RNQualitativeThe Journal of the Association of Nurses in AIDS Care : JANAC2024

The Impact of Intersectional Discrimination and Stigma on HIV Care for African, Caribbean, and Black Women Living With HIV During the COVID-19 Pandemic in British Columbia: A Descriptive Study.

Emmanuela Ojukwu, Saima Hirani, Tatiana Sotindjo and 5 others

PMID 38427789

WHAT IT FOUND

African, Caribbean, or Black women living with HIV described overlapping stigma during the pandemic, including health care probing, pain dismissal, and fear of disclosure.

These experiences made care harder to seek and trust.

Key findings

01Participants described fear of disclosing HIV status, which affected socializing and romantic relationships.

02Some participants reported health care providers asking unnecessary questions about HIV status, including during vaccination.

03Participants said intersecting stigma related to race, HIV, gender, and COVID-19 increased isolation, fear, discrimination in health care, and decreased quality of life.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Eighteen participants from a single province may not represent African, Caribbean, or Black women living with HIV elsewhere. The authors say findings should not be generalized outside British Columbia without care. The study did not test any intervention or measure outcomes.

Declared interests

The authors declared no real or perceived vested interests related to this article.

The easy way to misread this

Do not read this as evidence that any specific intervention reduces stigma or improves HIV care. The study describes participants' experiences and resource needs, and it does not test an intervention.

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