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AIDS and Behavior
Published in: AIDS and Behavior 2/2008

01-03-2008 | Original Paper

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

Authors: Jonathan Elford, Fowzia Ibrahim, Cecilia Bukutu, Jane Anderson

Published in: AIDS and Behavior | Issue 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%).
Literature
Altman, D. (1999). Practical statistics for medical research. London: Chapman and Hall/CRC.
Anderson, J., & Doyal, L. (2004). Women from Africa living with HIV in London: A descriptive study. AIDS Care, 16, 95–105.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
Atrill, R., Kinniburgh, J., & Power, L. (2001). Social exclusion and HIV: A report. London: Terrence Higgins Trust.
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
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.
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
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
Carter, M. (2006). HIV, stigma and you. London, National AIDS Manual (NAM).
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
Department of Health (2001). The national strategy for sexual health and HIV London: DoH.
Department of Health (2006). Department of health action plan: HIV-related stigma and discrimination London: DoH.
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.
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. (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).
Erwin, J., & Peters, B. (1999). Treatment issues for HIV positive Africans in London. Social Science and Medicine, 49, 1519–1528.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
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York: Prentice-Hall.
Green, G., & Sobo, J. (2000). The endangered self: Managing the social risk of HIV. London: Routledge.
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
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
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
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
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
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
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
Kinniburgh, J., Scott, P., Gottleib, M., & Power, L. (2001). Prejudice, discrimination and HIV: A report. London: Terrence Higgins Trust.
Krieger, N. (2000). Discrimination and health. In L. Berkman, & I. Kawachi (Eds.), Social epidemiology (pp. 36–75). New York: Oxford University Press.
Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367, 528–529.PubMedCrossRef
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
McMunn, A., Mwanje, R., & Posniak, A. (1997). Issues facing Africans in London with HIV infection. Genitourinary Medicine, 73, 157–158.PubMed
National AIDS Trust. (2007a). HIV and recruitment: Advice for job applicants living with HIV. London, National AIDS Trust.
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
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
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
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.
Scambler G. (2003). (Ed.) Sociology as applied to medicine (5th ed.). London: Saunders.
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
Sohler, N., Li, X., & Cunningham, C. (2007). Perceived discrimination among severely disadvantaged people with HIV infection. Public Health Reports, 122, 347–355.PubMed
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.
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
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.
Metadata
Title
HIV-Related Discrimination Reported by People Living with HIV in London, UK
Authors
Jonathan Elford
Fowzia Ibrahim
Cecilia Bukutu
Jane Anderson
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/s10461-007-9344-2

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