"I die silently inside". Qualitative findings from a study of people living with HIV who migrate to and settle in Canada

We report on qualitative findings from a mixed methods study, examining enacted and internalized stigma during mandatory HIV screening among immigration applicants living with HIV in Canada. Qualitative findings show alignment with characteristics of internalized HIV stigma. We conducted 34 semi-str...

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Main Authors: Aniela M. dela Cruz (Author), Sithokozile Maposa (Author), San Patten (Author), Inusa Abdulmalik (Author), Patience Magagula (Author), Sipiwe Mapfumo (Author), Tsion Demeke Abate (Author), Andrea Carter (Author), Peggy Spies (Author), Jean Harrowing (Author), Marc Hall (Author), Arfan R. Afzal (Author), Vera Caine (Author)
Format: Book
Published: Elsevier, 2022-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Aniela M. dela Cruz  |e author 
700 1 0 |a Sithokozile Maposa  |e author 
700 1 0 |a San Patten  |e author 
700 1 0 |a Inusa Abdulmalik  |e author 
700 1 0 |a Patience Magagula  |e author 
700 1 0 |a Sipiwe Mapfumo  |e author 
700 1 0 |a Tsion Demeke Abate  |e author 
700 1 0 |a Andrea Carter  |e author 
700 1 0 |a Peggy Spies  |e author 
700 1 0 |a Jean Harrowing  |e author 
700 1 0 |a Marc Hall  |e author 
700 1 0 |a Arfan R. Afzal  |e author 
700 1 0 |a Vera Caine  |e author 
245 0 0 |a "I die silently inside". Qualitative findings from a study of people living with HIV who migrate to and settle in Canada 
260 |b Elsevier,   |c 2022-01-01T00:00:00Z. 
500 |a 2666-6235 
500 |a 10.1016/j.jmh.2022.100088 
520 |a We report on qualitative findings from a mixed methods study, examining enacted and internalized stigma during mandatory HIV screening among immigration applicants living with HIV in Canada. Qualitative findings show alignment with characteristics of internalized HIV stigma. We conducted 34 semi-structured interviews, and analyzed the data through thematic analysis, using Intersectionality and the Internalized HIV Stigma Scale as our theoretical and analytical frameworks. Participants described experiences of enacted and internalized HIV stigma in ways that were consistent with the four main domains of stereotypes, disclosure concerns, social relationships, and self-acceptance, but also extended the description of HIV stigma beyond these domains. Experiences of internalized HIV stigma and enacted stigma during the Canadian Immigration Medical Examination could potentially influence individuals' long-term engagement in the HIV care cascade during the process of migration to, and settlement in, Canada. We present recommendations for the broader migrant health research agenda, health and social care providers, and public health policies. 
546 |a EN 
690 |a HIV/AIDS 
690 |a Stigma 
690 |a Immigrants 
690 |a Sub-Saharan Africa 
690 |a Caribbean 
690 |a Canada 
690 |a Public aspects of medicine 
690 |a RA1-1270 
690 |a Colonies and colonization. Emigration and immigration. International migration 
690 |a JV1-9480 
655 7 |a article  |2 local 
786 0 |n Journal of Migration and Health, Vol 5, Iss , Pp 100088- (2022) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2666623522000113 
787 0 |n https://doaj.org/toc/2666-6235 
856 4 1 |u https://doaj.org/article/1fd97eddcde14c75a056030d9ba314d5  |z Connect to this object online.