Participatory praxis as an imperative for health-related stigma research.

Journal: BMC medicine

Volume: 17

Issue: 1

Year of Publication: 2019

Affiliated Institutions:  Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneva, Switzerland. spraguel@unaids.org. College of Public Health, University of Iowa, Iowa City, Iowa, USA. MPact Global Action for Gay Men's Health and Rights, Oakland, California, USA. Uganda Youth Coalition on Adolescent SRHR and HIV, Busia, Uganda.

Abstract summary 

Participatory praxis is increasingly valued for the reliability, validity, and relevance of research results that it fosters. Participatory methods become an imperative in health-related stigma research, where the constitutive elements of stigma, healthcare settings, and research each operate on hierarchies that push those with less social power to the margins.Particularly for people who are stigmatized, participatory methods balance the scales of equity by restructuring power relationships. As such, participatory praxis facilitates a research process that is responsive to community-identified priorities and creates community ownership of the research, catalyzing policy change at multiple levels and foregrounds, and addresses risks to communities from participating in research. Additionally, through upholding the agency and leadership of communities facing stigma, it can help to mitigate stigma's harmful effects. Health-related stigma research can reduce the health inequities faced by stigmatized groups if funders and institutions require and reward community participation and if researchers commit to reflexive, participatory practices. A research agenda focused on participatory praxis in health-related stigma research could stimulate increased use of such methods.For community-engaged practice to become more than an ethical aspiration, structural changes in the funding, training, publishing, and tenure processes will be necessary.

Authors & Co-authors:  Sprague Laurel L Afifi Rima R Ayala George G El-Nasoor Musah Lumumba ML

Study Outcome 

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Statistics
Citations :  Horowitz CR, Brenner BL, Lachapelle S, Amara DA, Arniella G. Effective recruitment of minority populations through community-led strategies. Am J Prev Med. 2009;37(6 Suppl 1):S195–S200. doi: 10.1016/j.amepre.2009.08.006.
Authors :  4
Identifiers
Doi : 32
SSN : 1741-7015
Study Population
Male,Female
Mesh Terms
Health Services Research
Other Terms
HIV/AIDS;community engagement;community-based participatory research;health;participatory praxis;stigma
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England