Understanding and addressing AIDS-related stigma: from anthropological theory to clinical practice in Haiti

Am J Public Health. 2005 Jan;95(1):53-9. doi: 10.2105/AJPH.2003.028563.


For the past several years, diverse and often confused concepts of stigma have been invoked in discussions on AIDS. Many have argued compellingly that AIDS-related stigma acts as a barrier to voluntary counseling and testing. Less compelling are observations regarding the source of stigma or its role in decreasing interest in HIV care. We reviewed these claims as well as literature from anthropology, sociology, and public health. Preliminary data from research in rural Haiti suggest that the introduction of quality HIV care can lead to a rapid reduction in stigma, with resulting increased uptake of testing. Rather than stigma, logistic and economic barriers determine who will access such services. Implications for scale-up of integrated AIDS prevention and care are explored.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acquired Immunodeficiency Syndrome / drug therapy*
  • Acquired Immunodeficiency Syndrome / prevention & control
  • Acquired Immunodeficiency Syndrome / transmission
  • Adult
  • Anthropology, Cultural
  • Antiretroviral Therapy, Highly Active*
  • Child
  • Counseling
  • Female
  • Haiti
  • Humans
  • Male
  • Poverty
  • Prejudice*
  • Public Health Practice*
  • Quality of Life