“It is not an acceptable disease”: A qualitative study of HIV-related stigma and discrimination and impacts on health and wellbeing for people from ethnically diverse backgrounds in Australia

BMC Public Health

Anna Ziersch¹  Moira Walsh¹  Lillian Mwanri¹  Georgia Rowley²  Enaam Oudih³  Melanie Baak⁴ 

[1] College of Medicine and Public Health, Flinders University, Adelaide, Australia;College of Nursing and Health Sciences, Flinders University, Adelaide, Australia;Relationships Australia South Australia, Adelaide, Australia;School of Education, University of South Australia, Adelaide, Australia;

关键词: HIV;    stigma;    discrimination;    migrant;    refugee;    health;    ethnically diverse;    CALD;    Australia;   

DOI  :  10.1186/s12889-021-10679-y

来源: Springer

【 摘 要 】

BackgroundPeople from ethnically diverse backgrounds living with HIV are susceptible to adverse health and wellbeing outcomes, particularly as a consequence of HIV-related stigma and discrimination (HSD), though relatively little is known about experiences in Australia.MethodsThis paper reports on HSD in ethnically diverse communities in South Australia and impacts on health and wellbeing. Interviews and focus groups were conducted with 10 individuals living with HIV from ethnically diverse backgrounds, 14 ethnically diverse community leaders, and 50 service providers. Data were analysed thematically.ResultsFindings indicated that HIV is a highly stigmatised condition in ethnically diverse communities due to fear of moral judgment and social isolation, and was experienced at the intersections of gender, sexual orientation, religion, culture, and immigration status. Experiences of HSD were damaging to health and wellbeing through non-disclosure, reduced social support, delayed testing, service access barriers, impacts on treatment adherence, and directly to mental health.ConclusionsActions addressing the impacts of HSD on people from ethnically diverse backgrounds are crucial.

【 授权许可】

CC BY