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UNESCO HIV and Health Education Clearinghouse

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  1. A possible role of stigma and fears in HIV infection

    Fear/Stigma associated with HIV/AIDS continues to avert responses to the epidemic. Data (obtained in Tshwane metropolis) were used to test stigma/fear dimensions of an instrument. Factor analysis identified five foci of fear and stigma. There were significant differences on the factor scale measuring fear of sex, with females and younger respondents having significantly greater fear. Results were interpreted within a cultural context that realises that decreasing AIDS stigma is a vital step in stemming the pandemic.

  2. LGBTI in OECD countries: a review

    This paper presents an overview of the socio-economic situation of lesbians, gay men, bisexuals, transgender and intersex people (LGBTI), primarily in OECD countries. After investigating the size of this population, the paper zooms in on attitudes toward LGBTI, LGBTI rights and perceived discrimination among LGBTI. It goes on to discuss the empirical strategies used to identify whether LGBTI fare worse than non-LGBTI and provides a systematic review of survey-based and experimental evidence on such an “LGBTI penalty” and its causes. This exploration points to substantial hurdles for LGBTI. …

  3. Taire ou exposer la diversité sexuelle ? Impacts des normes de genre et de l'hétéronormativité sur les pratiques enseignantes

    À partir de 22 entretiens et de 243 questionnaires d’enquête complétés par des enseignants du secondaire du Québec (Canada), cet article interroge l’existence de normes relatives au genre et à l’orientation sexuelle en milieu scolaire. Les résultats suggèrent que les pratiques professionnelles des enseignant(e)s, tant lesbiennes, gais et bisexuels (LGB) qu’hétérosexuel(le)s concernant l’homophobie et la diversité sexuelle sont influencées par ces normes. …

  4. Revealing the full extent of households’ experiences of HIV and AIDS in rural South Africa

    Households experience HIV and AIDS in a complex and changing set of environments. These include health and welfare treatment and support services, HIV-related stigma and discrimination, and individual and household social and economic circumstances. This paper documents the experiences of 12 households directly affected by HIV and AIDS in rural KwaZulu Natal, South Africa, between 2002 and 2004. The households were observed during repeated visits over a period of more than a year by ethnographically trained researchers. …

  5. Hidden from health: structural stigma, sexual orientation concealment, and HIV across 38 countries in the European MSM Internet Survey

    Objective: Substantial country-level variation exists in prejudiced attitudes towards male homosexuality and in the extent to which countries promote the unequal treatment of MSM through discriminatory laws. The impact and underlying mechanisms of country-level stigma on odds of diagnosed HIV, sexual opportunities, and experience of HIV-prevention services, needs and behaviours have rarely been examined, however. Design: Data come from the European MSM Internet Survey (EMIS), which was administered between June and August 2010 across 38 European countries (N = 174 209). …

  6. Intersectionality of HIV stigma and masculinity in eastern Uganda: implications for involving men in HIV programmes

    Background: Stigma is a determinant of social and health inequalities. In addition, some notions of masculinity can disadvantage men in terms of health outcomes. However, few studies have explored the extent to which these two axes of social inequality intersect to influence men’s health outcomes. This paper investigates the intersection of HIV stigma and masculinity, and its perceived impact on men’s participation in and utilisation of HIV services in Uganda. Methods: Interviews and focus group discussions were conducted in Mbale and Jinja districts of Uganda between June and October 2010. …

  7. HIV-related discrimination among grade six students in nine southern African countries

    Background: HIV-related stigmatisation and discrimination by young children towards their peers have important consequences at the individual level and for our response to the epidemic, yet research on this area is limited. Methods: We used nationally representative data to examine discrimination of HIV-positive children by grade six students (n = 39,664) across nine countries in Southern Africa: Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. …

  8. Teaching lesbian, gay, bisexual and transgender health in a South African health sciences faculty: addressing the gap

    Background: People who identity as lesbian, gay, bisexual and transgender (LGBT) have specific health needs. Sexual orientation and gender identity are social determinants of health, as homophobia and heteronormativity persist as prejudices in society. LGBT patients often experience discrimination and prejudice in health care settings. While recent South African policies recognise the need for providing LGBT specific health care, no curricula for teaching about LGBT health related issues exist in South African health sciences faculties. …

  9. Children’s representations of school support for HIV-affected peers in rural Zimbabwe

    Background: HIV has left many African children caring for sick relatives, orphaned or themselves HIV-positive, often facing immense challenges in the absence of significant support from adults. With reductions in development funding, public sector budgetary constraints, and a growing emphasis on the importance of indigenous resources in the HIV response, international policy allocates schools a key role in ‘substituting for families’ (Ansell, 2008) in supporting child health and well-being. …

  10. Lesbian teachers' identity, power and the public/private boundary

    This article examines lesbian teachers' negotiation of the public/private boundary in the school, focusing on identity management in the context of the heterosexualised space of this public institution. The study is based on interviews conducted with six lesbian teachers working in London secondary schools. I examine the teachers' responses, and the ways in which they mediate the ‘polite’ silences in relation to lesbian and gay sexuality, as situated in a framework of liberal tolerance found in public and political domains. …

  11. Sexual orientation and gender identity and the protection of forced migrants

    Around the world, people face abuse, arbitrary arrest, extortion, violence, severe discrimination and lack of official protection because of their sexual orientation and/or gender identity. This latest issue of FMR includes 26 articles on the abuse of rights of forced migrants who identify as lesbian, gay, bisexual, transgender or intersex. Authors discuss both the challenges faced and examples of good practice in securing protection for LGBTI forced migrants.

  12. School culture and the well-being of same-sex attracted youth

    This study assesses how variations in heteronormative culture in high schools affect the well-being of same-sex-attracted youth. The authors focus on the stigmatization of same-sex attraction (rather than identity or behavior) to better understand how heteronormativity may marginalize a wide range of youth. …

  13. HIV-related knowledge and stigma among high school students in Libya

    This study aims to measure indicators of HIV-related stigma among students of high schools in the North West of Libya. The results will be part of baseline data and evaluation of the impact of successive interventions. Understanding the behaviour of risk groups in a society, such as young people, is essential in order to draw effective prevention strategies. Behavioural surveillance surveys have been shown to make an important and useful contribution to informing the response to HIV. This study was part of a large Knowledge, Attitude, Beliefs and Practice survey. …

  14. HIV interventions to reduce HIV/AIDS stigma: a systematic review

    We reviewed the literature to determine the effectiveness of HIV-related interventions in reducing HIV/AIDS stigma. Studies selected had randomized controlled trial (RCT), pretest-posttest with a non-randomized control group, or pretest-posttest one group study designs in which HIV-related interventions were being evaluated, and in which HIV/AIDS stigma was one of the outcomes being measured. A checklist was used to extract data from accepted studies, assess their internal validity, and overall quality. …

  15. Knowledge of HIV/AIDS and attitudes towards people living with HIV among the general staff of a public university in Malaysia

    Stigma and discrimination towards people living with HIV have been widely documented, and have extended their impact into the workplace. Stigmatising attitudes towards people living with HIV (PLHIV) in the workplace significantly hinder HIV prevention efforts and indirectly affect national development. This cross-sectional study was designed to determine the level of knowledge about HIV and AIDS and assess attitudes towards PLHIV among the general staff of Universiti Putra Malaysia (UPM), as well as to identify factors that are associated with it.

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