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Erschienen in: AIDS and Behavior 2/2008

01.03.2008 | Original Paper

HIV-Related Discrimination Reported by People Living with HIV in London, UK

verfasst von: Jonathan Elford, Fowzia Ibrahim, Cecilia Bukutu, Jane Anderson

Erschienen in: AIDS and Behavior | Ausgabe 2/2008

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Abstract

The objective was to examine the extent to which people living with HIV in London reported being discriminated against because of their infection. In 2004–2005, people living with HIV attending NHS outpatient HIV clinics in north east London were asked: “Have you ever been treated unfairly or differently because of your HIV status—in other words discriminated against?”. Of the 1,687 people who returned a questionnaire (73% response rate), data from 1,385 respondents were included in this analysis; 448 heterosexual women and 210 heterosexual men of black African origin, 727 gay/bisexual men (621 white, 106 ethnic minority). Overall, nearly one-third of respondents (29.9%, 414/1,385) said they had been discriminated against because of their HIV infection. Of those who reported experiencing HIV-related discrimination, almost a half (49.6%, 200/403) said this had involved a health care worker including their dentist (n = 102, 25.3%) or primary care physician (n = 70, 17.4%).
Literatur
Zurück zum Zitat Altman, D. (1999). Practical statistics for medical research. London: Chapman and Hall/CRC. Altman, D. (1999). Practical statistics for medical research. London: Chapman and Hall/CRC.
Zurück zum Zitat Anderson, J., & Doyal, L. (2004). Women from Africa living with HIV in London: A descriptive study. AIDS Care, 16, 95–105.PubMedCrossRef Anderson, J., & Doyal, L. (2004). Women from Africa living with HIV in London: A descriptive study. AIDS Care, 16, 95–105.PubMedCrossRef
Zurück zum Zitat Anderson, W., & Weatherburn, P. (2004). The needs of people with HIV in the UK: Findings from a national survey. International Journal of STD and AIDS, 15, 793–796.PubMedCrossRef Anderson, W., & Weatherburn, P. (2004). The needs of people with HIV in the UK: Findings from a national survey. International Journal of STD and AIDS, 15, 793–796.PubMedCrossRef
Zurück zum Zitat Atrill, R., Kinniburgh, J., & Power, L. (2001). Social exclusion and HIV: A report. London: Terrence Higgins Trust. Atrill, R., Kinniburgh, J., & Power, L. (2001). Social exclusion and HIV: A report. London: Terrence Higgins Trust.
Zurück zum Zitat Berger, B., Ferrans C. E., & Lashley F. R. (2001). Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Research in Nursing and Health, 24, 518–529.PubMedCrossRef Berger, B., Ferrans C. E., & Lashley F. R. (2001). Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Research in Nursing and Health, 24, 518–529.PubMedCrossRef
Zurück zum Zitat Bermingham, S., & Kippax, S. (1998). HIV-related discrimination: A survey of New South Wales general practitioners. Australia and New Zealand Journal of Public Health, 22, 92–97. Bermingham, S., & Kippax, S. (1998). HIV-related discrimination: A survey of New South Wales general practitioners. Australia and New Zealand Journal of Public Health, 22, 92–97.
Zurück zum Zitat Bolding, G., Davis, M., Hart G, Sherr, L., & Elford, J. (2005). Gay men who look for sex on the Internet: Is there more HIV/STI risk with online partners? AIDS, 19, 961–968.PubMedCrossRef Bolding, G., Davis, M., Hart G, Sherr, L., & Elford, J. (2005). Gay men who look for sex on the Internet: Is there more HIV/STI risk with online partners? AIDS, 19, 961–968.PubMedCrossRef
Zurück zum Zitat Carr, R., & Gramling, L. (2004). Stigma: A health barrier for women with HIV/AIDS. Journal of the Association of Nurses in AIDS Care, 15, 30–39.PubMedCrossRef Carr, R., & Gramling, L. (2004). Stigma: A health barrier for women with HIV/AIDS. Journal of the Association of Nurses in AIDS Care, 15, 30–39.PubMedCrossRef
Zurück zum Zitat Carter, M. (2006). HIV, stigma and you. London, National AIDS Manual (NAM). Carter, M. (2006). HIV, stigma and you. London, National AIDS Manual (NAM).
Zurück zum Zitat Chesney, M. A., & Smith, A. (1999). Critical delays in HIV testing and care: The potential role of stigma. American Behavioral Scientist, 42, 1162–1174.CrossRef Chesney, M. A., & Smith, A. (1999). Critical delays in HIV testing and care: The potential role of stigma. American Behavioral Scientist, 42, 1162–1174.CrossRef
Zurück zum Zitat Department of Health (2001). The national strategy for sexual health and HIV London: DoH. Department of Health (2001). The national strategy for sexual health and HIV London: DoH.
Zurück zum Zitat Department of Health (2006). Department of health action plan: HIV-related stigma and discrimination London: DoH. Department of Health (2006). Department of health action plan: HIV-related stigma and discrimination London: DoH.
Zurück zum Zitat Dodds, C., Keogh, P., Chime, O., Haruperi, T., Nabulya, B., Ssanyu Sseruma W., et al. (2004). Outsider status: Stigma and discrimination experienced by gay men and African people with HIV. London: Sigma Research. Dodds, C., Keogh, P., Chime, O., Haruperi, T., Nabulya, B., Ssanyu Sseruma W., et al. (2004). Outsider status: Stigma and discrimination experienced by gay men and African people with HIV. London: Sigma Research.
Zurück zum Zitat Elford, J., Ibrahim, F., Bukutu, C., & Anderson, J. (2007a). Sexual behaviour of people with HIV in London: Implications for HIV transmission. AIDS, 21(Suppl 1), S63–S70.PubMedCrossRef Elford, J., Ibrahim, F., Bukutu, C., & Anderson, J. (2007a). Sexual behaviour of people with HIV in London: Implications for HIV transmission. AIDS, 21(Suppl 1), S63–S70.PubMedCrossRef
Zurück zum Zitat Elford, J., Ibrahim, F., Bukutu, C., & Anderson, J. (2007b). In the era of HAART, how many people living with HIV are employed? HIV medicine, 8 suppl 1 (BHIVA 13th Annual Conference 2007, Abstract number P122). Elford, J., Ibrahim, F., Bukutu, C., & Anderson, J. (2007b). In the era of HAART, how many people living with HIV are employed? HIV medicine, 8 suppl 1 (BHIVA 13th Annual Conference 2007, Abstract number P122).
Zurück zum Zitat Erwin, J., & Peters, B. (1999). Treatment issues for HIV positive Africans in London. Social Science and Medicine, 49, 1519–1528.PubMedCrossRef Erwin, J., & Peters, B. (1999). Treatment issues for HIV positive Africans in London. Social Science and Medicine, 49, 1519–1528.PubMedCrossRef
Zurück zum Zitat Fife B. L., & Wright E. R. (2000). The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer. Journal of Health and Social Behavior, 41, 50–67.PubMedCrossRef Fife B. L., & Wright E. R. (2000). The dimensionality of stigma: A comparison of its impact on the self of persons with HIV/AIDS and cancer. Journal of Health and Social Behavior, 41, 50–67.PubMedCrossRef
Zurück zum Zitat Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York: Prentice-Hall. Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York: Prentice-Hall.
Zurück zum Zitat Green, G., & Sobo, J. (2000). The endangered self: Managing the social risk of HIV. London: Routledge. Green, G., & Sobo, J. (2000). The endangered self: Managing the social risk of HIV. London: Routledge.
Zurück zum Zitat Harris, R., Tobias, M., Jeffreys, M., Waldegrave, K., Karlsen, S., & Nazroo, J. (2006). Effects of self-reported racial discrimination and deprivation on Maori health and inequalities in New Zealand: Cross-sectional study. Lancet, 367, 2005–2009.PubMedCrossRef Harris, R., Tobias, M., Jeffreys, M., Waldegrave, K., Karlsen, S., & Nazroo, J. (2006). Effects of self-reported racial discrimination and deprivation on Maori health and inequalities in New Zealand: Cross-sectional study. Lancet, 367, 2005–2009.PubMedCrossRef
Zurück zum Zitat Herek, G. M., Capitanio, J. P., & Widaman, K. F. (2003). Stigma, social risk, and health policy: Public attitudes toward HIV surveillance policies and the social construction of illness. Health Psychology, 22, 533–540.PubMedCrossRef Herek, G. M., Capitanio, J. P., & Widaman, K. F. (2003). Stigma, social risk, and health policy: Public attitudes toward HIV surveillance policies and the social construction of illness. Health Psychology, 22, 533–540.PubMedCrossRef
Zurück zum Zitat Huebner, D., Rebchook, G., & Kegeles, S. (2004). Experiences of harassment, discrimination, and physical violence among young gay and bisexual men. American Journal of Public Health, 94, 1200–1203.PubMed Huebner, D., Rebchook, G., & Kegeles, S. (2004). Experiences of harassment, discrimination, and physical violence among young gay and bisexual men. American Journal of Public Health, 94, 1200–1203.PubMed
Zurück zum Zitat Kalichman, S. C., & Simbayi, L. C. (2003). HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sexually Transmitted.Infections, 79, 442–447.PubMedCrossRef Kalichman, S. C., & Simbayi, L. C. (2003). HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sexually Transmitted.Infections, 79, 442–447.PubMedCrossRef
Zurück zum Zitat Kass, N., Faden, R., Fox, R., & Dudley, J. (1992). Homosexual and bisexual men’s perceptions of discrimination in health services. American Journal of Public Health, 82, 1277–1279.PubMedCrossRef Kass, N., Faden, R., Fox, R., & Dudley, J. (1992). Homosexual and bisexual men’s perceptions of discrimination in health services. American Journal of Public Health, 82, 1277–1279.PubMedCrossRef
Zurück zum Zitat Kelly, J., St. Lawrence, J., Smith, S., Hood, H., & Cook, D. (1987). Stigmatisation of AIDS patients by physicians. American Journal of Public Health, 77, 789–791.PubMed Kelly, J., St. Lawrence, J., Smith, S., Hood, H., & Cook, D. (1987). Stigmatisation of AIDS patients by physicians. American Journal of Public Health, 77, 789–791.PubMed
Zurück zum Zitat Kessler, R., Mickelson, K., & Williams, O. (1999). The prevalence, distribution and mental health correlates of perceived discrimination in the United States. Journal of Health and Social Behavior, 40, 208–230.PubMedCrossRef Kessler, R., Mickelson, K., & Williams, O. (1999). The prevalence, distribution and mental health correlates of perceived discrimination in the United States. Journal of Health and Social Behavior, 40, 208–230.PubMedCrossRef
Zurück zum Zitat Kinniburgh, J., Scott, P., Gottleib, M., & Power, L. (2001). Prejudice, discrimination and HIV: A report. London: Terrence Higgins Trust. Kinniburgh, J., Scott, P., Gottleib, M., & Power, L. (2001). Prejudice, discrimination and HIV: A report. London: Terrence Higgins Trust.
Zurück zum Zitat Krieger, N. (2000). Discrimination and health. In L. Berkman, & I. Kawachi (Eds.), Social epidemiology (pp. 36–75). New York: Oxford University Press. Krieger, N. (2000). Discrimination and health. In L. Berkman, & I. Kawachi (Eds.), Social epidemiology (pp. 36–75). New York: Oxford University Press.
Zurück zum Zitat Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367, 528–529.PubMedCrossRef Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367, 528–529.PubMedCrossRef
Zurück zum Zitat Mays, V., & Cochran, S. (2001). Mental health correlates of perceived discrimination among lesbian, gay and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876.PubMed Mays, V., & Cochran, S. (2001). Mental health correlates of perceived discrimination among lesbian, gay and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876.PubMed
Zurück zum Zitat McMunn, A., Mwanje, R., & Posniak, A. (1997). Issues facing Africans in London with HIV infection. Genitourinary Medicine, 73, 157–158.PubMed McMunn, A., Mwanje, R., & Posniak, A. (1997). Issues facing Africans in London with HIV infection. Genitourinary Medicine, 73, 157–158.PubMed
Zurück zum Zitat National AIDS Trust. (2007a). HIV and recruitment: Advice for job applicants living with HIV. London, National AIDS Trust. National AIDS Trust. (2007a). HIV and recruitment: Advice for job applicants living with HIV. London, National AIDS Trust.
Zurück zum Zitat Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science and.Medicine, 57, 13–24.PubMedCrossRef Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science and.Medicine, 57, 13–24.PubMedCrossRef
Zurück zum Zitat Peretti-Watel, P., Spire, B., Obadia, Y., & Moatti, J. P. (2007). Discrimination against HIV-infected people and the spread of HIV: Some evidence from France. PloS ONE, 2, e411.PubMedCrossRef Peretti-Watel, P., Spire, B., Obadia, Y., & Moatti, J. P. (2007). Discrimination against HIV-infected people and the spread of HIV: Some evidence from France. PloS ONE, 2, e411.PubMedCrossRef
Zurück zum Zitat Petrak, J., Doyle, A., Smith, A., Skinner, C., & Hedge, B. (2001). Factors associated with self-disclosure of HIV serostatus to significant others. British Journal of Health Psychology, 6, 69–79.PubMedCrossRef Petrak, J., Doyle, A., Smith, A., Skinner, C., & Hedge, B. (2001). Factors associated with self-disclosure of HIV serostatus to significant others. British Journal of Health Psychology, 6, 69–79.PubMedCrossRef
Zurück zum Zitat Rothon, C., & Heath, A. (2003). Trends in racial prejudice. In A. Park, J. Curtice, K. Thomson, L. Jarvis, & C. Bromley (Eds.), British social attitudes, the 20th report (pp. 189–213). London: Sage Publications/National Centre for Social Research. Rothon, C., & Heath, A. (2003). Trends in racial prejudice. In A. Park, J. Curtice, K. Thomson, L. Jarvis, & C. Bromley (Eds.), British social attitudes, the 20th report (pp. 189–213). London: Sage Publications/National Centre for Social Research.
Zurück zum Zitat Scambler G. (2003). (Ed.) Sociology as applied to medicine (5th ed.). London: Saunders. Scambler G. (2003). (Ed.) Sociology as applied to medicine (5th ed.). London: Saunders.
Zurück zum Zitat Schuster, M., Collins, R., Cunningham, W., Morton, S., Zierler, S., Wong, M. et al. (2005). Perceived discrimination in clinical care in a nationally representative sample of HIV-infected adults receiving health care. Journal of General Internal Medicine, 20, 807–813.PubMedCrossRef Schuster, M., Collins, R., Cunningham, W., Morton, S., Zierler, S., Wong, M. et al. (2005). Perceived discrimination in clinical care in a nationally representative sample of HIV-infected adults receiving health care. Journal of General Internal Medicine, 20, 807–813.PubMedCrossRef
Zurück zum Zitat Sohler, N., Li, X., & Cunningham, C. (2007). Perceived discrimination among severely disadvantaged people with HIV infection. Public Health Reports, 122, 347–355.PubMed Sohler, N., Li, X., & Cunningham, C. (2007). Perceived discrimination among severely disadvantaged people with HIV infection. Public Health Reports, 122, 347–355.PubMed
Zurück zum Zitat Stall, R., Hoff, C., Coates, T. J., Paul, J., Phillips, K. A., Ekstrand, M. et al. (1996). Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: Implications for secondary prevention efforts. Journal of Acquired.Immune Deficiency.Syndrome, 11, 151–160. Stall, R., Hoff, C., Coates, T. J., Paul, J., Phillips, K. A., Ekstrand, M. et al. (1996). Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: Implications for secondary prevention efforts. Journal of Acquired.Immune Deficiency.Syndrome, 11, 151–160.
Zurück zum Zitat Stephenson, J., Imrie, J., Davis, M., Mercer, C., Black, S., Copas, A. et al. (2003). Is use of antiretroviral therapy among homosexual men associated with increased risk of transmission of HIV infection? Sexually Transmitted Infections, 79, 7–10.PubMedCrossRef Stephenson, J., Imrie, J., Davis, M., Mercer, C., Black, S., Copas, A. et al. (2003). Is use of antiretroviral therapy among homosexual men associated with increased risk of transmission of HIV infection? Sexually Transmitted Infections, 79, 7–10.PubMedCrossRef
Zurück zum Zitat The UK Collaborative Group for HIV and STI Surveillance (2006). A complex picture. HIV and other sexually transmitted infections in the United Kingdom: 2006 London: Health Protection Agency, Centre for Infections. The UK Collaborative Group for HIV and STI Surveillance (2006). A complex picture. HIV and other sexually transmitted infections in the United Kingdom: 2006 London: Health Protection Agency, Centre for Infections.
Metadaten
Titel
HIV-Related Discrimination Reported by People Living with HIV in London, UK
verfasst von
Jonathan Elford
Fowzia Ibrahim
Cecilia Bukutu
Jane Anderson
Publikationsdatum
01.03.2008
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 2/2008
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9344-2

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