A focus group qualitative study of HIV stigma in the Canadian healthcare system.

Stigma related to HIV in the healthcare system has a pervasive, negative impact on the mental, physical and sexual health of people living with HIV. While well-documented before the advent of antiretroviral treatment, this stigma in Canada has not been as thoroughly examined from a critical perspect...

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Published in:Canadian Journal of Human Sexuality Vol. 25; no. 1; pp. 61 - 72
Main Authors: Wagner, Anne C., McShane, Kelly E., Hart, Trevor A., Margolese, Shari
Format: research tables/charts Journal Article
Published: University of Toronto Press 2016
Online Access:View this record in EBSCOhost
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      dt: 2016
      vid: 25
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      pub: University of Toronto Press
      place: North York, Ontario
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        113935818
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        10.3138/cjhs.251-A6
        113935818
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        atl: A focus group qualitative study of HIV stigma in the Canadian healthcare system.
      aug:
        au:
          Wagner, Anne C.
          McShane, Kelly E.
          Hart, Trevor A.
          Margolese, Shari
        affil: Department of Psychology, Ryerson University, Toronto, Ontario
      sug:
        subj:
          HIV Infections Psychosocial Factors
          Attitude to Illness Canada
          Attitude of Health Personnel Canada
          Stigma Epidemiology
          Human
          Canada
          Funding Source
          Qualitative Studies
          Focus Groups
          Female
          Male
          Students, Nursing
          Students, Medical
          Thematic Analysis
          Discrimination
          Stereotyping
          Attitude to Sexuality
          Prejudice
          Scales
          Patient Attitudes
          Conceptual Framework
          Audiorecording
          Data Analysis Software
          Respondent Validation
          Validity
          Professional-Patient Relations
          Truth Disclosure
          Patient Satisfaction
          Organizational Policies
          Female
          Male
      ab: Stigma related to HIV in the healthcare system has a pervasive, negative impact on the mental, physical and sexual health of people living with HIV. While well-documented before the advent of antiretroviral treatment, this stigma in Canada has not been as thoroughly examined from a critical perspective since HIV's evolution from an acute to a chronic illness. The current study examines attitudes and beliefs of healthcare providers toward people living with HIV through the use of focus groups. Focus group participants were women living with HIV, men living with HIV, medical and nursing students, and health care providers working with people living with HIV. Data analysis was conducted with a critical lens using an immersion/ crystallization approach. Two broad themes emerged from the data: HIV-specific experiences, and components of stigma. Both negative and positive experiences were described. Discrimination, as a behavioural act, was deemed to be the less prevalent and often more covert expression of stigmatization. Stereotyping, including with regard to perceived sexuality, and prejudice were seen as more insidious and perpetuated by both the medical and educational establishments. These findings clearly demonstrate the need for change in terms of reducing the amount of stigma present in these complex, nuanced, and enduring relationships between people living with HIV and the health care system.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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