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Engaging African-Caribbean, Asian, and Latino community leaders to address HIV stigma in Toronto

Alan Tai-Wai Li (Regent Park Community Health Centre, Toronto, Canada)
Josephine Pui-Hing Wong (Daphne Cockwell School of Nursing, Ryerson University, Toronto, Canada)
Roy Cain (School of Social Work, McMaster University, Hamilton, Canada)
Kenneth Po-Lun Fung (Department of Psychiatry, University of Toronto, Toronto, Canada)

International Journal of Migration, Health and Social Care

ISSN: 1747-9894

Publication date: 12 December 2016

Abstract

Purpose

Racialized minority and newcomer communities are over-represented in positive HIV cases in Canada. Stigma has been identified as one of the barriers to HIV prevention, testing, and treatment. Faith, media, and social justice sectors have historically served a vital role in promoting health issues in these communities. However, they have been relatively inactive in addressing HIV-related issues. The purpose of this paper is to report on the results of an exploratory study that engaged faith, media, and social justice leaders in the African-Caribbean, Asian, and Latino communities in Toronto.

Design/methodology/approach

This study used a qualitative interpretive design and focus groups to explore the challenges and opportunities in addressing HIV stigma. A total of 23 people living with HIV and 22 community leaders took part in seven focus groups. Intersectionality was used as an analytical lens to examine the social processes that perpetuate HIV stigma.

Findings

This paper focuses on the perspectives of community leaders. Five themes were identified: misconception of HIV as a gay disease; moralistic religious discourses perpetuate HIV stigma; invisibility of HIV reinforces community denial; need to promote awareness and compassion for people with HIV; and the power of collective community efforts within and across different sectors.

Originality/value

Although affected communities are faced with many challenges related to HIV stigma, effective change may be possible through concerted efforts championed by people living with HIV and community leaders. One important strategy identified by the participants is to build strategic alliances among the HIV, media, faith, social justice, and other sectors. Such alliances can develop public education and HIV champion activities to promote public awareness and positive emotional connections with HIV issues, challenge HIV stigma and related systems of oppression, and engage young people in HIV championship.

Keywords

  • HIV
  • Social justice
  • Stigma
  • Ethnic/ethno-specific media
  • Racial minority communities
  • Religious/faith leaders

Acknowledgements

This study was supported by a START research grant from the Ontario HIV Treatment Network (OHTN).

Citation

Li, A.T.-W., Wong, J.P.-H., Cain, R. and Fung, K.P.-L. (2016), "Engaging African-Caribbean, Asian, and Latino community leaders to address HIV stigma in Toronto", International Journal of Migration, Health and Social Care, Vol. 12 No. 4, pp. 288-300. https://doi.org/10.1108/IJMHSC-07-2014-0029

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Publisher

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Emerald Group Publishing Limited

Copyright © 2016, Emerald Group Publishing Limited

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