One of the greatest barriers to HIV/AIDS control globally is HIV/AIDS-related stigma. To fill the lacunae in the current operational understanding of the construct, I have conceived of HIV/AIDS-related stigma as experiential, symbolic and structural, examining it via multiple modes of research (primary and secondary) with multiple subjects (individuals, symbols, and structures). This study begins with an experiential analysis; structural equation modeling of the stigma construct in cross sectional random sample (N=430) of youth (aged 18 to 25) as well as a snowball sample (N=145) of youth involved with HIV/AIDS related NGOs in the Indian capital, Delhi. Findings suggest that the psychometric nature of stigma as well as its correlates overlap and contrast across these populations. Based on these findings, I explore the symbolic processes of stigma articulated in the "Targeted Intervention" typology and structural processes of stigma embedded in the neoliberal transformations of India's broader economic and social world, exploring not just what stigma is but how stigma functions and perpetuates in the Indian context. Having discovered the processes and relationships of stigmatization that are embedded (and ignored) within the apparatus of public health in India, this study has shown the aspects of the globalized response to HIV/AIDS that may have been legitimizing HIV/AIDS-related stigma. It reveals a need for greater sensitivity to the hegemonic, reductive, and formulaic tendencies that sometimes arise in our discipline.
|Advisor:||Rimal, Rajiv, Lawrence, Robert|
|School:||The Johns Hopkins University|
|School Location:||United States -- Maryland|
|Source:||DAI-B 71/01, Dissertation Abstracts International|
|Subjects:||Public health, Behavioral Sciences, South Asian Studies|
|Keywords:||HIV/AIDS-related, India, NGOs, Stigma, Youth|
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