Skip to main content
Top
Published in: AIDS and Behavior 2/2008

01-03-2008 | Original Paper

HIV-Related Stigma among People with HIV and their Families: A Qualitative Analysis

Authors: Laura M. Bogart, Burton O. Cowgill, David Kennedy, Gery Ryan, Debra A. Murphy, Jacinta Elijah, Mark A. Schuster

Published in: AIDS and Behavior | Issue 2/2008

Login to get access

Abstract

We examined the interconnectedness of stigma experiences in families living with HIV, from the perspective of multiple family members. Semi-structured interviews were conducted with 33 families (33 parents with HIV, 27 children under age 18, 19 adult children, and 15 caregivers). Parents were drawn from the HIV Cost and Services Utilization Study, a representative sample of people in care for HIV in US. All of the families recounted experiences with stigma, including 100% of mothers, 88% of fathers, 52% of children, 79% of adult children, and 60% of caregivers. About 97% of families described discrimination fears, 79% of families experienced actual discrimination, and 10% of uninfected family members experienced stigma from association with the parent with HIV. Interpersonal discrimination seemed to stem from fears of contagion. Findings indicate a need for interventions to reduce HIV stigma in the general public and to help families cope with stigma.
Literature
go back to reference Antle, B. J., Wells, L. M., Goldie, R. S., DeMatteo, D., & King, S. M. (2001). Challenges of parenting for families living with HIV/AIDS. Social Work, 46, 159–169.PubMed Antle, B. J., Wells, L. M., Goldie, R. S., DeMatteo, D., & King, S. M. (2001). Challenges of parenting for families living with HIV/AIDS. Social Work, 46, 159–169.PubMed
go back to reference Armistead, L., Summers, P., Forehand, R., Morse, P. S., Morse, E., & Clark, L. (1999). Understanding of HIV/AIDS among children of HIV-infected mothers: Implications for prevention, disclosure, and bereavement. Children’s Health Care, 28, 277–295.CrossRef Armistead, L., Summers, P., Forehand, R., Morse, P. S., Morse, E., & Clark, L. (1999). Understanding of HIV/AIDS among children of HIV-infected mothers: Implications for prevention, disclosure, and bereavement. Children’s Health Care, 28, 277–295.CrossRef
go back to reference Bakeman, R., & Gottman, J. M. (1986). Observing interaction: An introduction to sequential analysis. New York: Cambridge University Press. Bakeman, R., & Gottman, J. M. (1986). Observing interaction: An introduction to sequential analysis. New York: Cambridge University Press.
go back to reference Barroso, J., & Powell-Cope, G. M. (2000). Metasynthesis of qualitative research on living with HIV infection. Qualitative Health Research, 10, 340–353.PubMedCrossRef Barroso, J., & Powell-Cope, G. M. (2000). Metasynthesis of qualitative research on living with HIV infection. Qualitative Health Research, 10, 340–353.PubMedCrossRef
go back to reference Berger, B. E., 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. E., 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
go back to reference Berkman, L. F., & Kawachi, I. (2000). Social epidemiology. Oxford: Oxford University Press. Berkman, L. F., & Kawachi, I. (2000). Social epidemiology. Oxford: Oxford University Press.
go back to reference Bernard, H. R. (2002). Research methods in anthropology: Qualitative and quantitative approaches (3rd ed.). Thousand Oaks, CA: SAGE Publications. Bernard, H. R. (2002). Research methods in anthropology: Qualitative and quantitative approaches (3rd ed.). Thousand Oaks, CA: SAGE Publications.
go back to reference Brackis-Cott, E., Mellins, C. A., Abrams, E., Reval, T., & Dolezal, C. (2003). Pediatric HIV medication adherence: The views of medical providers from two primary care programs. Journal of Pediatric Health Care, 17, 252–260.PubMedCrossRef Brackis-Cott, E., Mellins, C. A., Abrams, E., Reval, T., & Dolezal, C. (2003). Pediatric HIV medication adherence: The views of medical providers from two primary care programs. Journal of Pediatric Health Care, 17, 252–260.PubMedCrossRef
go back to reference Brown, L., Macintyre, K., & Trujillo, L. (2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15, 49–69.PubMedCrossRef Brown, L., Macintyre, K., & Trujillo, L. (2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15, 49–69.PubMedCrossRef
go back to reference Chen, J. L., Philips, K. A., Kanouse, D. E., Collins, R. L., & Miu, A. (2001). Fertility desires and intentions of HIV-positive men and women. Family Planning Perspectives, 33, 144–152, 165. Chen, J. L., Philips, K. A., Kanouse, D. E., Collins, R. L., & Miu, A. (2001). Fertility desires and intentions of HIV-positive men and women. Family Planning Perspectives, 33, 144–152, 165.
go back to reference Clark, H. J., Lindner, G., Armistead, L., & Austin, B. J. (2003). Stigma, disclosure, and psychological functioning among HIV-infected and non-infected African-American women. Women and Health, 38, 57–71.CrossRef Clark, H. J., Lindner, G., Armistead, L., & Austin, B. J. (2003). Stigma, disclosure, and psychological functioning among HIV-infected and non-infected African-American women. Women and Health, 38, 57–71.CrossRef
go back to reference Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.CrossRef Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.CrossRef
go back to reference Corona, R., Beckett, M. K., Cowgill, B. O., Elliott, M. N., Murphy, D. A., Zhou, A. J., & Schuster, M. A. (2006). Do children know their parent’s HIV status? Parental reports of child awareness in a nationally representative sample. Ambulatory Pediatrics, 6, 138–144.PubMedCrossRef Corona, R., Beckett, M. K., Cowgill, B. O., Elliott, M. N., Murphy, D. A., Zhou, A. J., & Schuster, M. A. (2006). Do children know their parent’s HIV status? Parental reports of child awareness in a nationally representative sample. Ambulatory Pediatrics, 6, 138–144.PubMedCrossRef
go back to reference Courtenay-Quirk, C., Wolitski, R. J., Parsons, J. T., & Gomez, C. A. (2006). Is HIV/AIDS stigma dividing the gay community? Perceptions of HIV-positive men who have sex with men. AIDS Education and Prevention, 18, 56–67.PubMedCrossRef Courtenay-Quirk, C., Wolitski, R. J., Parsons, J. T., & Gomez, C. A. (2006). Is HIV/AIDS stigma dividing the gay community? Perceptions of HIV-positive men who have sex with men. AIDS Education and Prevention, 18, 56–67.PubMedCrossRef
go back to reference DeMatteo, D., Wells, L. M., Salter Goldie, R., & King, S. M. (2002). The ‘family’ context of HIV: A need for comprehensive health and social policies. AIDS Care, 14, 261–278.PubMedCrossRef DeMatteo, D., Wells, L. M., Salter Goldie, R., & King, S. M. (2002). The ‘family’ context of HIV: A need for comprehensive health and social policies. AIDS Care, 14, 261–278.PubMedCrossRef
go back to reference Demi, A., Bakeman, R., Moneyham, L., Sowell, R., & Seals, B. (1997). Effects of resources and stressors on burden and depression of family members who provide care to an HIV-infected woman. Journal of Family Psychology, 11, 35–48.CrossRef Demi, A., Bakeman, R., Moneyham, L., Sowell, R., & Seals, B. (1997). Effects of resources and stressors on burden and depression of family members who provide care to an HIV-infected woman. Journal of Family Psychology, 11, 35–48.CrossRef
go back to reference Donenberg, G. R., & Pao, M. (2005). Youths and HIV/AIDS: Psychiatry’s role in a changing epidemic. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 728–747.PubMedCrossRef Donenberg, G. R., & Pao, M. (2005). Youths and HIV/AIDS: Psychiatry’s role in a changing epidemic. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 728–747.PubMedCrossRef
go back to reference Fleiss, P. M. (1981). Intestinal microflora, injury and vitamin K deficiency [letter]. Nutrition Reviews, 39, 147.PubMedCrossRef Fleiss, P. M. (1981). Intestinal microflora, injury and vitamin K deficiency [letter]. Nutrition Reviews, 39, 147.PubMedCrossRef
go back to reference Forehand, R., Steele, R., Armistead, L., Morse, E., Simon, P., & Clark, L. (1998). The family health project: Psychosocial adjustment of children whose mothers are HIV infected. Journal of Consulting and Clinical Psychology, 66, 513–520.PubMedCrossRef Forehand, R., Steele, R., Armistead, L., Morse, E., Simon, P., & Clark, L. (1998). The family health project: Psychosocial adjustment of children whose mothers are HIV infected. Journal of Consulting and Clinical Psychology, 66, 513–520.PubMedCrossRef
go back to reference Frankel, M. R., Shapiro, M. F., & Duan, N. (1999). National probability samples in studies of low-prevalence diseases. Part 2: Designing and implementing the HIV cost and services utilization study sample. Health Services Research, 34, 969–992. Frankel, M. R., Shapiro, M. F., & Duan, N. (1999). National probability samples in studies of low-prevalence diseases. Part 2: Designing and implementing the HIV cost and services utilization study sample. Health Services Research, 34, 969–992.
go back to reference Gielen, A. C., O’Camp, P., & Faden, R. R. (1997). Women’s disclosure of HIV status: Experiences of mistreatment and violence in an urban setting. Women and Health, 25, 19–31.CrossRef Gielen, A. C., O’Camp, P., & Faden, R. R. (1997). Women’s disclosure of HIV status: Experiences of mistreatment and violence in an urban setting. Women and Health, 25, 19–31.CrossRef
go back to reference Goffman E. (1963). Stigma: Notes on the management of spoiled identity. New York: Simon & Schuster. Goffman E. (1963). Stigma: Notes on the management of spoiled identity. New York: Simon & Schuster.
go back to reference Golin, C., Isasi, F., Bontempi, J. B., & Eng, E. (2002). Secret pills: HIV-positive patients’ experiences taking antiretroviral therapy in North Carolina. AIDS Education and Prevention, 14, 318–329.PubMedCrossRef Golin, C., Isasi, F., Bontempi, J. B., & Eng, E. (2002). Secret pills: HIV-positive patients’ experiences taking antiretroviral therapy in North Carolina. AIDS Education and Prevention, 14, 318–329.PubMedCrossRef
go back to reference Gostin, L. O., & Weber, D. W. (1998). The AIDS litigation project: HIV/AIDS in the courts in the 1990s, part 2. AIDS and Public Policy Journal, 13, 3–19.PubMed Gostin, L. O., & Weber, D. W. (1998). The AIDS litigation project: HIV/AIDS in the courts in the 1990s, part 2. AIDS and Public Policy Journal, 13, 3–19.PubMed
go back to reference Hackl, K. L., Somlai, A. M., Kelly, J. A., & Kalichman, S. C. (1997). Women living with HIV/AIDS: The dual challenge of being a patient and caregiver. Health and Social Work, 22, 53–62.PubMed Hackl, K. L., Somlai, A. M., Kelly, J. A., & Kalichman, S. C. (1997). Women living with HIV/AIDS: The dual challenge of being a patient and caregiver. Health and Social Work, 22, 53–62.PubMed
go back to reference Hebl, M. R., & Mannix, L. M. (2003). The weight of obesity in evaluating others: A mere proximity effect. Personality and Social Psychological Bulletin, 29, 28–38.CrossRef Hebl, M. R., & Mannix, L. M. (2003). The weight of obesity in evaluating others: A mere proximity effect. Personality and Social Psychological Bulletin, 29, 28–38.CrossRef
go back to reference Herek, G., & Capitanio, J. (1999). AIDS stigma and sexual prejudice. American Behavioral Scientist, 42, 1126–1143. Herek, G., & Capitanio, J. (1999). AIDS stigma and sexual prejudice. American Behavioral Scientist, 42, 1126–1143.
go back to reference Herek, G., Capitanio, J., & Widaman, K. (2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991-1999. American Journal of Public Health, 92, 371–377.PubMed Herek, G., Capitanio, J., & Widaman, K. (2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991-1999. American Journal of Public Health, 92, 371–377.PubMed
go back to reference Ingram, D., & Hutchinson, S. A. (1999). HIV-positive mothers and stigma. Health Care for Women International, 20, 93–103.PubMedCrossRef Ingram, D., & Hutchinson, S. A. (1999). HIV-positive mothers and stigma. Health Care for Women International, 20, 93–103.PubMedCrossRef
go back to reference Ingram, D., & Hutchinson, S. A. (2000). Double binds and the reproductive and mothering experiences of HIV-positive women. Qualitative Health Research, 10, 117–132.PubMedCrossRef Ingram, D., & Hutchinson, S. A. (2000). Double binds and the reproductive and mothering experiences of HIV-positive women. Qualitative Health Research, 10, 117–132.PubMedCrossRef
go back to reference Kaiser Family Foundation. (2006). Attitudes about stigma and discrimination related to HIV/AIDS. Retrieved 9/25/06, from http://www.kff.org/spotlight/hivstigma/index.cfm. Kaiser Family Foundation. (2006). Attitudes about stigma and discrimination related to HIV/AIDS. Retrieved 9/25/06, from http://​www.​kff.​org/​spotlight/​hivstigma/​index.​cfm.​
go back to reference Kang, E., Rapkin, B. D., Remien, R. H., Mellins, C. A., & Oh, A. (2005). Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness. AIDS and Behavior, 9, 145–154.PubMedCrossRef Kang, E., Rapkin, B. D., Remien, R. H., Mellins, C. A., & Oh, A. (2005). Multiple dimensions of HIV stigma and psychological distress among Asians and Pacific Islanders living with HIV illness. AIDS and Behavior, 9, 145–154.PubMedCrossRef
go back to reference Landis, J., & Koch, G. (1977). Measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef Landis, J., & Koch, G. (1977). Measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef
go back to reference Lee, M. B., & Rotheram-Borus, M. J. (2002). Parents’ disclosure of HIV to their children. AIDS, 16, 2201–2207.PubMedCrossRef Lee, M. B., & Rotheram-Borus, M. J. (2002). Parents’ disclosure of HIV to their children. AIDS, 16, 2201–2207.PubMedCrossRef
go back to reference Lekas, H. M., Siegel, K., & Schrimshaw, E. W. (2006). Continuities and discontinuities in the experiences of felt and enacted stigma among women with HIV/AIDS. Qualitative Health Research, 16, 1165–1190.PubMedCrossRef Lekas, H. M., Siegel, K., & Schrimshaw, E. W. (2006). Continuities and discontinuities in the experiences of felt and enacted stigma among women with HIV/AIDS. Qualitative Health Research, 16, 1165–1190.PubMedCrossRef
go back to reference Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park, CA: Sage Publications. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park, CA: Sage Publications.
go back to reference Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services, 52, 1621–1626.PubMedCrossRef Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services, 52, 1621–1626.PubMedCrossRef
go back to reference Murphy, D. A., Austin, E., & Greenwell, L. (in press). Correlates of HIV-related stigma among HIV-positive mothers and their uninfected adolescent children. Women and Health. Murphy, D. A., Austin, E., & Greenwell, L. (in press). Correlates of HIV-related stigma among HIV-positive mothers and their uninfected adolescent children. Women and Health.
go back to reference Murphy, D. A., Roberts, K. J., & Hoffman, D. (2002). Stigma and ostracism associated with HIV/AIDS: Children carrying the secret of their mothers’ HIV+ serostatus. Journal of Child and Family Studies, 11, 191–202.CrossRef Murphy, D. A., Roberts, K. J., & Hoffman, D. (2002). Stigma and ostracism associated with HIV/AIDS: Children carrying the secret of their mothers’ HIV+ serostatus. Journal of Child and Family Studies, 11, 191–202.CrossRef
go back to reference Murphy, D. A., Roberts, K. J., Hoffman, D., Molina, A., & Lu, M. C. (2003). Barriers and successful strategies to antiretroviral adherence among HIV-infected monolingual Spanish-speaking patients. AIDS Care, 15, 217–230.PubMedCrossRef Murphy, D. A., Roberts, K. J., Hoffman, D., Molina, A., & Lu, M. C. (2003). Barriers and successful strategies to antiretroviral adherence among HIV-infected monolingual Spanish-speaking patients. AIDS Care, 15, 217–230.PubMedCrossRef
go back to reference Nyblade, L. (2006). Measuring HIV stigma: Existing knowledge and gaps. Psychology, Health and Medicine, 11, 335–345.CrossRef Nyblade, L. (2006). Measuring HIV stigma: Existing knowledge and gaps. Psychology, Health and Medicine, 11, 335–345.CrossRef
go back to reference 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
go back to reference Poindexter, C. C., & Linsk, N. L. (1999). HIV-related stigma in a sample of HIV-affected older female African American caregivers. Social Work, 44, 46–61.PubMed Poindexter, C. C., & Linsk, N. L. (1999). HIV-related stigma in a sample of HIV-affected older female African American caregivers. Social Work, 44, 46–61.PubMed
go back to reference Powell-Cope, G. M., & Brown, M. A. (1992). Going public as an AIDS family caregiver. Social Science and Medicine, 34, 571–580.PubMedCrossRef Powell-Cope, G. M., & Brown, M. A. (1992). Going public as an AIDS family caregiver. Social Science and Medicine, 34, 571–580.PubMedCrossRef
go back to reference Reidpath, D. D., & Chan, K. Y. (2005). A method for the quantitative analysis of the layering of HIV-related stigma. AIDS Care, 17, 425–432.PubMedCrossRef Reidpath, D. D., & Chan, K. Y. (2005). A method for the quantitative analysis of the layering of HIV-related stigma. AIDS Care, 17, 425–432.PubMedCrossRef
go back to reference Relf, M. W. (2005). HIV-related stigma among persons attending an urban HIV clinic. Journal of Multicultural Nursing and Health, 11, 14–22. Relf, M. W. (2005). HIV-related stigma among persons attending an urban HIV clinic. Journal of Multicultural Nursing and Health, 11, 14–22.
go back to reference Reyland, S. A., Higgins-D’Alessandro, A., & McMahon, T. J. (2002). Tell them you love them because you never know when things could change: Voices of adolescents living with HIV-positive mothers. AIDS Care, 14, 285–294.PubMedCrossRef Reyland, S. A., Higgins-D’Alessandro, A., & McMahon, T. J. (2002). Tell them you love them because you never know when things could change: Voices of adolescents living with HIV-positive mothers. AIDS Care, 14, 285–294.PubMedCrossRef
go back to reference Rintamaki, L. S., Davis, T. C., Skripkauskas, S., Bennett, C. L., & Wolf, M. S. (2006). Social stigma concerns and HIV medication adherence. AIDS Patient Care and STDS, 20, 359–368.PubMedCrossRef Rintamaki, L. S., Davis, T. C., Skripkauskas, S., Bennett, C. L., & Wolf, M. S. (2006). Social stigma concerns and HIV medication adherence. AIDS Patient Care and STDS, 20, 359–368.PubMedCrossRef
go back to reference Rotheram-Borus, M. J., Flannery, D., Rice, E., & Lester, P. (2005). Families living with HIV. AIDS Care, 17, 978–987.PubMedCrossRef Rotheram-Borus, M. J., Flannery, D., Rice, E., & Lester, P. (2005). Families living with HIV. AIDS Care, 17, 978–987.PubMedCrossRef
go back to reference Rotheram-Borus, M. J., Lee, M. B., Gwadz, M., & Draimin, B. (2001). An intervention for parents with AIDS and their adolescent children. American Journal of Public Health, 91, 1294–1302.PubMedCrossRef Rotheram-Borus, M. J., Lee, M. B., Gwadz, M., & Draimin, B. (2001). An intervention for parents with AIDS and their adolescent children. American Journal of Public Health, 91, 1294–1302.PubMedCrossRef
go back to reference Ryan, G., & Bernard, H. R. (2003). Techniques to identify themes. Field Methods, 15, 85–109.CrossRef Ryan, G., & Bernard, H. R. (2003). Techniques to identify themes. Field Methods, 15, 85–109.CrossRef
go back to reference Sandelowski, M., & Barroso, J. (2003a). Motherhood in the context of maternal HIV infection. Research in Nursing and Health, 26, 470–482.CrossRef Sandelowski, M., & Barroso, J. (2003a). Motherhood in the context of maternal HIV infection. Research in Nursing and Health, 26, 470–482.CrossRef
go back to reference Sandelowski, M., & Barroso, J. (2003b). Toward a metasynthesis of qualitative findings on motherhood in HIV-positive women. Research in Nursing and Health, 26, 153–170.CrossRef Sandelowski, M., & Barroso, J. (2003b). Toward a metasynthesis of qualitative findings on motherhood in HIV-positive women. Research in Nursing and Health, 26, 153–170.CrossRef
go back to reference Scambler G. (1989). Epilepsy. London: Routledge. Scambler G. (1989). Epilepsy. London: Routledge.
go back to reference Schuster, M. A., Collins, R., Cunningham, W. E., Morton, S. C., Zierler, S., Wong, M., Tu, W., & Kanouse, D. E. (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. A., Collins, R., Cunningham, W. E., Morton, S. C., Zierler, S., Wong, M., Tu, W., & Kanouse, D. E. (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
go back to reference Schuster, M. A., Kanouse, D. E., Morton, S. C., Bozzette, S. A., Miu, A., Scott, G. B., & Shapiro, M. F. (2000). HIV-infected parents and their children in the United States. American Journal of Public Health, 90, 1074–1081.PubMed Schuster, M. A., Kanouse, D. E., Morton, S. C., Bozzette, S. A., Miu, A., Scott, G. B., & Shapiro, M. F. (2000). HIV-infected parents and their children in the United States. American Journal of Public Health, 90, 1074–1081.PubMed
go back to reference Scrimshaw, E. W., & Siegel, K. (2002). HIV-infected mothers’ disclosure to their uninfected children: Rates, reasons, and reactions. Journal of Social and Personal Relationships, 19, 19–43.CrossRef Scrimshaw, E. W., & Siegel, K. (2002). HIV-infected mothers’ disclosure to their uninfected children: Rates, reasons, and reactions. Journal of Social and Personal Relationships, 19, 19–43.CrossRef
go back to reference Semple, S. J., Patterson, T. L., Temoshok, L. R., McCutchan, J. A., Straits-Troster, K. A., Chandler, J. L., & Grant, I. (1993). Identification of psychobiological stressors among HIV-positive women. Women and Health, 20, 15–36.CrossRef Semple, S. J., Patterson, T. L., Temoshok, L. R., McCutchan, J. A., Straits-Troster, K. A., Chandler, J. L., & Grant, I. (1993). Identification of psychobiological stressors among HIV-positive women. Women and Health, 20, 15–36.CrossRef
go back to reference Shapiro, M. F., Berk, M. L., & Berry, S. H. (1999). National probability samples in studies of low-prevalence diseases. Part 1: Perspectives and lessons from the HIV cost and services utilization study. Health Services Research, 34, 951–968.PubMed Shapiro, M. F., Berk, M. L., & Berry, S. H. (1999). National probability samples in studies of low-prevalence diseases. Part 1: Perspectives and lessons from the HIV cost and services utilization study. Health Services Research, 34, 951–968.PubMed
go back to reference Siegel, K., Scrimshaw, E. W., & Ravies, V. H. (2000). Accounts for non-adherence to antiviral combination therapies among older HIV-infected adults. Psychology, Health and Medicine, 5, 29–42.CrossRef Siegel, K., Scrimshaw, E. W., & Ravies, V. H. (2000). Accounts for non-adherence to antiviral combination therapies among older HIV-infected adults. Psychology, Health and Medicine, 5, 29–42.CrossRef
go back to reference Sowell, R. L., Seals, B. F., Moneyham, L., Demi, A., Cohen, L., & Brake, S. (1997). Quality of life in HIV-infected women in the south-eastern United States. AIDS Care, 9, 501–512.PubMedCrossRef Sowell, R. L., Seals, B. F., Moneyham, L., Demi, A., Cohen, L., & Brake, S. (1997). Quality of life in HIV-infected women in the south-eastern United States. AIDS Care, 9, 501–512.PubMedCrossRef
go back to reference Spradley J. P. (1979). The ethnographic interview. New York: Holt, Rinehart and Winston. Spradley J. P. (1979). The ethnographic interview. New York: Holt, Rinehart and Winston.
go back to reference Vallerand, A. H., Hough, E., Pittiglio, L., & Marvicsin, D. (2005). The process of disclosing HIV serostatus between HIV-positive mothers and their HIV-negative children. AIDS Patient Care and STDS, 19, 100–109.PubMedCrossRef Vallerand, A. H., Hough, E., Pittiglio, L., & Marvicsin, D. (2005). The process of disclosing HIV serostatus between HIV-positive mothers and their HIV-negative children. AIDS Patient Care and STDS, 19, 100–109.PubMedCrossRef
go back to reference Vanable, P. A., Carey, M. P., Blair, D. C., & Littlewood, R. A. (2006). Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS and Behavior, 10, 473–482.PubMedCrossRef Vanable, P. A., Carey, M. P., Blair, D. C., & Littlewood, R. A. (2006). Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS and Behavior, 10, 473–482.PubMedCrossRef
go back to reference Wiener, L. S., Battles, H. B., & Heilman, N. E. (1998). Factors associated with parents’ decision to disclose their HIV diagnosis to their children. Child Welfare, 77, 115–135.PubMed Wiener, L. S., Battles, H. B., & Heilman, N. E. (1998). Factors associated with parents’ decision to disclose their HIV diagnosis to their children. Child Welfare, 77, 115–135.PubMed
go back to reference Wood, J. V. (1996). What is social comparison and how should we study it? Personality and Social Psychology Bulletin, 22, 520–537.CrossRef Wood, J. V. (1996). What is social comparison and how should we study it? Personality and Social Psychology Bulletin, 22, 520–537.CrossRef
Metadata
Title
HIV-Related Stigma among People with HIV and their Families: A Qualitative Analysis
Authors
Laura M. Bogart
Burton O. Cowgill
David Kennedy
Gery Ryan
Debra A. Murphy
Jacinta Elijah
Mark A. Schuster
Publication date
01-03-2008
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2008
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9231-x

Other articles of this Issue 2/2008

AIDS and Behavior 2/2008 Go to the issue