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From Conceptualizing to Measuring HIV Stigma: A Review of HIV Stigma Mechanism Measures

Valerie A. Earnshaw, +1 more
- 28 Jul 2009 - 
- Vol. 13, Iss: 6, pp 1160-1177
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TLDR
A new framework designed to aid in clarifying the conceptualization and measurement of HIV stigma among individuals is articulate and the utility of using three questions to guide future HIV stigma research is emphasized.
Abstract
Recent analyses suggest that lack of clarity in the conceptualization and measurement of HIV stigma at an individual level is a significant barrier to HIV prevention and treatment efforts. In order to address this concern, we articulate a new framework designed to aid in clarifying the conceptualization and measurement of HIV stigma among individuals. The HIV Stigma Framework explores how the stigma of HIV elicits a series of stigma mechanisms, which in turn lead to deleterious outcomes for HIV uninfected and infected people. We then apply this framework to review measures developed to gauge the effect of HIV stigma since the beginning of the epidemic. Finally, we emphasize the utility of using three questions to guide future HIV stigma research: who is affected by, how are they affected by, and what are the outcomes of HIV stigma?

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Syndemics and the biosocial conception of health

TL;DR: The contributions of the syndemics approach for understanding both interacting chronic diseases in social context, and the implications of a Syndemics orientation to the issue of health rights, are examined.
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A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come?

TL;DR: The identification of effective interventions to reduce stigma and discrimination that can be integrated into national responses is crucial to the success of the global AIDS response.
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HIV Stigma Mechanisms and Well-Being Among PLWH: A Test of the HIV Stigma Framework

TL;DR: Evaluating the HIV Stigma Framework in a sample of 95 people living with HIV recruited from an inner-city clinic in the Bronx, NY suggests that internalized stigma associates significantly with indicators of affective and behavioral health and well-being.
Journal ArticleDOI

Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: a series of meta-analyses

TL;DR: Significant associations between HIV-related stigma and higher rates of depression, lower social support and lower levels of adherence to antiretroviral medications and access to and usage of health and social services are found.
Journal ArticleDOI

The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas

TL;DR: The Health Stigma and Discrimination Framework is proposed, which is a global, crosscutting framework based on theory, research, and practice, and its application to a range of health conditions, including leprosy, epilepsy, mental health, cancer, HIV, and obesity/overweight is demonstrated.
References
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Journal ArticleDOI

Social health inequalities during the course of chronic HIV disease in the era of highly active antiretroviral therapy.

Rosemary Dray-Spira
- 14 Feb 2003 - 
TL;DR: HIV infection has, therefore, become a chronic disease in settings where HAART has been widely introduced and the complexity of these treatments is even greater in case of comorbidity, which is relatively common in patients.
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HIV/AIDS stigma: reliability and validity of a new measurement instrument in Chennai, India.

TL;DR: The development and psychometric testing of an HIV/AIDS stigma scale among 200 men in India and the scale and distinct subscales suggest a valid and reliable measure for HIV/ AIDS stigma in a setting with highly prevalent HIV risk behaviors.
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Relationship between expressed HIV/AIDS-related stigma and HIV-beliefs/knowledge and behaviour in families of HIV infected children in Kenya

TL;DR: To quantify expressed stigma in clients of the Kangemi program for HIV+ children, and to characterize the association between stigma and other population characteristics.
Journal ArticleDOI

AIDS-phobia, contact with AIDS, and AIDS-related job stress in hospital workers.

TL;DR: In a survey of 237 hospital workers involved in the care of AIDS patients at a major AIDS inpatient-care facility, negative attitudes toward AIDS and AIDS patients ( AIDS-phobia) and AIDS-related job stress (AIDS-stress) were common.
Journal Article

Development of an instrument to measure attitudes toward acquired immune deficiency syndrome.

TL;DR: Females and older students (21 and over) were significantly more tolerant about AIDS than males and younger students and three factors related to proximity with people with AIDS, moral issues, and social welfare issues were revealed.
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