title: Perceptions of community- and family-level injection drug user (IDU)- and HIV-related stigma, disclosure decisions and experiences with layered stigma among HIV-positive IDUs in Vietnam.
abstract: This paper explores how perceived stigma and layered stigma related to injection drug use and being HIV-positive influence the decision to disclose one's HIV status to family and community and experiences with stigma following disclosure among a population of HIV-positive male injection drug users (IDUs) in Thai Nguyen, Vietnam. In qualitative interviews conducted between 2007 and 2008, 25 HIV-positive male IDUs described layered stigma in their community but an absence of layered stigma within their families. These findings suggest the importance of community-level HIV prevention interventions that counter stigma and support families caring for HIV-positive relatives.
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
authors.forename: A E
authors.initials: AE
authors.lastname: Rudolph
authors.forename: W W
authors.initials: WW
authors.lastname: Davis
authors.forename: V M
authors.initials: VM
authors.lastname: Quan
authors.forename: T V
authors.initials: TV
authors.lastname: Ha
authors.forename: N L
authors.initials: NL
authors.lastname: Minh
authors.forename: A
authors.initials: A
authors.lastname: Gregowski
authors.forename: M
authors.initials: M
authors.lastname: Salter
authors.forename: D D
authors.initials: DD
authors.lastname: Celentano
authors.forename: V
authors.initials: V
authors.lastname: Go
mesh_terms: D000328:Adult; D003657:Decision Making; D005190:Family; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012650:Self Disclosure; D012931:Social Environment; D012934:Social Isolation; D057545:Social Stigma; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000523:psychology*; D014744:Vietnam