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. 2024 Apr 26:69:1606333.
doi: 10.3389/ijph.2024.1606333. eCollection 2024.

Navigating HIV-Related Stigma in Switzerland: A Qualitative Study

Affiliations

Navigating HIV-Related Stigma in Switzerland: A Qualitative Study

Ingrid Gilles et al. Int J Public Health. .

Abstract

Objectives: This study sought to understand how people living with HIV experience, perceive, and navigate stigma in their everyday life and in care settings in an urban French-speaking area in Switzerland. Methods: Semi-structured interviews were carried out with 19 people living with HIV in Lausanne concerning their experience of HIV-related stigma in both everyday life and in healthcare settings. Content analysis was performed to identify main and sub-themes. Results: "Living with HIV" posed little or no difficulty for participants. However, the burden of anticipated and internalized HIV-related stigma played a disproportionately large role in their lives. Participants considered the general population's low level of knowledge about HIV as problematic in this regard. While participants reported few examples of enacted stigma generally, healthcare environments were sometimes experienced as sites of prejudice and discrimination. However, some healthcare professionals were also sources of information and knowledge, contributing to participants' "journeys of self-acceptance." Conclusion: Even in an urban environment in a country with ready access to healthcare and education, HIV-related stigma remains a concern for people living with HIV.

Keywords: HIV-related stigma; Switzerland; disclosure; knowledge; qualitative methods.

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Conflict of interest statement

KD’s institution received research and travel grants from Gilead, Sciences and consultation fees from MSD. DJ-P’s institution received sponsoring from MSD, Viiv and Gilead for a range of initiatives seeking to improve the quality of life for people living with HIV. This study received a grant from the Gilead Sciences (ID-Number: 14016). The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Themes, subthemes, typical excerpts from the content analysis. Percentages correspond to the proportion of text included in each subtheme. *Epistemic: relating to knowledge or to the degree of its validation. (Navigating HIV-related stigma in Switzerland: a qualitative study. Switzerland 2022).

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