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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

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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.

Keywords: COPING; HEALTHCARE PROFESSIONALS; LITERATURE REVIEW; PLHIV; PRECEDE-PROCEED MODEL; SELF-EFFICACY; SOCIAL CONDITIONS; STIGMA

Document Type: Research Article

DOI: http://dx.doi.org/10.2989/AJAR.2009.8.2.8.860

Publication date: July 1, 2009

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  • Co-Published by NISC and Routledge - Subscriber access available here
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