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1 – 10 of 30Olca Surgevil and Evrim Mayaturk Akyol
In this study, the aim is to put emphasis on a specific discrimination area that is evaluated both as a disability and a diversity dimension. Human immunodeficiency virus/acquired…
Abstract
Purpose
In this study, the aim is to put emphasis on a specific discrimination area that is evaluated both as a disability and a diversity dimension. Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) disease should be considered beyond the scope of health as a social issue. However, the main purpose of the study is to determine the influence of information levels on HIV/AIDS on attitudes and views towards people living with HIV/AIDS (PLHIV) in work life. Therefore, the objective of this paper is to assess this influence by means of a pilot study. Additionally, one of the basic assumptions of the study is that career and identity developments of PLHIV will be positive as a result of the increase in knowledge amongst human resource (HR) managers and career counselors about HIV and PLHIV.
Design/methodology/approach
Disinformation about HIV/AIDS may cause stigmatization and discrimination. Thus, this paper seeks to indicate the effects and results of the discrimination and tries to create awareness. Consequently, discrimination against PLHIV in work life is emphasized in the study in parallel with the information levels related to the disease. Additionally, survey technique is used on the sample of HR employees and managers who are members of The Association of HR Managers (PERYON).
Findings
The paper finds that 50 percent of the respondents stated that it was right to request a HIV test whereas 36 percent of them declared that it was not right. The respondents' information level about the transmission of HIV was evaluated as medium or high. Respondents mostly think that HIV is not a punishment to people for their misbehaviors, and that sufferers should not be ashamed of themselves; PLHIV are not guilty and do not have marginal life styles. They also showed sensitivity towards the right for treatment and protection of the human rights of PLHIV. The majority of respondents stated that they could work in the same workplace with PLHIV and also that they did not associate HIV with homosexuals.
Research limitations/implications
As a limitation, there is a possibility that social desirability had an effect on some of the respondents' answers. Second, the respondents have never met PLHIV in their workplaces. Because of these limitations it was not possible to get answers regarding discriminative behaviors in the workplace towards PLHIV in terms of HR functions. Thus, it is suggested that a study on PLHIV or people who work with PLHIV should be conducted. Additionally, the study could be replicated with different and larger samples.
Originality/value
A contribution to increasing awareness and the cautions against discrimination towards HIV/AIDS is one of the values of this study. Another distinctive characteristic of this study is the investigation of this issue from the context of an emerging country, Turkey.
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Edda Tandi Lwoga, Tumaini Nagu and Alfred Said Sife
This paper aims to determine factors that influence people living with HIV (PLHIV) to engage in internet-based HIV information seeking behaviour in selected Tanzanian public…
Abstract
Purpose
This paper aims to determine factors that influence people living with HIV (PLHIV) to engage in internet-based HIV information seeking behaviour in selected Tanzanian public regional hospitals.
Design/methodology/approach
The authors conducted a questionnaire-based survey to 221 PLHIV in two regional public hospitals in Mwanza and Dar es Salaam, Tanzania. They assessed the validity and reliability of the measurement model by using exploratory factor analysis and also used hierarchical regressions to examine the research hypotheses by using Statistical Package for Social Science.
Findings
The study found that there is low usage of internet (24.3 per cent) to search online HIV information. Factors related to attitude and information source accessibility predicted usage intentions of internet, while facilitating conditions, information source accessibility and usage intention of internet determined actual use of internet among PLHIV. Age moderated the effects of information source quality and social influence on usage intention of internet, and the effects of the information source accessibility and social influence on actual use of internet. The findings imply that younger PLHIV were more likely to use internet to access HIV information than the older respondents due to perceived ease of accessing information and quality of the online content. Further, older PLHIV were more influenced by the views of others when making decisions to use internet.
Practical implications
Health-care providers and libraries need to conduct regular studies on health needs of patients, and promote benefits of accessing online information; website designers need to design user-friendly databases; public libraries need to include a section on health information; hospital and public librarians need to provide catalogues of health information resources on their websites; and health-care providers need to improve technological infrastructure.
Originality/value
This is a comprehensive study that provides empirical findings to better understand the HIV information seeking behaviour from actual internet users, particularly factors that may influence PLHIV to seek online information in Tanzania.
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The purpose of this study sought to determine the characteristics that distinguish online from offline information seekers among people living with human immunodeficiency virus …
Abstract
Purpose
The purpose of this study sought to determine the characteristics that distinguish online from offline information seekers among people living with human immunodeficiency virus (PLHIV) in selected regional hospitals of Tanzania.
Design/methodology/approach
Questionnaire-based survey was conducted among 341 adults with human immunodeficiency virus (HIV) infection attending the HIV clinics in the regional referral hospitals in Mwanza, Mbeya and Dar es Salaam, Tanzania. The study used multivariate logistic regressions to determine factors that distinguish online HIV information seekers from offline HIV information seekers.
Findings
One in every five survey participants sought online HIV information (19.6 per cent, n = 67). Both higher level of education (odds ratio (OR) = 1.765, 95 per cent confidence interval (CI) = 1.208-2.58) and intention to use internet in future (OR = 1.566, 95 per cent CI 1.148-2.136) were predictors of online HIV information seeking behaviour at multivariate analysis. Respondents who sought online information reported to have gained knowledge such as; to understand their conditions better (77.4 per cent, n = 41) and understand information received from health care workers (66 per cent, n = 35), as well as acquisition of health promoting behaviour such as; asking questions during doctor’s visit (55 per cent, n = 35) and consulting a clinician when they have problems (64.3 per cent, n = 33). The offline HIV information seekers (n = 274) did not use internet due to lack of information seeking skills (44.3 per cent, n = 113) and lack of access to internet connectivity (30.2 per cent, n = 77).
Originality/value
This is a comprehensive study that differentiates online from offline HIV information seekers in the context of sub-Saharan Africa. The results suggest that interventions to improve online access information will empower patients and probably positively affect their health knowledge and health promoting behaviours.
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Jerome V. Cleofas and Dennis Erasga
Stigma remains to be a major barrier to addressing the sustained rise of human immunodeficiency virus (HIV) infections in the Philippines. Gay, bisexual, and other men who have…
Abstract
Stigma remains to be a major barrier to addressing the sustained rise of human immunodeficiency virus (HIV) infections in the Philippines. Gay, bisexual, and other men who have sex with other men (MSMs) (G/B/MSM) living with HIV experience compounded stigma due to their sexual identity and HIV seropositive status. The family has been identified as one of the main sources of homonegativity and HIV-related discrimination. Drawing from the family life histories of 31 Filipino MSMs living with HIV, the authors demonstrate the concept of compounding stigma, which posits that the extent and nature of gender- and sexuality-based stigma experienced in early life may potentiate or mitigate the experience of HIV stigma in later life in the context of the family. Narrative analysis of the family life histories reveals a central factor that shaped the sexual development and stigma experiences of MSMs living with HIV: sexual identity visibility in the family (SIVF) – the family’s extent of knowledge and/or acceptance of their sexuality. Three core narratives emerged from the data that categorize informants based on the type of SIVF present in their family life viz. full, partial, and invisible. Results also trace the resultant life trajectories for each core narrative and reveal three forms of compounding stigma: low compounding stigma or compounding acceptance, compounding enacted stigma, and compounding internalized stigma.
Farzana Quoquab, Jihad Mohammad, Fauziah Sh. Ahmad, Zarina Abdul Salam and Michael M. Dent
This chapter focuses on the challenges that the Malaysian AIDS council (MAC) have been facing in creating the social awareness. Moreover, this chapter briefly discusses the HIV…
Abstract
This chapter focuses on the challenges that the Malaysian AIDS council (MAC) have been facing in creating the social awareness. Moreover, this chapter briefly discusses the HIV epidemic in Malaysian context. The harm reduction and prevention campaigns as well as the intervention programs taken by MAC are then highlighted. Finally, the challenges associated with implementing such programs are also discussed.
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Susanna Aba Abraham, Obed Cudjoe, Yvonne Ayerki Nartey, Elizabeth Agyare, Francis Annor, Benedict Osei Tawiah, Matilda Nyampong, Kwadwo Koduah Owusu, Marijanatu Abdulai, Stephen Ayisi Addo and Dorcas Obiri-Yeboah
The Joint United Nations Programme on HIV/AIDS (UNAIDS) goal to end the acquired immunodeficiency syndrome (AIDS) epidemic as a public health threat by 2030 emphasises the…
Abstract
Purpose
The Joint United Nations Programme on HIV/AIDS (UNAIDS) goal to end the acquired immunodeficiency syndrome (AIDS) epidemic as a public health threat by 2030 emphasises the importance of leaving no one behind. To determine progress towards the elimination goal in Ghana, an in-depth understanding of human immunodeficiency virus (HIV) care from the perspective of vulnerable populations such as persons living with HIV in incarceration is necessary. This study aims to explore the experiences of incarcerated individuals living with HIV (ILHIV) and on antiretroviral therapy (ART) in selected Ghanaian prisons to help inform policy.
Design/methodology/approach
The study adopted a qualitative approach involving in-depth interviews with 16 purposively selected ILHIV on ART from purposively selected prisons. Interviews were conducted between October and December 2022. Thematic analysis was performed using the ATLAS.Ti software.
Findings
Three themes were generated from the analysis: waking up to a positive HIV status; living with HIV a day at a time; and being my brother’s keeper: preventing HIV transmission. All participants underwent HIV screening at the various prisons. ILHIV also had access to ART although those on remand had challenges with refills. Stigma perpetuated by incarcerated individuals against those with HIV existed, and experiences of inadequate nutrition among incarcerated individuals on ART were reported. Opportunities to improve the experiences of the ILHIV are required to improve care and reduce morbidity and mortality.
Originality/value
Through first-hand experiences from ILHIV in prisons, this study provides the perception of incarcerated individuals on HIV care in prisons. The insights gained from this study can contribute to the development of targeted interventions and strategies to improve HIV care and support for incarcerated individuals.
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This paper aims to provide a comprehensive overview of existing research on stigma in Arab countries.
Abstract
Purpose
This paper aims to provide a comprehensive overview of existing research on stigma in Arab countries.
Design/methodology/approach
A rapid review approach was used, leveraging the Scopus database to identify relevant articles. This streamlined method allows for timely assessments of the current state of knowledge, identifies research gaps and is particularly relevant given the social and cultural dynamics in Arab countries.
Findings
This study identified a growing interest in stigma-related topics in Arab countries, with a notable increase in the number of publications and citations over the past decade. Research focused on various aspects of stigma, including mental health, HIV, COVID-19 and diverse health conditions, shedding light on the prevalent challenges faced by different populations. Additionally, comparative studies highlighted the influence of culture and gender on the expression of stigma in the region.
Practical implications
To combat stigma in Arab countries, this study suggests the need for culturally sensitive interventions, integration of mental health services into health-care systems and the development of public health campaigns. These measures should be designed to protect vulnerable populations and prioritize educational initiatives for both the younger generation and health-care professionals.
Social implications
Reducing stigma in Arab countries is crucial for fostering greater social cohesion, equality and overall well-being. The study underscores the importance of collaborations to adapt successful strategies to the unique Arab context.
Originality/value
This paper fills a crucial research gap by investigating stigma in Arab countries, emphasizing the need for culturally sensitive interventions, education integration and international collaboration to combat it effectively.
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Marie Claire Annette Van Hout, Flavia Zalwango, Mathias Akugizibwe, Moreen Namulundu Chaka, Charlotte Bigland, Josephine Birungi, Shabbar Jaffar, Max Bachmann and Jamie Murdoch
Women experience a triple burden of ill-health spanning non-communicable diseases (NCDs), reproductive and maternal health conditions and human immunodeficiency virus (HIV) in…
Abstract
Purpose
Women experience a triple burden of ill-health spanning non-communicable diseases (NCDs), reproductive and maternal health conditions and human immunodeficiency virus (HIV) in sub-Saharan Africa. Whilst there is research on integrated service experiences of women living with HIV (WLHIV) and cancer, little is known regarding those of WLHIV, diabetes and/or hypertension when accessing integrated care. Our research responds to this gap.
Design/methodology/approach
The INTE-AFRICA project conducted a pragmatic parallel arm cluster randomised trial to scale up and evaluate “one-stop” integrated care clinics for HIV-infection, diabetes and hypertension at selected primary care centres in Uganda. A qualitative process evaluation explored and documented patient experiences of integrated care for HIV, diabetes and/or hypertension. In-depth interviews were conducted using a phenomenological approach with six WLHIV with diabetes and/or hypertension accessing a “one stop” clinic. Thematic analysis of narratives revealed five themes: lay health knowledge and alternative medicine, community stigma, experiences of integrated care, navigating personal challenges and health service constraints.
Findings
WLHIV described patient pathways navigating HIV and diabetes/hypertension, with caregiving responsibilities, poverty, travel time and cost and personal ill health impacting on their ability to adhere to multi-morbid integrated treatment. Health service barriers to optimal integrated care included unreliable drug supply for diabetes/hypertension and HIV linked stigma. Comprehensive integrated care is recommended to further consider gender sensitive aspects of care.
Originality/value
This study whilst small scale, provides a unique insight into the lived experience of WLHIV navigating care for HIV and diabetes and/or hypertension, and how a “one stop” integrated care clinic can support them (and their children) in their treatment journeys.
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