. Most organizations have awareness policies in place but prevention and treatment policies are less common. Treatment programmes are the least implemented of all intervention services due to insufficient resource capacity, the potential stigmatization of infected persons, and low take-up rates. Despite an acknowledgement of the benefits flowing from mounting treatment programmes, doubt exists as to their financial viability.HIV/AIDS, treatment programmes, construction organizations, South Africa,

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HIV and Stigma in South Africa

Cited by 62 publications

References 58 publications

Destigmatization and health: Cultural constructions and the long-term reduction of stigma

Destigmatization and health: Cultural constructions and the long-term reduction of stigma

Breaking Through the Silence: The Experience of Living With HIV-Positive Serostatus, and Its Implications on Disclosure

Perceptions of HIV/AIDS policies and treatment programmes by Western Cape construction firms

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