[HIV/AIDS-related stigma and discrimination: the case of health care providers in México].
OBJECTIVE
To analyze the social construction of stigma and discrimination processes associated with HIV/AIDS and people living with HIV/AIDS (PLHA), based on the perceptions of health care providers in three states of the Mexican Republic.


METHODS
Qualitative and quantitative description. Observation at nine institutions; in-depth interviews (14) and surveys (373) directed to providers of health services.


RESULTS
Seventy-five percent of providers reported having received training related to HIV/AIDS; however, notions persist as to patients being hopeless; discrimination due to the idea of risk groups; the immediate identification of living with the virus, having the syndrome and death; and specific lack of knowledge of forms of transmission. Twenty-three percent would not buy food from a PLHA and 16% think they should be banned from public services. With respect to confidentiality: 89% believe it should be maintained and 38% think that employers and administrators have the right to know about their employees' condition. Isolation, notes in clinical histories pointing to HIV, obligatory testing and delays in surgeries for PLHA were constant practices. The perception that men who have sexual relations with men and sexual workers decide their sexual practices marks the division between innocent victims and guilty ones, which determines the stigmatization and discrimination processes in health services.


CONCLUSIONS
The design of strategies to decrease stigma and discrimination associated with HIV/AIDS demands the inclusion of an ethical debate about human rights and a structural focus regarding social conditions that go beyond the notion of risk behaviors.
Infante
César
C
Thomas Coram Research Unit, Institute of Education, University of London.
Zarco
Angel
A
Cuadra
Silvia Magali
SM
Morrison
Ken
K
Caballero
Marta
M
Bronfman
Mario
M
Magis
Carlos
C
D000163:Acquired Immunodeficiency Syndrome; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D015658:HIV Infections; D006801:Humans; D008800:Mexico; D011287:Prejudice; D013240:Stereotyping