Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review

The aim of this literature review is to elucidate what is known about HIV/AIDS and stigma in Sub-Saharan Africa. Literature about HIV/AIDS and stigma in Sub-Saharan Africa was systematically searched in Pu...

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Main Authors: Ngozi C. Mbonu, Bart van den Borne, Nanne K. De Vries
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2009/145891
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author Ngozi C. Mbonu
Bart van den Borne
Nanne K. De Vries
author_facet Ngozi C. Mbonu
Bart van den Borne
Nanne K. De Vries
author_sort Ngozi C. Mbonu
collection DOAJ
description The aim of this literature review is to elucidate what is known about HIV/AIDS and stigma in Sub-Saharan Africa. Literature about HIV/AIDS and stigma in Sub-Saharan Africa was systematically searched in Pubmed, Medscape, and Psycinfo up to March 31, 2009. No starting date limit was specified. The material was analyzed using Gilmore and Somerville's (1994) four processes of stigmatizing responses: the definition of the problem HIV/AIDS, identification of people living with HIV/AIDS (PLWHA), linking HIV/AIDS to immorality and other negative characteristics, and finally behavioural consequences of stigma (distancing, isolation, discrimination in care). It was found that the cultural construction of HIV/AIDS, based on beliefs about contamination, sexuality, and religion, plays a crucial role and contributes to the strength of distancing reactions and discrimination in society. Stigma prevents the delivery of effective social and medical care (including taking antiretroviral therapy) and also enhances the number of HIV infections. More qualitative studies on HIV/AIDS stigma including stigma in health care institutions in Sub-Saharan Africa are recommended.
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spelling doaj-art-e1d681cbcfaf4079b804a446fe24bc312025-02-03T05:46:04ZengWileyJournal of Tropical Medicine1687-96861687-96942009-01-01200910.1155/2009/145891145891Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature ReviewNgozi C. Mbonu0Bart van den Borne1Nanne K. De Vries2Department of Health Promotion, School of Public Health and Primary Care CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsDepartment of Health Promotion, School of Public Health and Primary Care CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsDepartment of Health Promotion, School of Public Health and Primary Care CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsThe aim of this literature review is to elucidate what is known about HIV/AIDS and stigma in Sub-Saharan Africa. Literature about HIV/AIDS and stigma in Sub-Saharan Africa was systematically searched in Pubmed, Medscape, and Psycinfo up to March 31, 2009. No starting date limit was specified. The material was analyzed using Gilmore and Somerville's (1994) four processes of stigmatizing responses: the definition of the problem HIV/AIDS, identification of people living with HIV/AIDS (PLWHA), linking HIV/AIDS to immorality and other negative characteristics, and finally behavioural consequences of stigma (distancing, isolation, discrimination in care). It was found that the cultural construction of HIV/AIDS, based on beliefs about contamination, sexuality, and religion, plays a crucial role and contributes to the strength of distancing reactions and discrimination in society. Stigma prevents the delivery of effective social and medical care (including taking antiretroviral therapy) and also enhances the number of HIV infections. More qualitative studies on HIV/AIDS stigma including stigma in health care institutions in Sub-Saharan Africa are recommended.http://dx.doi.org/10.1155/2009/145891
spellingShingle Ngozi C. Mbonu
Bart van den Borne
Nanne K. De Vries
Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review
Journal of Tropical Medicine
title Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review
title_full Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review
title_fullStr Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review
title_full_unstemmed Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review
title_short Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review
title_sort stigma of people with hiv aids in sub saharan africa a literature review
url http://dx.doi.org/10.1155/2009/145891
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