HIV, Gender, Race, Sexual Orientation, and Sex Work: A Qualitative Study of Intersectional Stigma Experienced by HIV-Positive Women in Ontario, Canada
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{"title"=>"HIV, gender, race, sexual orientation, and sex work: A qualitative study of intersectional stigma experienced by HIV-positive women in Ontario, Canada", "type"=>"journal", "authors"=>[{"first_name"=>"Carmen H.", "last_name"=>"Logie", "scopus_author_id"=>"35174959000"}, {"first_name"=>"LLana", "last_name"=>"James", "scopus_author_id"=>"49961440000"}, {"first_name"=>"Wangari", "last_name"=>"Tharao", "scopus_author_id"=>"35749151700"}, {"first_name"=>"Mona R.", "last_name"=>"Loutfy", "scopus_author_id"=>"6701344290"}], "year"=>2011, "source"=>"PLoS Medicine", "identifiers"=>{"pui"=>"363017217", "sgr"=>"82455205788", "issn"=>"15491277", "arxiv"=>"http://dx.doi.org/10.1108/BIJ-10-2012-0068", "pmid"=>"22131907", "scopus"=>"2-s2.0-82455205788", "doi"=>"10.1371/journal.pmed.1001124", "isbn"=>"1549-1676 (Electronic) 1549-1277 (Linking)"}, "id"=>"e974325a-29a4-34a0-bdd5-a95960cef94a", "abstract"=>"BACKGROUND: HIV infection rates are increasing among marginalized women in Ontario, Canada. HIV-related stigma, a principal factor contributing to the global HIV epidemic, interacts with structural inequities such as racism, sexism, and homophobia. The study objective was to explore experiences of stigma and coping strategies among HIV-positive women in Ontario, Canada.\\n\\nMETHODS AND FINDINGS: We conducted a community-based qualitative investigation using focus groups to understand experiences of stigma and discrimination and coping methods among HIV-positive women from marginalized communities. We conducted 15 focus groups with HIV-positive women in five cities across Ontario, Canada. Data were analyzed using thematic analysis to enhance understanding of the lived experiences of diverse HIV-positive women. Focus group participants (n = 104; mean age = 38 years; 69% ethnic minority; 23% lesbian/bisexual; 22% transgender) described stigma/discrimination and coping across micro (intra/interpersonal), meso (social/community), and macro (organizational/political) realms. Participants across focus groups attributed experiences of stigma and discrimination to: HIV-related stigma, sexism and gender discrimination, racism, homophobia and transphobia, and involvement in sex work. Coping strategies included resilience (micro), social networks and support groups (meso), and challenging stigma (macro).\\n\\nCONCLUSIONS: HIV-positive women described interdependent and mutually constitutive relationships between marginalized social identities and inequities such as HIV-related stigma, sexism, racism, and homo/transphobia. These overlapping, multilevel forms of stigma and discrimination are representative of an intersectional model of stigma and discrimination. The present findings also suggest that micro, meso, and macro level factors simultaneously present barriers to health and well being--as well as opportunities for coping--in HIV-positive women's lives. Understanding the deleterious effects of stigma and discrimination on HIV risk, mental health, and access to care among HIV-positive women can inform health care provision, stigma reduction interventions, and public health policy.", "link"=>"http://www.mendeley.com/research/hiv-gender-race-sexual-orientation-sex-work-qualitative-study-intersectional-stigma-experienced-hivp-1", "reader_count"=>225, "reader_count_by_academic_status"=>{"Unspecified"=>10, "Professor > Associate Professor"=>10, "Librarian"=>6, "Researcher"=>31, "Student > Doctoral Student"=>27, "Student > Ph. D. Student"=>46, "Student > Postgraduate"=>6, "Student > Master"=>56, "Other"=>7, "Student > Bachelor"=>21, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>10, "Professor > Associate Professor"=>10, "Librarian"=>6, "Researcher"=>31, "Student > Doctoral Student"=>27, "Student > Ph. D. Student"=>46, "Student > Postgraduate"=>6, "Student > Master"=>56, "Other"=>7, "Student > Bachelor"=>21, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>17, "Agricultural and Biological Sciences"=>6, "Arts and Humanities"=>5, "Philosophy"=>1, "Computer Science"=>1, "Decision Sciences"=>1, "Earth and Planetary Sciences"=>1, "Engineering"=>1, "Nursing and Health Professions"=>8, "Biochemistry, Genetics and Molecular Biology"=>1, "Mathematics"=>1, "Medicine and Dentistry"=>68, "Design"=>1, "Sports and Recreations"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>36, "Social Sciences"=>75}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>68}, "Social Sciences"=>{"Social Sciences"=>75}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>36}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>17}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>5}, "Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>1}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>6}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>8}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"Canada"=>2, "United States"=>9, "United Kingdom"=>1, "Georgia"=>1, "Switzerland"=>2, "Germany"=>1, "Spain"=>1}, "group_count"=>22}

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Figshare

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Relative Metric

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