130 research outputs found
Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
Since the primary mode of HIV transmission in sub-Saharan Africa is heterosexual, research focusing on the sexual behaviour of men who have sex with men (MSM) is scant. Currently it is unknown how many people living with HIV in South Africa are MSM and there is even less known about the stigmatisation and discrimination of HIV-positive MSM. The current study examined the stigma and discrimination experiences of MSM living with HIV/AIDS in South Africa. Anonymous venue-based surveys were collected from 92 HIV-positive MSM and 330 HIV-positive men who only reported sex with women (MSW). Internalised stigma was high among all HIV-positive men who took part in the survey, with 56% of men reporting that they concealed their HIV status from others. HIV-positive MSM reported experiencing greater social isolation and discrimination resulting from being HIV-positive, including loss of housing or employment due to their HIV status, however these differences were not significant. Mental health interventions, as well as structural changes for protection against discrimination, are needed for HIV-positive South African MSM
Health promotion: results of focus groups with African-American men
http://dx.doi.org/10.1016/j.jomh.2010.11.00
Social-ecological, motivational and volitional factors for initiating and maintaining physical activity in the context of HIV
Sport and exercise can have several health benefits for people living with HIV. These benefits can be achieved through different types of physical activity, adapting to disease progression, motivation and social-ecological options. However, physical activity levels and adherence to exercise are generally low in people living with HIV. At the same time, high drop-out rates in intervention studies are prevalent; even though they often entail more favourable conditions than interventions in the natural settings. Thus, in the framework of an intervention study, the present study aims to explore social-ecological, motivational and volitional correlates of South African women living with HIV with regard to physical activity and participation in a sport and exercise health promotion programme. The qualitative data was produced in the framework of a non-randomised pre-post intervention study that evaluated structure, processes and outcomes of a 10-week sport and exercise programme. All 25 participants of the programme were included in this analysis, independent of compliance. Data was produced through questionnaires, participatory group discussions, body image pictures, research diaries and individual semi-structured interviews. All participants lived in a low socioeconomic, disadvantaged setting. Hence, the psychological correlates are contextualised and social-ecological influences on perception and behaviour are discussed. The results show the importance of considering social-cultural and environmental influences on individual motives, perceptions and expectancies, the fear of disclosure and stigmatisation, sport and exercise-specific group dynamics and self-supporting processes. Opportunities and strategies to augment physical activity and participation in sport and exercise programmes in the context of HIV are discussed.Scopu
Sociocultural considerations in aging men's health: implications and recommendations for the clinician
http://dx.doi.org/10.1016/j.jomh.2009.07.00
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Sexual exposure to blood and behavioural risks among STI clinic patients in Cape Town, South Africa
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HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa
A cornerstone of HIV prevention in South Africa is voluntary HIV antibody counselling and testing (VCT), but only in five South Africans aware of VCT have been tested. This study examines the relation between HIV testing history, attitudes towards testing and AIDS stigmas.
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Sexual exposure to blood and increased risks for heterosexual HIV transmission in Cape Town, South Africa
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Positive prevention: HIV risk reduction for people living with HIV/AIDS
This chapter discussed the rationale for positive prevention and define its parameters, namely what positive prevention is and what it is not. We also discuss the principles derived from the evidence-based literature that can be used to guide the adaptation of effective positive prevention interventions. Looking ahead to future positive prevention efforts in South Africa, we highlight why positive prevention has the potential to make a substantial impact on the course of South Africa's HIV epidemic and we caution why positive prevention could fail in South Africa
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Positive prevention: targeting PLWHA for HIV prevention
Paper presented to the Second Botswana International HIV Conference organized by the Botswana HIV Clinicians, Southern Africa HIV Clinicians Society, at the Grand Palm Hotel in Gabarone, Botswana on 17-20 Septembe
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