Unpacking the “backpack of shame”: Exploring intersections of stigma among Latinx people living with HIV in San Francisco, CA.
- 1 October 2021
- journal article
- research article
- Published by American Psychological Association (APA) in Cultural Diversity & Ethnic Minority Psychology
- Vol. 27 (4), 630-637
- https://doi.org/10.1037/cdp0000487
Abstract
Objective: Ending the HIV epidemic requires addressing structural determinants of health, including stigma. In this qualitative study, we applied an intersectional framework to study various forms of stigma among Latinx people living with HIV (PLWH). Method: We conducted focus groups and individual interviews with Spanish- and English-speaking Latinx PLWH (N = 19) at an HIV safety-net clinic in San Francisco, California. Using thematic analysis, we identified co-occurring forms of stigma impacting the participants' lives. Results: Participants described the weight of co-occuring stigma related to their multiple identities, including homophobia and HIV-related stigma, both of which participants experienced in the U.S. and in their Latin American home countries. Importantly, many participants faced anti-immigrant stigma in their day-to-day interactions, which manifested as structural inequities such as difficulty finding stable housing and employment. Conclusions: Our findings illustrate experiences of intersectional stigma and systems of oppression. They can be used to inform policies that address social exclusion, discrimination, and stigma among Latinx PLWH.Keywords
Funding Information
- National Institute of Mental Health (T32MH19105, K01MH113475)
This publication has 30 references indexed in Scilit:
- HIV Stigma Mechanisms and Well-Being Among PLWH: A Test of the HIV Stigma FrameworkAIDS and Behavior, 2013
- Housing Status and the Health of People Living with HIV/AIDSCurrent HIV/AIDS Reports, 2012
- Social, Structural and Behavioral Determinants of Overall Health Status in a Cohort of Homeless and Unstably Housed HIV-Infected MenPLOS ONE, 2012
- Sociocultural and Structural Barriers to Care Among Undocumented Latino Immigrants with HIV InfectionJournal of Immigrant and Minority Health, 2011
- STRUCTURAL RACISM AND HEALTH INEQUITIESDu Bois Review: Social Science Research on Race, 2011
- Language differences in qualitative research: is meaning lost in translation?European Journal of Ageing, 2010
- Race, place and AIDS: The role of socioeconomic context on racial disparities in treatment and survival in San FranciscoSocial Science & Medicine (1982), 2009
- From Conceptualizing to Measuring HIV Stigma: A Review of HIV Stigma Mechanism MeasuresAIDS and Behavior, 2009
- Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health careSocial Science & Medicine (1982), 2008
- Beyond acculturation: Immigration, discrimination, and health research among Mexicans in the United StatesSocial Science & Medicine (1982), 2007