"I die silently inside". Qualitative findings from a study of people living with HIV who migrate to and settle in Canada.
Canada
Caribbean
HIV care cascade
HIV/AIDS
Immigrants
Stigma
Sub-Saharan Africa
Journal
Journal of migration and health
ISSN: 2666-6235
Titre abrégé: J Migr Health
Pays: England
ID NLM: 101774615
Informations de publication
Date de publication:
2022
2022
Historique:
received:
02
10
2021
revised:
24
02
2022
accepted:
25
02
2022
entrez:
28
3
2022
pubmed:
29
3
2022
medline:
29
3
2022
Statut:
epublish
Résumé
We report on qualitative findings from a mixed methods study, examining enacted and internalized stigma during mandatory HIV screening among immigration applicants living with HIV in Canada. Qualitative findings show alignment with characteristics of internalized HIV stigma. We conducted 34 semi-structured interviews, and analyzed the data through thematic analysis, using Intersectionality and the Internalized HIV Stigma Scale as our theoretical and analytical frameworks. Participants described experiences of enacted and internalized HIV stigma in ways that were consistent with the four main domains of stereotypes, disclosure concerns, social relationships, and self-acceptance, but also extended the description of HIV stigma beyond these domains. Experiences of internalized HIV stigma and enacted stigma during the Canadian Immigration Medical Examination could potentially influence individuals' long-term engagement in the HIV care cascade during the process of migration to, and settlement in, Canada. We present recommendations for the broader migrant health research agenda, health and social care providers, and public health policies.
Identifiants
pubmed: 35341065
doi: 10.1016/j.jmh.2022.100088
pii: S2666-6235(22)00011-3
pmc: PMC8941335
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100088Informations de copyright
© 2022 The Author(s).
Déclaration de conflit d'intérêts
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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