| Titre : | Risks, stigma and Honduran Garifuna conceptions of HIV/AIDS. (2004) |
| Auteurs : | STANSBURY (James-P) : USA. Rehabilitation Outcomes Research Center. North Florida. South Georgia Veterans Health System. Gaineseville. FL. ; SIERRA (Manuel) : HND. Facultad de Ciencias Médicas. Universidad Autonoma de Honduras. Tegucigalpa MDC. |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 59, n° 3, 2004) |
| Pagination : | 457-471 |
| Langues: | Anglais |
| Mots-clés : | Facteur risque ; Risque ; VIH ; Rétrovirus ; Virus ; Sida ; Virose ; Infection ; Connaissance ; Honduras ; Amérique ; Immunopathologie ; Amérique centrale |
| Résumé : | [BDSP. Notice produite par INIST-CNRS tmuR0xpq. Diffusion soumise à autorisation]. The HIV/AIDS epidemic along Honduras'north coast has intensified in recent years and become particularly severe in Garifuna communities. Based on a qualitative study in the community of Las Espinas and comparison with results from an earlier knowledge, attitudes, beliefs and practices survey, this article explores Garifuna ideas about the disease, focusing on issues of risk perception and stigma. Using correspondence analysis with data from systematic elicitation techniques we abstract the local schema of HIV/AIDS, showing how accurate knowledge of transmission co-occurs with cultural judgements about safe partners, increasing chances for infection. Despite broad familiarity with the disease in the community it remains highly stigmatized, suggesting continuing problems in coming to terms with the epidemic as treatment becomes more widely available in Honduras. Questions of power, sexuality and affective expectations about partners complicate the situation for women hoping to prevent infection. Given the broader risk environment characterized by labor migration and transnational movement, vital interventions and educational efforts in Garifuna communities will need to be complemented with prevention efforts in contexts where men make a living. |
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