Overcoming HIV Stigma? A Qualitative Analysis of HIV Cure Research and Stigma Among Men Who Have Sex with Men Living with HIV
Despite global progress in HIV stigma reduction, persistent HIV stigma thwarts effective HIV service delivery. Advances in HIV biomedical research toward a cure may shift perceptions of people living with HIV and HIV stigma. The purpose of this study was to examine how men who have sex with men (MSM) living with HIV in Guangzhou, China perceive HIV cure research and its potential impact on MSM and HIV stigma. We conducted in-depth interviews with 26 MSM living with HIV about their perceptions of HIV cure research and the potential impact of an HIV cure on their lives. Thematic coding was used to identify themes and structure the analysis. Two overarching themes emerged. First, participants stated that an HIV cure may have a limited impact on MSM-related stigma. Men noted that most stigma toward MSM was linked to stereotypes of promiscuity and high rates of sexual transmitted diseases in the MSM community and might persist even after a cure. Second, participants believed that an HIV cure could substantially reduce enacted, anticipated, and internalized stigma associated with HIV. These findings suggest that a biomedical cure alone would not remove the layered stigma facing MSM living with HIV. Comprehensive measures to reduce stigma are needed.
KeywordsHIV cure HIV-related stigma MSM China Sexual orientation
The authors would like to thank Guangzhou Eighth People’s Hospital and UNC Project-China for their administrative support, and Gail E. Henderson and Yang Zhao for their research assistance and advice.
This work was supported by the National Institute of Health NIAID under Grant Nos. 1R01A108366-01 and 1R01AI114617-01A1.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- Aggleton, P., Wood, K., Malcolm, A., & Parker, R. (2005). HIV-related stigma discrimination and human rights violations: Case studies of successful programmes. Geneva: UNAIDS.Google Scholar
- Bernard, H. R. (2011). Research methods in anthropology: Qualitative and quantitative approaches. Lanham, MD: Rowman Altamira.Google Scholar
- Brooks, V. R. (1981). Minority stress and lesbian women. New York, NY: Free Press.Google Scholar
- Choi, K. H., Steward, W. T., Miege, P., Hudes, E., & Gregorich, S. E. (2016). Sexual stigma, coping styles, and psychological distress: A longitudinal study of men who have sex with men in Beijing, China. Archives of Sexual Behavior, 45, 1483–1491. https://doi.org/10.1007/s10508-015-0640-z.CrossRefPubMedGoogle Scholar
- Chu, C. E., Wu, F., He, X., Ma, Q., Cheng, Y., Cai, W., & Tucker, J. D. (2015). Exploring the social meaning of curing HIV: A qualitative study of people who inject drugs in Guangzhou, China. AIDS Research and Human Retroviruses, 31, 78–84. https://doi.org/10.1089/AID.2014.0200.CrossRefPubMedPubMedCentralGoogle Scholar
- General Office of the State Council of the People’s Republic of China. (2006). Regulations on AIDS prevention and treatment. Beijing: General Office of the State Council of the People’s Republic of China.Google Scholar
- Glaser, B. G. (1992). Basics of grounded theory analysis. Mill Valley, CA: Sociology Press.Google Scholar
- Goffman, E. (1963). Behavior in public place. New York, NY: Free Press.Google Scholar
- He, H., Lv, F., Zhang, N. N., Wu, Z., Liao, Q., Chang, Z., & Huan, X. (2017). Look into the HIV epidemic of gay community with a socio-cultural perspective: A qualitative study in China, 2015–2016. PLoS ONE, 12, e0170457. https://doi.org/10.1371/journal.pone.0170457.CrossRefPubMedPubMedCentralGoogle Scholar
- Mahajan, A. P., Sayles, J. N., Patel, V. A., Remien, R. H., Sawires, S. R., Ortiz, D. J., & Coates, T. J. (2008). Stigma in the HIV/AIDS epidemic: A review of the literature and recommendations for the way forward. AIDS, 22(Suppl. 2), S67–S79. https://doi.org/10.1097/01.aids.0000327438.13291.62.PubMedPubMedCentralGoogle Scholar
- Mall, S., Middelkoop, K., Mark, D., Wood, R., & Bekker, L.-G. (2013). Changing patterns in HIV/AIDS stigma and uptake of voluntary counselling and testing services: The results of two consecutive community surveys conducted in the Western Cape, South Africa. AIDS Care, 25, 194–201.CrossRefPubMedGoogle Scholar
- Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Procedures and techniques for developing grounded theory. Thousand Oaks, CA: Sage.Google Scholar
- Wang, Q. (2011). Well-identified but not coming out: Contemporary gay minority investigation. China Agricultural University Journal of Social Sciences, 4, 016.Google Scholar
- Wei, H., & Zhong, Z. (2016). Inter-generational exchange, filial piety culture and structural constraints: An empirical analysis of offspring supporting behavior. Journal of Nanjing Agricultural University, 1, 144–155.Google Scholar
- United Nations Programme on HIV/AIDS. (2012). HIV in China: Facts and figures. Retrieved from http://unaids.org.cn/en/index/page.asp?id=197&class=2&classname=China+Epidemic+%26+Response.