Intersectional Stigma Among People Transitioning From Incarceration to Community-Based HIV Care in Gauteng Province, South Africa.

Journal: AIDS education and prevention : official publication of the International Society for AIDS Education

Volume: 33

Issue: 3

Year of Publication: 2021

Affiliated Institutions:  Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Aurum Institute for Health Research, Johannesburg, South Africa. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health.

Abstract summary 

People transitioning from incarceration to community-based HIV care experience HIV stigma, incarceration stigma, and the convergence of these stigmas with social inequities. The objective of this study is to understand intersectional stigma among people returning from incarceration with HIV in Gauteng Province, South Africa. Qualitative interviews were conducted with 42 study participants. We analyzed transcript segments and memos from these interviews. Our results showed that anticipated HIV stigma increased participants' difficulty with disclosure and treatment collection. Incarceration stigma, particularly the mark of a criminal record, decreased socioeconomic stability in ways that negatively affected medication adherence. These stigmas converged with stereotypes that individuals were inherently criminal "bandits." Male participants expressed concerns that disclosing their HIV status would lead others to assume they had engaged in sexual activity with men while incarcerated. AIDS education and prevention efforts will require multilevel stigma interventions to improve HIV care outcomes.

Authors & Co-authors:  Woznica Daniel M DM Ntombela Nasiphi N Hoffmann Christopher J CJ Mabuto Tonderai T Kaufman Michelle R MR Murray Sarah M SM Owczarzak Jill J

Study Outcome 

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Statistics
Citations :  Bailey Zinzi D, Krieger Nancy, Agénor Madina, Graves Jasmine, Linos Natalia, and Bassett. Mary T 2017. 'Structural racism and health inequities in the USA: evidence and interventions', The Lancet, 389: 1453–63.
Authors :  7
Identifiers
Doi : 10.1521/aeap.2021.33.3.202
SSN : 1943-2755
Study Population
Men,Male
Mesh Terms
Adult
Other Terms
HIV;South Africa;incarceration;intersectionality;stigma
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
United States