1. HIV-Related Stigma John B. Pryor, Ph.D. Illinois State University Presentation at the 17 th Texas HIV/STD Conferences May 25 2010
2.
3. Goffman (1963) defined stigma as “an undesired differentness from what we had anticipated.” “ By definition, we believe the person with a stigma is not quite human.” “ We construct a stigma-theory, an ideology to explain his inferiority and account for the danger he represents, sometimes rationalizing an animosity based upon other differences, such as those of social class (p. 5).”
4.
5. A Dynamic Model of the Four Manifestations of Stigma Stigma-by- Association Public Stigma Self- Stigma Institutional Stigma
25. Stigmatizing experiences that uniquely predict psychological distress among 601 Dutch PLWHA Psychological Distress Told to Conceal Exaggerated Kindness Avoidance Awkward Social Interaction From Family From Health Care Sector Source: Stutterheim, Pryor, Bos, Hoogendijk, Muris, & Schaalma (in press, 2009) Controlling for partner, educational & health status
26. Relationship of Endorsing Public Stigma to Manifestation of Self-Stigma Stigma-by- Association Public Stigma Self- Stigma Institutional Stigma
29. Evaluation Research of an Intervention Design to Reduce Public Stigma Stigma-by- Association Public Stigma Self- Stigma Institutional Stigma
30. Salud Es Cultura ¡Protégete! (Health is Culture, Protect Yourself) To reduce HIV/AIDS-related stigma within Latino communities through a portable promotores (peer education) program designed to provide accurate and culturally appropriate HIV prevention and outreach information.
31.
32. Organization The National Council of La Raza Anti-Stigma Focus Public stigma Target Audience Selected Latino communities in California and Texas (N = 574) Method Peer education ( promotores ) programs Evaluation Quantitative: Pre/post assessment of public stigma in peer education sessions ( charlas ) Results Improvements in knowledge, communication intentions, testing comfort, & comfort with PLWHA
33. Stigma-by- Association Public Stigma Self- Stigma Institutional Stigma Evaluation Research of an Intervention Design to Reduce Self-Stigma
34. THRIVE! Weekend A program developed by the AIDS SURVIVAL PROJECT To reduce HIV/AIDS-related stigma among PLWHA as a barrier to prevention, care, and treatment in two rural areas of Georgia using a volunteer-based training run by and for those affected by and/or living with HIV/AIDS.
35.
36. Organization The AIDS Survival Project Anti-Stigma Focus Self-stigma Target Audience PLWHA in rural & urban Georgia Method Weekend workshops led by teams of PWLHA, experts, and healthcare & social service providers Evaluation Quantitative: Pre/post assessment of self-stigma Results PLWHA felt less blame & shame following weekend workshops