HIV-related stigma in rural areas: a case of citrus farm workers based in Addo community in Eastern Cape
- Authors: Mazorodze, Tasara
- Date: 2019
- Subjects: Stigma (Social psychology) -- South Africa -- Eastern Cape , Discrimination -- Psychology HIV infections -- Psychology AIDS (Disease) -- Psychology
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/41526 , vital:36501
- Description: While South Africa has recently joined the rest of the world in the race to achieve an AIDS free generation by the year of 2030, little has been done to develop the scientific interventions that address HIV-related stigma, which is one of the major barriers to the fight against HIV. To the researcher’s knowledge, this is the first study in the South African context that seeks to assess the forms of HIV- related stigma in a local context and in a rural area in particular, where HIV related stigma research and interventions remains scant. This study acknowledges the dynamic, unique, multidimensional and sensitive nature of HIV-related stigma and, therefore, an explanatory mixed approach enabled the researcher to provide a comprehensive assessment of HIV-related stigma amongst the citrus farm workers who are based in Addo, Eastern Cape. Quantitative data was collected from 200 participants across five farms, whereas 50 employees across the 5 farms were also selected to take part in the focus group discussions. An assessment of the reliability and validity of local HIV-related stigma scales (Kalichman et al., 2005 personal stigma scale-English, isiXhosa and Afrikaans version and Visser et al. 2008 personal and attributed stigma scale-English version) and the UNAIDS (2012) HIV knowledge scale was conducted. The assessment showed that the reliability of these scales of measurement tend to vary according to context. In this study, the Kalichman et al., (2005) personal stigma scale (English version) scored a weaker reliability score (alpha=0.58). Thus, as the scale is not reliable for the rural context, it was not considered. Furthermore, quantitative findings show that citrus farm workers are characterised by lack of/ little knowledge about HIV, which results in the stigmatisation of people who are HIV positive in the form of symbolic, instrumental, personal and attributed stigma, as well as a fear of HIV disclosure. Findings also revealed that participants who display a high personal stigma score are likely to display a high attributed stigma score (r=0.47, p<0.00). This confirm the assumption of social identity theory that people tend to use stigma as a ‘protective function’ to protect their identity by labelling other people as ‘’deviant’ or ‘stigmatising’. This finding is particularly relevant in that it reveals that, while many people are aware that stigmatising people with HIV is not morally acceptable, they rather attribute stigmatising attitudes to their communities. Thus future studies need to consider emphasising the assessment of attributed stigma in a rural context. Quantitative findings also revealed that the effect of the following demographic variables, namely race (F=20.1, p=0.00), marital status (F=3.58, p=0.00), religion (F=7.17, p=0.03) and education (F=2.63, p=0.03) on HIV-related stigma was statistically significant. This provides proof that HIV-related interventions that were developed for the Addo community need to consider the above-mentioned demographics variables. The qualitative findings provided an in-depth analysis of the key quantitative findings. A lack of knowledge about HIV among participants was further confirmed by the following themes that were common during focus group discussions: misconceptions about HIV transmission and prevention; false beliefs that healthy looking people cannot have HIV; HIV symptoms are clearly visible; and HIV can be transmitted through contact with people who are HIV positive. Possible causes of HIV-related stigma as revealed by the qualitative findings include; fear of death; the belief that HIV is a punishment for bad behaviour; and the fear of being isolated and rejected. The qualitative approach revealed other forms of HIV-related stigma that were not common in the quantitative studynamely; healthcare, employment and verbal stigma. The focus group discussions revealed the major reasons why a large number of the farm works may be reluctant to disclose their status, namely fear of the unknown and attributed stigma. The study concluded by offering recommendations for the designing and tailoring of HIV-related interventions in the rural context and in the citrus sector in particular.
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- Date Issued: 2019
HIV-related stigma amongst service staff in Grahamstown: a comparison of Hi-Tec security guards and Rhodes catering in the Eastern Cape
- Authors: Mazorodze, Tasara
- Date: 2011
- Subjects: AIDS phobia -- Research -- South Africa -- Grahamstown HIV infections -- Employees -- Research -- South Africa AIDS (Disease) -- Employees -- Research -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3016 , http://hdl.handle.net/10962/d1002525
- Description: Despite the acknowledged reality that HIV-related stigma is a major barrier to effective HIV prevention and treatment, and perhaps because it is complex in nature, few local empirical scales have been developed to measure stigma and to be able evaluate the impact of anti-stigma interventions. Whilst the development of two recent South African HIV-related stigma scales can be celebrated as a major breakthrough, the reliability and validity of these scales across contexts remains largely unknown. This research project employs these two local, and competing, HIV-related personal stigma scales - the first developed by Kalichman et al. (2005) and the second developed by Visser, Kershaw, Makin and Forsyth (2008)-to compare the psychometric properties of the scales and to obtain a measure of HIV-related stigma with a sample of 246 service staff employed at either Rhodes University Catering Division or the Hi-Tec Security company, both organisations located in Grahamstown, a small town in the Eastern Cape, South Africa. Both organisations are major employers of semi-skilled workers in this local context. The results suggest that the Visser et al. scale (2008) reports slightly better psychometric properties than the Kalichman et al. (2005) scale for this sample. Furthermore, the security guards appear to be more stigmatising than the caterers, and it is suggested that this might be a consequence of the combined influences of normative occupational roles and workplace context. Results also show that participants who practices safe sex, know someone with HIV and/or who have been tested for HIV show lower levels of HIV-related stigma. Finally, personal stigma scores are generally lower than attributed stigma scores, which might offer a useful point of intervention.
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- Date Issued: 2011