“I'm So Passive, Every Visit Is a Challenge”: Stigma Experienced by Older People Living With HIV During Follow-up Health Care Visits in Wuxi, China—A Qualitative Study
HIV-related stigma remains a significant challenge for older people living with HIV (PLWH), particularly during routine health care visits. Our qualitative study explores the perceptions and experiences of stigma among 12 older PLWH in Wuxi, China, through semi-structured interviews. Using Braun and...
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Published in | The Journal of the Association of Nurses in AIDS Care |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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United States
14.05.2025
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ISSN | 1055-3290 1552-6917 1552-6917 |
DOI | 10.1097/JNC.0000000000000557 |
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Abstract | HIV-related stigma remains a significant challenge for older people living with HIV (PLWH), particularly during routine health care visits. Our qualitative study explores the perceptions and experiences of stigma among 12 older PLWH in Wuxi, China, through semi-structured interviews. Using Braun and Clarke's thematic analysis, 4 primary themes emerged: (a) self-psychological emotional experiences, including both negative and positive encounters; (b) personal stigma-related medical behaviors, such as voluntary disclosure and seeking care for non–HIV-related conditions; (c) medical expectations regarding HIV treatment and health care providers; and (d) insufficient medical support, including digital divide and economic constraints. Participants faced diverse challenges, highlighting the need for comprehensive strategies to address stigma in health care visits for older PLWH. |
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AbstractList | HIV-related stigma remains a significant challenge for older people living with HIV (PLWH), particularly during routine health care visits. Our qualitative study explores the perceptions and experiences of stigma among 12 older PLWH in Wuxi, China, through semi-structured interviews. Using Braun and Clarke's thematic analysis, 4 primary themes emerged: (a) self-psychological emotional experiences, including both negative and positive encounters; (b) personal stigma-related medical behaviors, such as voluntary disclosure and seeking care for non–HIV-related conditions; (c) medical expectations regarding HIV treatment and health care providers; and (d) insufficient medical support, including digital divide and economic constraints. Participants faced diverse challenges, highlighting the need for comprehensive strategies to address stigma in health care visits for older PLWH. HIV-related stigma remains a significant challenge for older people living with HIV (PLWH), particularly during routine health care visits. Our qualitative study explores the perceptions and experiences of stigma among 12 older PLWH in Wuxi, China, through semi-structured interviews. Using Braun and Clarke's thematic analysis, 4 primary themes emerged: (a) self-psychological emotional experiences, including both negative and positive encounters; (b) personal stigma-related medical behaviors, such as voluntary disclosure and seeking care for non-HIV-related conditions; (c) medical expectations regarding HIV treatment and health care providers; and (d) insufficient medical support, including digital divide and economic constraints. Participants faced diverse challenges, highlighting the need for comprehensive strategies to address stigma in health care visits for older PLWH.ABSTRACTHIV-related stigma remains a significant challenge for older people living with HIV (PLWH), particularly during routine health care visits. Our qualitative study explores the perceptions and experiences of stigma among 12 older PLWH in Wuxi, China, through semi-structured interviews. Using Braun and Clarke's thematic analysis, 4 primary themes emerged: (a) self-psychological emotional experiences, including both negative and positive encounters; (b) personal stigma-related medical behaviors, such as voluntary disclosure and seeking care for non-HIV-related conditions; (c) medical expectations regarding HIV treatment and health care providers; and (d) insufficient medical support, including digital divide and economic constraints. Participants faced diverse challenges, highlighting the need for comprehensive strategies to address stigma in health care visits for older PLWH. |
Author | Feng, Limei Hao, Jiaxin Zhang, Dan Chen, Judi |
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Cites_doi | 10.1007/s10461-022-03968-z 10.1016/S2352-3018(22)00009-1 10.3390/ijerph191811473 10.1007/s10461-023-04076-2 10.1016/j.healthplace.2023.103076 10.1177/10497323221146467 10.1016/S2352-3018(23)00226-6 10.1016/S2352-3018(20)30309-X 10.1007/s40471-021-00265-6 10.1080/13548506.2019.1659983 10.1002/jia2.25978 10.1002/jia2.25553 10.1007/s11135-017-0574-8 10.1371/journal.pone.0203895 10.1002/jia2.26002 10.1186/s12889-019-7283-2 10.5582/bst.2021.01437 10.1001/jamanetworkopen.2023.27584 10.1097/QAD.0000000000001870 10.1007/s10461-023-04222-w 10.1016/j.cpr.2022.102126 10.1007/s10461-022-03865-5 10.1177/1744987107081254 10.1016/S2352-3018(20)30197-1 10.1191/1478088706qp063oa |
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Keywords | descriptive qualitative research intersectional stigma older people living with HIV China |
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Title | “I'm So Passive, Every Visit Is a Challenge”: Stigma Experienced by Older People Living With HIV During Follow-up Health Care Visits in Wuxi, China—A Qualitative Study |
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