School of Public Health - Health, Behavior & Society
Experiences of stigma among South African ex-inmates living with HIV
Ex-inmates living with HIV in South Africa, despite high rates of HIV treatment initiation and retention in prison, fail to engage in HIV care at high rates in the period following release. Previous research in the U.S. and South Africa has established that HIV stigma—including internalized, anticipated, enacted, and intersectional stigma—is an important determinant of ex- inmates’ engagement in HIV care. The corrections2community study (PIs: Chris Hoffmann, Salome Charalambous) has purposively sampled 30 ex-inmates from Gauteng Province, South Africa and conducted a preliminary analysis of ex-inmates’ experiences of HIV stigma that includes administration of a questionnaire adapted from the PLHIV Stigma Index. In order to explain how HIV stigma influences ex-inmates’ engagement in HIV care, I will conduct semi- structured, in-depth interviews with a sample of 12 ex-inmates who have completed the survey. I will analyze the interviews using qualitative content analysis. The final deliverable will be a draft manuscript that will comprise one aim of my dissertation and will be submitted for peer review. Findings will inform the development of an intervention to improve engagement in HIV care among ex-inmates in South Africa. The research will be conducted with institutional support from both Johns Hopkins University and the Aurum Institute for Health Research, will occur in (U.S.) summer 2018, and will proceed upon approval from the Johns Hopkins University IRB.
PI Mentor: Chris Hoffmann