hiv, gender, race, sexual orientation, and sex work a qualitative study of intersectional stigma experienced by hiv-positive women in ontario, canada艾滋病毒、性别、种族、性取向和性工作区间的污名经验丰富的定性研究hiv呈阳性的妇女在安大略省,加拿大.pdfVIP
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hiv, gender, race, sexual orientation, and sex work a qualitative study of intersectional stigma experienced by hiv-positive women in ontario, canada艾滋病毒、性别、种族、性取向和性工作区间的污名经验丰富的定性研究hiv呈阳性的妇女在安大略省,加拿大
HIV, Gender, Race, Sexual Orientation, and Sex Work: A Qualitative Study of Intersectional Stigma Experienced by HIV-Positive Women in Ontario, Canada 1 2 2 1 Carmen H. Logie , LLana James , Wangari Tharao , Mona R. Loutfy * 1 Women’s College Research Institute, Women’s College Hospital, University of Toronto, Toronto, Ontario, Canada, 2 Women’s Health in Women’s Hands Community Health Centre, Toronto, Ontario, Canada 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. Methods 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
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