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A model for understanding the relationship between stigma and healthcare-seeking behaviour among people living with HIV/AIDS in sub-Saharan Africa.

Authors
Type
Published Article
Journal
African journal of AIDS research : AJAR
Publication Date
Volume
8
Issue
2
Pages
201–212
Identifiers
DOI: 10.2989/AJAR.2009.8.2.8.860
PMID: 25875571
Source
Medline
Keywords
  • Plhiv
  • Precede-Proceed Model
  • Coping
  • Healthcare Professionals
  • Literature Review
  • Self-Efficacy
  • Social Conditions
  • Stigma

Abstract

People living with HIV or AIDS (PLHIV) in sub-Saharan Africa sometimes have care-seeking behaviours that result in a suboptimal quality of life. This paper seeks to examine the role of stigma in the care-seeking behaviour of PLHIV. We hypothesise that stigma relates to the behaviour of PLHIV themselves and with societal reactions, including those of healthcare professionals. From a literature review, we identified the following as important correlates of care-seeking behavior: beliefs about pathways of HIV infection and people infected with HIV, social reactions, coping strategies, knowledge of HIV and AIDS, and self-efficacy in finding care and treatment in addition to coping with the disease. Poverty, gender, age, religion and policy were found to be moderating variables. The Precede-Proceed model was adapted to build an explanatory model of healthcare-seeking behaviour among PLHIV and particularly to explore the role of stigma in the non-utilisation of healthcare institutions.

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