Stigma, social reciprocity and exclusion of HIV/AIDS patients with illicit drug histories: a study of Thai nurses' attitudes.

Harm Reduction Journal
Kit Yee ChanDaniel D Reidpath

Abstract

Stigma is a key barrier for the delivery of care to patients living with HIV/AIDS (PLWHA). In the Asia region, the HIV/AIDS epidemic has disproportionately affected socially marginalised groups, in particular, injecting drug users. The effect of the stigmatising attitudes towards injecting drug users on perceptions of PLWHA within the health care contexts has not been thoroughly explored, and typically neglected in terms of stigma intervention. Semi-structured interviews were conducted with a group of twenty Thai trainee and qualified nurses. Drawing upon the idea of 'social reciprocity', this paper examines the constructions of injecting drug users and PLWHA by a group of Thai nurses. Narratives were explored with a focus on how participants' views concerning the high-risk behaviour of injecting drug use might influence their attitudes towards PLWHA. The analysis shows that active efforts were made by participants to separate their views of patients living with HIV/AIDS from injecting drug users. While the former were depicted as patients worthy of social support and inclusion, the latter were excluded on the basis that they were perceived as irresponsible 'social cheaters' who pose severe social and economic harm to the commu...Continue Reading

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Citations

Mar 6, 2009·Culture, Health & Sexuality·Kit Yee ChanDaniel D Reidpath
Oct 30, 2016·Journal of Public Health·A J HeathK Hayashi
Jan 22, 2010·International Journal of STD & AIDS·C RongkavilitP Phanuphak
Jul 24, 2010·Journal of the International AIDS Society·Fatemeh Rahmati-NajarkolaeiSedigheh S Tavafian
Sep 11, 2020·BMC Infectious Diseases·Mutiara Tirta Prabandari Lintang KusumaWei-Wen Hsu

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